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ASSOCIATED SPECIALISTS INC NPI 1790116341


NPI Information

NPI: 1790116341
Provider Name: ASSOCIATED SPECIALISTS, INC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
527 MEDICAL PARK DR STE 204
BRIDGEPORT, WV
ZIP 26330
Phone: (304) 933-3800
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ASSOCIATED SPECIALISTS, INC is a specialist in Bridgeport, WV. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ASSOCIATED SPECIALISTS, INC NPI is 1790116341. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

527 MEDICAL PARK DR STE 204
BRIDGEPORT, WV
ZIP 26330-009
Phone: (304) 933-3800
Fax: (304) 933-3815

The provider's authorized official is Lori Lee Powell .
The authorized official title is Office Manager and has the following contact phone number (304) 933-3800.

The enumeration date for this NPI number is 12/9/2013 and was last updated on 12/9/2013.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist55-0532650WEST 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10092785001MEDICAIDWEST VIRGINIA
23810022789MEDICAIDWEST VIRGINIA
33810023280MEDICAIDWEST VIRGINIA
40076674000MEDICAIDWEST VIRGINIA
50128388000MEDICAIDWEST VIRGINIA
63810023284MEDICAIDWEST VIRGINIA
73810023285MEDICAIDWEST VIRGINIA
82006875000MEDICAIDWEST VIRGINIA
90080399000MEDICAIDWEST VIRGINIA
103810016091MEDICAIDWEST VIRGINIA
110640002000MEDICAIDWEST VIRGINIA
123810000654MEDICAIDWEST VIRGINIA
133810023454MEDICAIDWEST VIRGINIA

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: 5/5/2024
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