Clarksburg Surgical Specialists

LBN: Clarksburg Surgical Specialists
Clarksburg Surgical Specialists is an health care organization with primary practice located at 527 Medical Park Dr Ste 202, Bridgeport WV 26330-9009. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Clarksburg Surgical Specialists can be contacted via phone (304) 933-3855, or through Madden, Jeffrey W via phone (304) 933-3855.

Contact Information

Primary practice address
527 Medical Park Dr Ste 202 Bridgeport WV 26330-9009
Phone: (304) 933-3855
Fax: (304) 933-3859
Website:
Map and Directions
Authorized official contact:
Name: Madden, Jeffrey W Doctor of Medicine (MD)
Phone: (304) 933-3855

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 18555 West Virginia

Profile Details

NPI number 1548217037
LBN Legal business name Clarksburg Surgical Specialists
DBA Doing business as
Authorized official Madden, Jeffrey W Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 28th, 2006
Last updated Nov 2nd, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548217037 NPPES
West Virginia MEDICAID 020411000
West Virginia Other 18555

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