WVUH CHEAT LAKE PHYSICIANS (NPI# 1033254149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033254149 |
| Entity Type | Organization |
| Organization Name | WVUH CHEAT LAKE PHYSICIANS |
| Practice Address |
1 Medical Center Dr Morgantown WV 26507-1127 |
| Mailing Address |
Po Box 1127 Morgantown WV 26507-1127 |
| Practice Telephone | 3045984032 |
| Practice Fax Number | 3045984143 |
| Mailing Telephone | 3045984032 |
| Mailing Fax Number | 3045984143 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. BRUCE BOWMAN MCCLYMONDS (ADMINISTRATOR) |
| Authorized Official Telephone | 3045984032 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
WV | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810001961 | 05 |
| Street Address |
1 MEDICAL CENTER DR |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26507-1127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072062 | Marissa D Davis | Nurse Practitioner | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-10-27 |
| 1649879313 | Emily Keator Stallings | Advanced Practice Midwife | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-10-22 |
| 1003414400 | Eric Allen | Nurse Practitioner | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-10-16 |
| 1134726334 | Anna Elizabeth Warfiled | Physician Assistant | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-10-01 |
| 1023625357 | Diane Lynn Casdorph | Pharmacist | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-09-30 |
| 1578179081 | Samantha Renee Wise | Nurse Practitioner | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-09-20 |
| 1740893056 | Catherine Kelly | Nurse Practitioner | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-08-26 |
| 1821600743 | Emily Rossignol | Nurse Practitioner | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-08-21 |
| 1265044010 | Melissa J Rinehart | Pharmacist | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-08-21 |
| 1700497054 | Chelsea J Thomas | Speech-Language Pathologist | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407474752 | Shelly Herter | Community Health Worker | Senior Monongalians, 5000 Greenbag Rd, Morgantown, WV 26507 | 2020-07-13 |
| 1457811473 | Farrukh Javed | Student in an Organized Health Care Education/Training Program | Wvu Neurology 1 Stadium Drive, Morgantown, WV 26507 | 2019-03-25 |
| 1447455035 | Kevin Michael Kotsko | Specialist/Technologist | 205 Shell Bldg, Morgantown, WV 26507 | 2007-06-15 |
| 1144356833 | Gary Anthony Corley | Specialist/Technologist | 1 Rodgers Drive, West Virginia University, Morgantown, WV 26507 | 2007-02-26 |
| 1063574713 | Janis Boury | Psychologist | 644 White Ave, Morgantown, WV 26507 | 2006-12-15 |
| 1285616474 | R Constance Wiener | Dentist | 1 Med Center Dr, Morgantown, WV 26507 | 2005-11-15 |
| 1093342628 | Krithika Umesh Peshwe | Student in an Organized Health Care Education/Training Program | Department of Neurology, 5th Floor Poc, Morgantown, WV 26507 | 2020-03-24 |
| 1477975464 | Brittany Dzugan | Physician Assistant | 1 Medical Center Drive, Physician Office Center/ Wvu Hospital's Inc, Morgantown, WV 26507 | 2014-01-10 |
| 1033487210 | Deborah M Coen | Nurse Practitioner | 1 Medical Center Drive, Morgantown, WV 26507 | 2011-12-02 |
| 1689781205 | Colleen M Watkins | Internal Medicine | 1 Stadium Drive, Morgantown, WV 26507 | 2006-08-23 |
| Find all providers in zip 26507 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346610094 | Usimc of West Virginia Medical Corporation | Clinic/Center | 3711 Collins Ferry Rd, Morgantown, WV 26505-2356 | 2015-10-06 |
| 1790155497 | Usimc of West Virginia Medical Corporation | Clinic/Center | 5005 Greenbag Rd, Morgantown, WV 26501-7124 | 2015-10-07 |
| 1093185373 | Usimc of West Virginia Medical Corporation | Clinic/Center | 781 Chestnut Ridge Rd, Morgantown, WV 26505-2730 | 2015-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710513361 | Joshua E Parker | Clinic/Center | 3014 Champion Dr, Barboursville, WV 25504-9343 | 2020-03-16 |
| 1417499005 | Acupuncture & Holistic Health | Clinic/Center | 2998 Charleston Rd Ste 5, Ripley, WV 25271-5810 | 2016-11-14 |
| 1235596677 | Tygart Valley Medical Specialties, Inc | Clinic/Center | 911 Gorman Ave Ste 201, Elkins, WV 26241-3154 | 2016-01-15 |
| 1417229329 | Professional Medical Ultrasonics Inc. | Clinic/Center | 4089 Webster Rd Suite 5, Summersville, WV 26651 | 2012-02-08 |
| 1255403002 | Appalachian Highway Medical & Surgical Clinic, Pllc | Clinic/Center | Appalachian Hwy, Rt. 10 East Pineville, Pineville, WV 24874-1274 | 2006-11-15 |
| 1932293941 | Rainelle Medical Center Inc | Clinic/Center | 1502 Meadow Bridge Road, Meadow Bridge, WV 25976 | 2006-10-03 |
| 1396744108 | Grant Memorial Hospital | Clinic/Center | Hospital Drive, Petersburg, WV 26847 | 2005-07-14 |
| 1245238237 | Grant Memorial Hospital | Clinic/Center | 8 Lee St, Suite 3, Moorefield, WV 26836-1091 | 2005-07-13 |
| 1932103488 | University Physicians & Surgeons, Inc. | Clinic/Center | 2828 1st Ave, Suite 200, Huntington, WV 25702-1236 | 2005-06-10 |
| 1003810557 | University Physicians & Surgeons, Inc. | Clinic/Center | 1616 13th Ave, Suite 2b, Huntington, WV 25701-3840 | 2005-06-10 |
| Find all providers with the same taxonomy | ||||
| City | MORGANTOWN |
| Zip Code | 26507 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.