Clarksburg Surgical Specialists

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

18555 Issued in WV

Legal business name

CLARKSBURG SURGICAL SPECIALISTS

Practice address

527 Medical Park Dr
Ste 202
Bridgeport, WV 26330-9009

Phone

(304) 933-3855

Fax

(304) 933-3859

NPI assigned

May 28, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jeffrey W Madden, M.D.NPI 1255368445

Title

Partner

Phone

(304) 933-3855

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey W. Madden, M.D.

  • Surgery Physician
  • Bridgeport, WV
  • NPI 1255368445
  Authorized official Same address or phone
• Carl R. Fischer, M.D.

  • Surgery Physician
  • Bridgeport, WV
  • NPI 1336183490
  NPD (past)
• Mark Andrew Hrko, D.O.

  • Surgery Physician
  • Statesville, NC
  • NPI 1821033531
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320192000000",
    "number": "1548217037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 MEDICAL PARK DR",
            "address_2": "SUITE 202",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263309008",
            "telephone_number": "304-933-3855",
            "fax_number": "304-933-3859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 MEDICAL PARK DR",
            "address_2": "STE 202",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263309009",
            "telephone_number": "304-933-3855",
            "fax_number": "304-933-3859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKSBURG SURGICAL SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2011-11-02",
        "status": "A",
        "authorized_official_last_name": "MADDEN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "304-933-3855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "WV",
            "license": "18555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020411000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV BUSINESS LICENSE",
            "identifier": "18555",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jazzriel Le Clark-Casto, NP
• Samantha Clark, LICSW
• Clarksburg Cardiology Consultants
• Clarksburg Cardiovascular PLLC
• Clarksburg ENT - Uha
• Lauren Hope Clarkson, MOT
• Clemens Physical Therapy PLLC
• Clemens Physical Therapy Services Inc.
• Marnie Clemens, DPT
• Patrick J Cobb, DDS

• Surgery Physician in Bridgeport, WV
• Providers in Bridgeport, WV by specialty
• Surgery Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.