Morgantown Surgical Associates Inc

LBN: Morgantown Surgical Associates Inc
Morgantown Surgical Associates Inc is an health care organization with primary practice located at 200 Wedgewood Dr Suite 202, Morgantown WV 26505-2442. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty. Morgantown Surgical Associates Inc can be contacted via phone (304) 599-1448, or through Johnson, Jerome Gordon via phone (304) 599-1448.

Contact Information

Primary practice address
200 Wedgewood Dr Suite 202 Morgantown WV 26505-2442
Phone: (304) 599-1448
Fax: (304) 599-5335
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Jerome Gordon Doctor of Medicine (MD)
Phone: (304) 599-1448

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1518040633
LBN Legal business name Morgantown Surgical Associates Inc
DBA Doing business as
Authorized official Johnson, Jerome Gordon Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2006
Last updated Jun 22nd, 2010 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1518040633 NPPES
Other 2630675 MEDICAID OF OHIO
MEDICAID 0011401000 MEDICAID OF OHIO
Other 610308000 MEDICAID OF OHIO
Other 001709635 MEDICAID OF OHIO
Other 64239 MEDICAID OF OHIO

Popular Providers