MARK FORREST LISLE (NPI# 1376819755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376819755 |
| Entity Type | Individual |
| Full Name | MARK FORREST LISLE |
| Credential | MD |
| Practice Address |
1 Medical Center Drive Room 1144 Morgantown WV 26506 |
| Mailing Address |
1 Medical Center Dr Morgantown WV 26506-1200 |
| Practice Telephone | 3042932463 |
| Practice Fax Number | 3042935160 |
| Mailing Telephone | 3045984800 |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2020-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
25929 | WV | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1 MEDICAL CENTER DRIVE ROOM 1144 |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710593835 | Eric Kinney | Pharmacist | 1 Medical Center Drive, Dept of Pharmaceutical Services, Morgantown, WV 26506 | 2020-09-23 |
| 1740899186 | Calvin Austin Parmiter | Pharmacist | 1 Medical Center Drive, Dept of Pharmacy Services, Morgantown, WV 26506 | 2020-07-30 |
| 1336776939 | Sundus Ahmed | Student in an Organized Health Care Education/Training Program | 1 Medical Center Drive, Morgantown, WV 26506-1200 | 2020-03-24 |
| 1407406523 | Amy Pham | Pharmacist | 1 Medical Center Drive, Dept of Pharmaceutical Services, Morgantown, WV 26506-1200 | 2019-09-19 |
| 1083176440 | Nicole Pozun | Nurse Practitioner | 1 Medical Center Drive, Morgantown, WV 26505-6010 | 2019-04-04 |
| 1215496112 | Britney Harris | Student in an Organized Health Care Education/Training Program | 1 Medical Center Drive, Surgery Room 4601, Morgantown, WV 26506 | 2019-03-19 |
| 1790256220 | Jessica Kim | Pharmacist | 1 Medical Center Drive, Department of Pharmaceutical Services, Morgantown, WV 26506 | 2018-12-10 |
| 1952883001 | Benjamin Bredhold | Pharmacist | 1 Medical Center Drive, Dept of Pharmaceutical Services, Morgantown, WV 26505 | 2018-09-05 |
| 1558841437 | Aaron Cumpston | Pharmacist | 1 Medical Center Drive, Department of Pharmaceutical Servies, Morgantown, WV 26506 | 2018-08-20 |
| 1508346594 | Kala Ruth Rorabaugh | Pharmacist | 1 Medical Center Drive, Dept of Pharmaceutical Services (8045), Morgantown, WV 26506 | 2018-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124656491 | Lauren Bakos | Student in an Organized Health Care Education/Training Program | Department of Oral Surgery Room 1200 Hsc North, Morgantown, WV 26506 | 2020-03-31 |
| 1720613888 | Katharina Marie Mitchell | Student in an Organized Health Care Education/Training Program | Wvu Hospitals Ruby Memorial & Physician Office Center, 1 Medical Center Drive, Morgantown, WV 26506 | 2020-03-10 |
| 1811533961 | Hongyan Wu | Nurse Practitioner | Neurology Clinic, Wvu Eye Institute, 1 Medical Center Drive, Morgantown, WV 26506 | 2019-11-25 |
| 1871054569 | Brandon Chase Neeley | Student in an Organized Health Care Education/Training Program | 1 Stadium Dr Fl 3 Eye Institute, Morgantown, WV 26506 | 2019-03-26 |
| 1588125223 | Temitope Michael Kehinde | Student in an Organized Health Care Education/Training Program | 64 Medical Center Drive 2305hscn, Morgantown, WV 26506 | 2019-03-26 |
| 1417412743 | West Virginia University Hospitals, Inc. | Substance Abuse Rehabilitation Facility | 751 Benefactor Drive, Morgantown, WV 26506 | 2019-01-31 |
| 1932603024 | Emma Bacharach | Student in an Organized Health Care Education/Training Program | J.w. Ruby Memorial Hospital, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-22 |
| 1982108270 | Qaisar Syed | Student in an Organized Health Care Education/Training Program | Wvu Medicine Anesthesiology, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-21 |
| 1417451063 | Michael Savilla | Student in an Organized Health Care Education/Training Program | Wvu Medicine Anesthesiology, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-20 |
| 1194255620 | William Black | Dentist | Room 1200 Hsc North, P.o. Box 9475, Morgantown, WV 26506 | 2017-06-18 |
| Find all providers in zip 26506 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942612197 | Health and Education Building-urgent Care | Radiology | 390 Birch Street Suite B, Morgantown, WV 26506-6894 | 2014-05-22 |
| 1467795591 | Philip Connor Louden | Radiology | 1 Medical Center Dr, Room 1144, Morgantown, WV 26506 | 2013-03-27 |
| 1871818872 | Cara M Bryan | Radiology | 1 Medical Center Drive 9001a, Morgantown, WV 26506 | 2010-04-01 |
| 1407815772 | Teppe Popovich | Radiology | 364 Patteson Drive, Morgantown, WV 26505 | 2006-03-23 |
| 1396721817 | Daniel Allen Martin | Radiology | 101 Stadium Dr, Morgantown, WV 26506-7911 | 2005-12-16 |
| 1245230549 | William L Noble | Radiology | 99 J D Anderson Dr, Morgantown, WV 26505-4000 | 2005-07-28 |
| 1487064689 | Ariel Bailey | Radiology | 1 Medical Center Drive, Room 1144, Morgantown, WV 26506 | 2014-04-28 |
| 1063760429 | Brian Markovich | Radiology | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2012-08-16 |
| 1437416302 | Parissa Feizi | Radiology | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2012-04-17 |
| 1548544562 | Morgantown Radiology Assoc PC | Radiology | 1200 J D Anderson Dr, Morgantown, WV 26505-3494 | 2011-10-10 |
| Find all providers in MORGANTOWN | ||||
| City | MORGANTOWN |
| Zip Code | 26506 |
Please comment or provide details below to improve the information on MARK FORREST LISLE.
| 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.