MEDICARE: UNIVERSITY PHYSICIANS & SURGEONS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QM1300X	Multi-Specialty Clinic/Center
2	207R00000X	Internal Medicine Physician
3	363A00000X	Physician Assistant
4	363L00000X	Nurse Practitioner
5	133V00000X	Registered Dietitian

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205830858
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY PHYSICIANS & SURGEONS, INC.

Provider Business Mailing Address
First Line	:	1600 MEDICAL CENTER DR
Second Line	:	SUITE G500
City	:	HUNTINGTON
State	:	WV
Zip	:	25701-3656
Country	:	US
Telephone Number	:	304-691-1000
Fax Number	:	304-691-1693

Provider Business Practice Location Address
First Line	:	1600 MEDICAL CENTER DR
Second Line	:	SUITE G500
City	:	HUNTINGTON
State	:	WV
Zip	:	25701-3656
Country	:	US
Telephone Number	:	304-691-1000
Fax Number	:	304-691-1693

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	JAMES J SCHNEIDER
Credential	:
Telephone Number	:	304-691-1602

Provider Enumeration Date	:	06/10/2005
Last Update Date	:	09/11/2025

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Directions to “UNIVERSITY PHYSICIANS & SURGEONS, INC. ” Practice Location

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