UPSHUR MEDICAL MANAGEMENT SERVICES NPI 1295756559

NPI Information

  • NPI: 1295756559
  • Provider Name: UPSHUR MEDICAL MANAGEMENT SERVICES
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Doing Business As: ST. JOSEPH'S PHYSICIAN GROUP
  • Address: 10 AMALIA DR
    SUITE B-1
    BUCKHANNON, WV
    ZIP 26201
  • Phone: (304) 473-2200

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NPI Details

UPSHUR MEDICAL MANAGEMENT SERVICES is a general practice in Buckhannon, WV. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee UPSHUR MEDICAL MANAGEMENT SERVICES NPI is 1295756559. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St. Joseph's Physician Group.

The provider's business location address is:

10 AMALIA DR
SUITE B-1
BUCKHANNON, WV
ZIP 26201-271
Phone: (304) 473-2200
Fax: (304) 473-2057

The provider's authorized official is Tony Atkins .
The authorized official title is Ceo and has the following contact phone number (304) 473-2118.

The enumeration date for this NPI number is 7/22/2006 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
1208D00000XGeneral PracticeYes

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
10009185000MEDICAIDWEST 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: 11/21/2025

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