Organization
UNIVERSITY PHYSICIANS & SURGEONS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MATT STRAUB (CFO)
(304) 691-1284
Entity
Organization
Contact information
Practice address
1600 MEDICAL CENTER DRIVE, HUNTINGTON, WV 25701
(304) 691-8722
(304) 691-8591
Mailing address
1600 MEDICAL CENTER DRIVE, HUNTINGTON, WV 25701
(304) 691-8722
(304) 691-8591
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
—
213E00000X
Podiatrist
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011305000
—
WV
05
—
0393766
—
OH
05
—
65902892
—
KY
Enumeration date
06/10/2005
Last updated
05/16/2025
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