OrganizationActive
Theodore R Gover LLC
NPI 1235714759 · Health Maintenance Organization · Vienna, WV
Provider details
- NPI number
- 1235714759
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Theodore Gover, Owner(937) 570-0002
Specialties & taxonomies
Managed Care Organizations
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
310 38th St
Vienna, WV 26105-1722
Phone: (937) 570-0002
Street-level locationGet directions
Mailing address
310 38th St
Vienna, WV 26105-1722
Registry dates
- Enumerated
- 2021-03-16
- Last updated
- 2021-03-16
- Certified
- 2021-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.