PHYSICIANS OFFICE CENTER NPI 1205038650

NPI Information

  • NPI: 1205038650
  • Provider Name: PHYSICIANS OFFICE CENTER
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Organization
  • CLIA Number: 51D0236626
  • Address: 1 MEDICAL CENTER DRIVE
    MORGANTOWN, WV
    ZIP 26505
  • Phone: (304) 293-7401

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NPI Details

PHYSICIANS OFFICE CENTER is a student in an organized health care education training program in Morgantown, WV. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. PHYSICIANS OFFICE CENTER NPI is 1205038650. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1 MEDICAL CENTER DRIVE
MORGANTOWN, WV
ZIP 26505
Phone: (304) 293-7401

The provider's authorized official is Ryan Shultz .
The authorized official title is Resident- Ophthalmology and has the following contact phone number (304) 293-7401.

The CLIA number assigned to this NPI record is 51D0236626 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/5/2007 and was last updated on 8/22/2020.

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
1390200000XStudent in an Organized Health Care Education/Training ProgramYes

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: 11/21/2025

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