DUNBAR MEDICAL ASSOCIATES PLLC (NPI# 1316907793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316907793 |
Entity Type | Organization |
Organization Name | DUNBAR MEDICAL ASSOCIATES PLLC |
Other Organization Name | DUNBAR MEDICAL ASSOCIATES LAB |
Practice Address |
3752 Teays Valley Rd Hurricane WV 25526-9705 |
Mailing Address |
1100 Grosscup Ave Dunbar WV 25064-3120 |
Practice Telephone | 3047573131 |
Practice Fax Number | 3047684072 |
Mailing Telephone | 3047682764 |
Mailing Fax Number | 3047684072 |
Enumeration Date | 2006-03-28 |
Last Update Date | 2020-07-08 |
Authorized Official Name | JOHN PRESTON LILLY JR. (PHYSICIAN PARTNER) |
Authorized Official Telephone | 3047682764 |
Authorized Official Credential | MD |
Is Organization Subpart | Y |
Parent Organization Name | DUNBAR MEDICAL ASSOCIATES PLLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WV | MEDICARE LAB | 5180651 | 01 |
Other Name | Type Code |
---|---|
Dunbar Medical Associates Lab | Other Name - Individual/Organization |
Address | Telephone Number | Fax Number |
---|---|---|
3752 Teays Valley Rd Ste 1, Hurricane, WV 255269705 | 3047573131 | 3047577718 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437119963 | Dunbar Medical Associates Pllc | Family Medicine | 1100 Grosscup Ave, Dunbar, WV 25064-3120 | 2006-03-27 |
Street Address |
3752 TEAYS VALLEY RD |
City | HURRICANE |
State | WV |
Zip Code | 25526-9705 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619405834 | Jennifer Louise Hawk | Nurse Practitioner | 3752 Teays Valley Rd, Hurricane, WV 25526-9705 | 2017-06-01 |
1023171360 | Jeffrey Scott Trump | Family Medicine | 3752 Teays Valley Rd, Hurricane, WV 25526-9705 | 2006-12-18 |
1013956721 | David Scott Watkins | Physician Assistant | 3752 Teays Valley Rd, Hurricane, WV 25526-9705 | 2006-06-06 |
1649231606 | Christopher Edward Bowman | Internal Medicine | 3752 Teays Valley Rd, Hurricane, WV 25526-9705 | 2006-03-30 |
1982665329 | Jeffrey Scott Holmes | Internal Medicine | 3752 Teays Valley Rd, Hurricane, WV 25526-9705 | 2006-03-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760081707 | Paige E Walroth | Technician | 51 Overlook Dr, Hurricane, WV 25526 | 2020-10-21 |
1770195778 | Marilyn Sue Shank | Technician | 168 Willow Tree Way, Apt 313, Hurricane, WV 25526 | 2020-08-20 |
1275150351 | Wv Wellness and Recovery LLC | Clinic/Center | 4 Putnam Village Drive, Hurricane, WV 25526 | 2020-07-06 |
1538645718 | Patsy Samples | Technician | 3067 State Rt 34s, Hurricane, WV 25526 | 2018-07-11 |
1528550274 | Sarah Marie Jackson | Occupational Therapist | Genesis-putnam Center, 300 Seville Road, Hurricane, WV 25526 | 2018-05-30 |
1619466463 | Mh Psychological Services, Pllc | Psychologist | 125 Morris Ct, Hurricane, WV 25526 | 2018-05-08 |
1023510740 | William Riddle | Technician | 157 Washington Cirlce, Hurricane, WV 25526 | 2018-03-08 |
1942702303 | Natalie Whitman | Technician | 2933 State Route 34 South, Hurricane, WV 25526 | 2018-03-01 |
1972002681 | Dianna Roberts | Technician | 550 Dudding Avenue, Hurricane, WV 25526 | 2018-02-08 |
1174022875 | Nancy Adams | Technician | 1 Western Hills Drive, Hurricane, WV 25526 | 2018-02-08 |
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Taxonomy Code | 291U00000X |
Grouping | Laboratories |
Classification | Clinical Medical Laboratory |
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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1922666049 | Dynasty Diagnostics | Clinical Medical Laboratory | 985 W State St Ste 1, Hurricane, UT 84737-2072 | 2019-06-04 |
1265873608 | Muhammad Amjad | Clinical Medical Laboratory | 2006 Springdale Rd, Hurricane, WV 25526-9344 | 2013-07-15 |
1821471319 | Medtest Laboratories LLC | Clinical Medical Laboratory | 3860 Teays Valley Rd, Suite 2, Hurricane, WV 25526-9772 | 2015-07-02 |
1548450174 | Appalachian Family Medicine Lab | Clinical Medical Laboratory | 104 Station Place Way, Hurricane, WV 25526-8747 | 2007-07-30 |
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1720567241 | Tug River Health Association, Inc. | Clinical Medical Laboratory | 512 Mountaineeer Highway, Room 1344, Bradshaw, WV 24874-2487 | 2018-08-07 |
1245765684 | Bds Healthcare LLC | Clinical Medical Laboratory | 1451 Earl L Core Rd, Morgantown, WV 26505-0314 | 2017-04-24 |
1538608757 | Vitas Laboratory LLC | Clinical Medical Laboratory | 5487 Country Club Rd, Grafton, WV 26354-8762 | 2017-02-21 |
1376081612 | Mountaineer Laboratories LLC | Clinical Medical Laboratory | 1337 Virginia St E, Charleston, WV 25301-3011 | 2017-02-07 |
1629520853 | Mountaineer Laboratories LLC | Clinical Medical Laboratory | 1410 Jefferson Blvd # B, Point Pleasant, WV 25550-1344 | 2016-11-04 |
1831647403 | West Virginia Drug Testing Laboratories | Clinical Medical Laboratory | 108 S Walker St, Princeton, WV 24740-2745 | 2016-09-13 |
1811443302 | Reality Check Drug Testing | Clinical Medical Laboratory | 550 N Eisenhower Dr, Beckley, WV 25801-3109 | 2016-08-25 |
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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.