INTEGRATED GERIATRIC CARE PLLC NPI 1396797825

NPI Information

  • NPI: 1396797825
  • Provider Name: INTEGRATED GERIATRIC CARE PLLC
  • Classification: Psychiatry & Neurology - 2084P0805X
  • Specialization: Geriatric Psychiatry
  • Entity Type: Organization
  • Former Legal Business Name: LANCE M MCCOY
  • Address: 2801 DUDLEY AVE
    SUITE B
    PARKERSBURG, WV
    ZIP 26101
  • Phone: (304) 428-1114

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NPI Details

INTEGRATED GERIATRIC CARE PLLC is a geriatric psychiatry psychiatry neurology in Parkersburg, WV. The provider is geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. INTEGRATED GERIATRIC CARE PLLC NPI is 1396797825. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Lance M Mccoy.

The provider's business location address is:

2801 DUDLEY AVE
SUITE B
PARKERSBURG, WV
ZIP 26101-105
Phone: (304) 428-1114
Fax: (304) 428-1135

The provider's authorized official is Lance Mccoy .
The authorized official title is President and has the following contact phone number (304) 428-1114.

The enumeration date for this NPI number is 5/16/2006 and was last updated on 11/18/2009.

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
1103TC0700XPsychologistClinicalNo
21041C0700XSocial WorkerClinicalNo
32084P0800XPsychiatry & NeurologyPsychiatry19159WEST VIRGINIANo
42084P0805XPsychiatry & NeurologyGeriatric PsychiatryYes

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
19321912MEDICARE PINOHIO
22809090MEDICAIDOHIO
33810010872MEDICAIDWEST VIRGINIA
49321911MEDICARE PINWEST 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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