Healthcare Provider Details
I. General information
NPI: 1386653848
Provider Name (Legal Business Name): INPATIENT MEDICAL SPECIALISTS, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/05/2006
Last Update Date: 08/21/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
800 GARFIELD AVE
PARKERSBURG WV
26101-5340
US
IV. Provider business mailing address
PO BOX 714817
COLUMBUS OH
43271-4817
US
V. Phone/Fax
- Phone: 304-424-2111
- Fax:
- Phone: 800-655-2656
- Fax: 412-822-7411
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TERRENCE
GILBERT
Title or Position: PRESIDENT
Credential: MD
Phone: 800-655-2656