DR. LAWRENCE MATTHEW MINARDI (NPI# 1174508774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174508774 |
| Entity Type | Individual |
| Full Name | DR. LAWRENCE MATTHEW MINARDI |
| Other Name | DR. LAWRENCE MATTHEW MINARDI |
| Practice Address |
500 Donnally St Bldg B North Charleston WV 25301-1648 |
| Mailing Address |
500 Donnally St Ste 1 Charleston WV 25301-1600 |
| Practice Telephone | 3043436219 |
| Practice Fax Number | 3043431423 |
| Mailing Telephone | 3043430331 |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2016-10-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 11596 | WV | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | MEDICARE GROUP NUMBER | MI9220052 | 01 |
| WV | 0096789000 | 05 |
| Street Address |
500 DONNALLY ST BLDG B NORTH |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25301-1648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417956780 | Frederick Thomas Sporck | Otolaryngology | 500 Donnally St, Suite 200, Charleston, WV 25301-1648 | 2005-07-19 |
| 1578990917 | Laura Michelle Cunningham | Nurse Practitioner | 500 Donnally St, Suite 200, Charleston, WV 25301-1648 | 2013-09-30 |
| 1457632770 | D Rachelle Miano | Audiologist | 500 Donnally St, Charleston, WV 25301-1648 | 2011-08-31 |
| 1285895938 | Mark Allen Richards | Family Medicine | 500 Donnally St, Suite 203, Charleston, WV 25301-1648 | 2008-06-24 |
| 1285892828 | Brenda Diane George | Audiologist | 500 Donnally St, Charleston, WV 25301-1648 | 2008-05-30 |
| 1144488214 | Susan Diane Maynard | Audiologist | 500 Donnally St, Suite 200, Charleston, WV 25301-1648 | 2008-05-27 |
| 1629236724 | Melissa Ann White | Audiologist | 500 Donnally St, Charleston, WV 25301-1648 | 2008-05-27 |
| 1134305089 | Integrated Health Care Providers, Inc. | Durable Medical Equipment & Medical Supplies | 500 Donnally St, Ste 100, Charleston, WV 25301-1648 | 2008-01-10 |
| 1275732216 | Jennifer Jeanette Ladd | Family Medicine | 500 Donnally St, Suite 203, Charleston, WV 25301-1648 | 2007-07-11 |
| 1265565386 | Katheryn Seymour Monk | Audiologist | 500 Donnally St, Suite 200, Charleston, WV 25301-1648 | 2007-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087680 | Kerrie Rena Harris | Counselor | 16 Leon Sullivan Way Suite 300, Charleston, WV 25301 | 2020-09-15 |
| 1285123471 | Burgess Dental | Dentist | 405 Capitol Street, The Parlor Suite, Charleston, WV 25301 | 2018-05-03 |
| 1104322320 | Kara Caldwell | Psychologist | 333 Laidley St., 4'th Floor East, Charleston, WV 25301 | 2018-04-05 |
| 1740638022 | Christina Phalen | Pharmacy Technician | 701 Lee Street East, Charleston, WV 25301 | 2016-05-27 |
| 1366867079 | Brooke Powell Garnes | Speech-Language Pathologist | 1313 Quarrier Street, Suite A, Charleston, WV 25301 | 2014-03-04 |
| 1952648404 | Implanted Pump Management, LLC | Home Infusion | 311 Laidley St., Suite 202, Charleston, WV 25301 | 2013-01-03 |
| 1730435108 | Chaitanya Mishra | Internal Medicine | 501 Morris St Ste 357, Charleston, WV 25301 | 2012-08-03 |
| 1033477278 | James Stephen Harman | Neurological Surgery | 415 Morris St Ste 400, Charleston, WV 25301 | 2012-04-25 |
| 1265674329 | Howard and Howard Dental LLC | Dentist | 1321 Virginia St., Charleston, WV 25301 | 2009-04-03 |
| 1881856144 | Steven David Hollosi | Emergency Medicine | 501 Morris St., Charleston, WV 25301 | 2008-06-27 |
| Find all providers in zip 25301 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992262257 | Marnie Rustemeyer | Specialist | 1306 Kanawha Blvd E Ste 1001306, Charleston, WV 25301-3000 | 2019-02-22 |
| 1801307483 | Stacy Phillips | Specialist | 3015 Scuba Dr, Charleston, SC 29414-5696 | 2017-10-23 |
| 1437535705 | Dr Elizabeth Eliza Castle | Specialist | 1527 Sam Rittenberg Blvd Ste 202, Charleston, SC 29407-4189 | 2015-08-10 |
| 1699170084 | Emma Chambers | Specialist | 2059 Wild Flower Ln, Charleston, SC 29414-6471 | 2014-10-28 |
| 1295156404 | Equilibrium Diabetes Center, LLC | Specialist | 1342 Ellison Run, Charleston, SC 29412-8285 | 2013-12-16 |
| 1255689659 | Lindsay Cameron | Specialist | 1804 Huntington Dr, Charleston, SC 29407-3121 | 2012-08-16 |
| 1225304314 | R L Stephens Md Inc | Specialist | 331 Laidley St Ste 204, Charleston, WV 25301-1605 | 2012-03-22 |
| 1720313919 | Norman Frank Kinsey | Specialist | 1 Carriage Ln Ste B201, Charleston, SC 29407-6078 | 2009-10-06 |
| 1952540296 | Kenneth M Stabile | Specialist | 2065 Savannah Hwy, Suite C, Charleston, SC 29407-2225 | 2009-02-10 |
| 1356513550 | Claudia Vivot Welber | Specialist | 217 Calhoun St, Charleston, SC 29401-1313 | 2008-03-27 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 25301 |
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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.