Active NPI
United Hospital Center, Inc.
- Ophthalmology Physician
- Clarksburg, WV
National Provider Identifier
1972979474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- UNITED HOSPITAL CENTER, INC.
- Practice address
- 211 S Chestnut St
Clarksburg, WV 26301-2832 - Phone
- (304) 624-5212
- Fax
- (304) 623-5812
- NPI assigned
- Aug 19, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael C Tillman
- Title
- Ceo
- Phone
- (681) 342-1620
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
211 S Chestnut St
Clarksburg, WV 26301-2832
Mailing address
527 Medical Park Dr Ste 400
Bridgeport, WV 26330-9010
Phone (681) 342-3500
Other names 1
- UHC Ophthalmology
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
Other NPIs on the same Medicare enrollment 27
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Orthopaedic Surgery Physician
- Bridgeport, WV
- NPI 1720133473
O20031212000802
-
- Pain Medicine (Anesthesiology) Physician
- Bridgeport, WV
- NPI 1023196391
O20031212000802
-
- Neurological Surgery Physician
- Bridgeport, WV
- NPI 1306929476
O20031212000802
National Provider Directory
National Provider DirectoryLocations
211 S Chestnut St
Clarksburg, WV 26301
Phone (304) 624-5212
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Baltimore, MD
- NPI 1104862838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439942400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1444003200000",
"number": "1972979474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "527 MEDICAL PARK DR STE 400",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263309010",
"telephone_number": "681-342-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 S CHESTNUT ST",
"city": "CLARKSBURG",
"state": "WV",
"postal_code": "263012832",
"telephone_number": "304-624-5212",
"fax_number": "304-623-5812"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITED HOSPITAL CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-19",
"last_updated": "2015-10-05",
"status": "A",
"authorized_official_last_name": "TILLMAN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "681-342-1620"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "UHC Ophthalmology",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Clarksburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.