NPIMap

Organization Active NPI

United Physicians Care Inc

  • Family Medicine Physician
  • Nutter Fort, WV
National Provider Identifier
1689747255
Registry record updated Jan 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
UNITED PHYSICIANS CARE INC
Practice address
200 Route 98 W St
Ste 401
Nutter Fort, WV 26301-4385
Phone
(304) 622-0704
Fax
(304) 622-6109
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2009

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

Authorized official

Name
Mr. John C Forester
Title
Chief Executive Officer
Phone
(304) 624-4655

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

200 Route 98 W St
Ste 401
Nutter Fort, WV 26301-4385

Mailing address

200 Route 98 W St
Ste 401
Nutter Fort, WV 26301-4385
Phone (304) 622-0704

Other identifiers 1

IdentifierTypeStateIssuer
3810007767MedicaidWV

Other names 1

  • Maurice C. Rhodes, MD Doing business as

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040706001382 WV Part B Supplier - Clinic/Group Practice 6103814017 Receives reassigned benefits from 173 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Clarksburg, WV; West Union, WV; Shinnston, WV; Salem, WV; Ronceverte, WV; Philippi, WV; Pennsboro, WV; Jane Lew, WV…

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231372800000",
    "number": "1689747255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ROUTE 98 W ST",
            "address_2": "STE 401",
            "city": "NUTTER FORT",
            "state": "WV",
            "postal_code": "263014385",
            "telephone_number": "304-622-0704",
            "fax_number": "304-622-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ROUTE 98 W ST",
            "address_2": "STE 401",
            "city": "NUTTER FORT",
            "state": "WV",
            "postal_code": "263014385",
            "telephone_number": "304-622-0704",
            "fax_number": "304-622-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED PHYSICIANS CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2009-01-08",
        "status": "A",
        "authorized_official_last_name": "FORESTER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "304-624-4655",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810007767",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maurice C. Rhodes, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nutter Fort, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.