ADDICTION CENTER OF WV – NPI #1285013896
Family Medicine

A family medicine physician who specializes in the diagnosis and treatment of addictions.

ADDICTION CENTER OF WV is a provider located in BRIDGEPORT, WV. NPPES has assigned the NPI number 1285013896 to ADDICTION CENTER OF WV on May 28, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ADDICTION CENTER OF WV” is a dba name, the actual legal business name for this organization is DOCTORS SPECIALTY CARE. The primary taxonomy selected by this provider is 207QA0401X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Addiction Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADDICTION CENTER OF WV below.

NPI Profile for
DOCTORS SPECIALTY CARE

NPI Number
1285013896
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DOCTORS SPECIALTY CARE
Doing Business As (dba): ADDICTION CENTER OF WV
Primary location
27 TROVATO ST
SUITE NUMBER 103
BRIDGEPORT, WV 26330-7002
Phone: (304) 623-6300 Fax: (304) 623-6302
Mailing address
27 TROVATO ST,
SUITE NUMBER 103
BRIDGEPORT, WV 26330
Phone: (304) 623-6300 Fax: (304) 623-6302
Organization Subpart
No
Authorized Official
THOMAS LAUDERMAN
OWNER
Phone: (304) 623-6300
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0401X
- Family Medicine / Addiction Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.