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CLARKSBURG SURGICAL SPECIALISTS NPI 1548217037


NPI Information

NPI: 1548217037
Provider Name: CLARKSBURG SURGICAL SPECIALISTS
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
527 MEDICAL PARK DR
STE 202
BRIDGEPORT, WV
ZIP 26330
Phone: (304) 933-3855
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CLARKSBURG SURGICAL SPECIALISTS is a surgery in Bridgeport, WV. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. CLARKSBURG SURGICAL SPECIALISTS NPI is 1548217037. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

527 MEDICAL PARK DR
STE 202
BRIDGEPORT, WV
ZIP 26330-009
Phone: (304) 933-3855
Fax: (304) 933-3859

The provider's authorized official is Jeffrey W Madden .
The authorized official title is Partner and has the following contact phone number (304) 933-3855.

The enumeration date for this NPI number is 5/28/2006 and was last updated on 11/2/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgery18555WEST VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19315541MEDICARE ID-TYPE UNSPECIFIEDWEST VIRGINIA
2=========OTHERWEST VIRGINIATAX IDENTIFICATION NUMBER
3020411000MEDICAIDWEST VIRGINIA
418555OTHERWEST VIRGINIAWV BUSINESS LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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