ICP WEST VIRGINIA LLC
NPI 1134698798
Emergency Medicine in Bluefield, WV

NPI Status: Active since November 13, 2018

Contact Information

500 CHERRY ST
BLUEFIELD, WV
ZIP 24701
Phone: (304) 327-1100

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  • Organization
  • Emergency Medicine
  • Accepts Insurance

About ICP WEST VIRGINIA LLC

This page provides the complete NPI Profile along with additional information for Icp West Virginia Llc, a provider established in Bluefield, West Virginia operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1134698798 assigned on November 2018. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Icp West Virginia Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Matthew Jackson (Authorized Official)

NPI
1134698798
Provider Name
ICP WEST VIRGINIA LLC
Entity Type
Organization
Location Address
500 CHERRY ST BLUEFIELD, WV 24701
Location Phone
(304) 327-1100
Mailing Address
PO BOX 671281 DALLAS, TX 75267
Mailing Phone
(813) 746-3993
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-13-2018
Last Update Date
11-13-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • my Blue Access WV Major Events PPO Catastrophic 9200 - 3 Free PCP Visits - PPO
  • my Blue Access WV PPO Bronze 3800 - PPO
  • my Blue Access WV PPO Bronze 3800 + Adult Dental and Vision - PPO
  • my Blue Access WV PPO Bronze 7400 HSA - Custom Drug Benefit - PPO
  • my Blue Access WV PPO Bronze 8900 - PPO
  • my Blue Access WV PPO Gold 0 - PPO
  • my Blue Access WV PPO Gold 0 + Adult Dental and Vision - PPO
  • my Blue Access WV PPO Gold 1700 HSA - PPO
  • my Blue Access WV PPO Premier Gold 0 - PPO
  • my Blue Access WV PPO Premier Gold 0 + Adult Dental and Vision - PPO
  • my Blue Access WV PPO Silver 7000 - PPO
  • my Blue Access WV PPO Standard Bronze 7500 - PPO
  • my Blue Access WV PPO Standard Gold 1500 - PPO
  • my Blue Access WV PPO Standard Silver 5000 - PPO
  • my Blue Access WV PPO Standard Silver 5000 + Adult Dental and Vision - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MATTHEW JACKSON

Authorized Official Title
AUTHORIZED OFFICIAL
Authorized Official Phone
(813) 746-3993

Reviews for ICP WEST VIRGINIA LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1134698798
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
216412916718
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 1 + 2 + 9 + 1 + 6 + 7 + 1 + 8 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1134698798 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1124022462DR. STEPHEN PATRICK POOLOS MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)500 CHERRY ST
BLUEFIELD, WV 24701
(304) 327-1580
1104828243BLUEFIELD PATHOLOGY ASSOCIATES INC
Organization
Pathology (Anatomic Pathology & Clinical Pathology)500 CHERRY ST
BLUEFIELD, WV 24701
(304) 327-1586
1477513083JAIN AND OLMSTED PARTNERSHIP
Organization
Radiology (Radiation Oncology)500 CHERRY ST
BLUEFIELD, WV 24701
(304) 327-1564
1407805633BLUEFIELD REGIONAL MEDICAL CENTER
Organization
General Acute Care Hospital500 CHERRY ST
BLUEFIELD, WV 24701
(304) 327-1100
1700838968 KATHLEEN WIDES MD
Individual
Internal Medicine500 CHERRY ST
BLUEFIELD, WV 24701
(304) 332-7110
1891749693 DONNA BECKETT NP
Individual
Nurse Practitioner500 CHERRY ST
BLUEFIELD, WV 24701
(304) 327-1100
1275571556MR. MICHAEL LEE TRIMMELL CRNA
Individual
Nurse Anesthetist, Certified Registered500 CHERRY ST
BLUEFIELD, WV 24701
(304) 327-1100
1194765735DR. MERTON CAUSEY TOLER M.D.
Individual
Emergency Medicine500 CHERRY ST
BLUEFIELD, WV 24701
(304) 327-1100
1942221825 CASSANDRA KIRKPATRICK MD
Individual
Emergency Medicine500 CHERRY ST
BLUEFIELD, WV 24701
(304) 327-1100
1073627089BLUEFIELD EMERGENCY PHYSICIANS INC
Organization
Emergency Medicine500 CHERRY ST
BLUEFIELD, WV 24701
(304) 327-1100
1093899270 STEPHANIE L MORRISON CRNA
Individual
Nurse Anesthetist, Certified Registered500 CHERRY ST
BLUEFIELD, WV 24701
(304) 327-2601
1467516526 JOHN SAMPSON MD
Individual
Emergency Medicine500 CHERRY ST
BLUEFIELD, WV 24701
(304) 327-1100
1427240266CHARLES M. OLMSTED, M.D. PC
Organization
Radiology (Radiation Oncology)500 CHERRY ST
BLUEFIELD, WV 24701
(304) 327-1565
1881887842BLUEFIELD HOSPITALISTS MEDICAL GROUP, INC.
Organization
Hospitalist500 CHERRY ST
BLUEFIELD, WV 24701
(304) 327-1100
1659525194MR. SAMUEL D TABOR RPH
Individual
Pharmacist500 CHERRY ST
BLUEFIELD, WV 24701
(304) 327-1190
1649597634KA GROUP CORP
Organization
Internal Medicine (Pulmonary Disease)500 CHERRY ST
BLUEFIELD, WV 24701
(877) 580-5995
1972822351DR. AMY BETH FOUGHT D.O.
Individual
Emergency Medicine500 CHERRY ST
BLUEFIELD, WV 24701
(304) 327-1500
1689953812 DANIEL MORRISON
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)500 CHERRY ST
BLUEFIELD, WV 24701
(304) 327-1562
1154689016 BILLY BANKS D.O.
Individual
Student in an Organized Health Care Education/Training Program500 CHERRY ST
BLUEFIELD, WV 24701
(606) 821-9113
1619228764 DANA FAWZI GHISHAN M.D
Individual
Pediatrics500 CHERRY ST
BLUEFIELD, WV 24701
(304) 327-1100

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134698798, enumerated in the NPI registry as an "organization" on November 13, 2018

The provider is located at 500 Cherry St Bluefield, Wv 24701 and the phone number is (304) 327-1100

This medical organization specializes in Emergency Medicine with taxonomy code 207P00000X

The provider might be accepting Accepts: Highmark Blue Cross Blue Shield West Virginia. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on November 13, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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