MRS. LISA ANNE MCBRIDE (NPI# 1447295795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447295795 |
| Entity Type | Individual |
| Full Name | MRS. LISA ANNE MCBRIDE |
| Other Name | LISA ANNE WOOD |
| Credential | M.D. |
| Practice Address |
9000 Coombs Farm Rd Ste 102 Morgantown WV 26508-1150 |
| Mailing Address |
1247 Suncrest Towne Centre Morgantown WV 26505 |
| Practice Telephone | 3045998000 |
| Practice Fax Number | 3045998003 |
| Mailing Telephone | 3045998000 |
| Mailing Fax Number | 3045998003 |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2020-04-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 22287 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810006388 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 110 Sims Cir, Triadelphia, WV 260591154 | 3045998000 | 3045998003 |
| 1247 Suncrest Towne Centre, Morgantown, WV 26505 | 3045998000 | 3045998003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902179393 | Lisa Mcbride | Speech-Language Pathologist | 2500 W William Cannon Dr, Suite 704, Austin, TX 78745-5257 | 2012-02-15 |
| 1407062433 | Lisa Mcbride | Case Manager/Care Coordinator | 304 Shake Rag Rd, Clinton, AR 72031-6619 | 2007-05-15 |
| 1104910553 | Lisa Rae Mcbride | Speech-Language Pathologist | 3446 Merlin, Idaho Falls, ID 83404 | 2006-10-02 |
| Street Address |
9000 COOMBS FARM RD STE 102 |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26508-1150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508346289 | Roshawna Iman | Nurse Practitioner | 9000 Coombs Farm Rd Ste 102, Morgantown, WV 26508-1150 | 2018-08-21 |
| 1487179388 | Michaelyn Schrock | Nurse Practitioner | 9000 Coombs Farm Rd Ste 102, Morgantown, WV 26508-1150 | 2017-08-11 |
| 1598780702 | Patricia Jo Thomson Malone | Pediatrics | 9000 Coombs Farm Rd Ste 102, Morgantown, WV 26508-1150 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989026 | Ruth Gibson | Technician | 4 Elpaso Ave, Morgantown, WV 26508 | 2020-10-09 |
| 1518565845 | Anne Jiang | Pharmacist | 7000 Mid Atlantic Dr., Morgantown, WV 26508 | 2020-10-09 |
| 1396356283 | Jessica Dawn Taylor | Technician | Lot 128 Healthy Heights Village, Morgantown, WV 26508 | 2020-08-13 |
| 1992297733 | Jeffrey G Minchau Dds Ms | Dentist | 9000 Coombs Farm Dr, Ste 304, Morgantown, WV 26508 | 2018-06-06 |
| 1346796257 | Gregory Ice | Social Worker | 1627 Grafton Rd, Morgantown, WV 26508 | 2016-08-31 |
| 1306242540 | Mountaineer Psychological Services | Community/Behavioral Health | 4000 Coombs Farm Drive, Bldg D Unit 102, Morgantown, WV 26508 | 2014-11-17 |
| 1750722906 | Tingler Rx | Pharmacy | 889 Venture Drive, Suite 2, Morgantown, WV 26508 | 2013-07-16 |
| 1881033983 | Amy Rodgers Smith | Music Therapist | 714 Venture Drive #115, Morgantown, WV 26508 | 2013-06-21 |
| 1013250588 | Walid Radwan | Student in an Organized Health Care Education/Training Program | 1121 Eagle Run Road, Morgantown, WV 26508 | 2013-04-02 |
| 1467727040 | Sara Lyndsey Disimone | Counselor | 3000 Coombs Farm Road, Suite 102, Morgantown, WV 26508 | 2012-03-15 |
| Find all providers in zip 26508 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154400448 | Indira Majumder | Pediatrics | 1189 Pineview Dr, Suite E, Morgantown, WV 26505 | 2006-11-06 |
| 1174603526 | Melissa L Lambert | Pediatrics | 1247 Suncrest Town Centre Dr, Morgantown, WV 26505-1876 | 2006-10-17 |
| 1548272651 | Cardinal Pediatrics Pllc | Pediatrics | 1247 Suncrest Towne Centre, Morgantown, WV 26505 | 2006-08-13 |
| 1215952692 | Nalini Devi Casey | Pediatrics | 511 Burroughs Street, Suite 101, Morgantown, WV 26505-3330 | 2006-07-13 |
| 1447242722 | Soumya Prasad | Pediatrics | Candor Care, Pllc, 364 Patteson Dr. #505, Morgantown, WV 26505 | 2005-08-22 |
| 1457343600 | Elizabeth J Neely | Pediatrics | 1202 Suncrest Towne Centre, Morgantown, WV 26505-1828 | 2005-08-15 |
| 1477084929 | Syed Hamza Kazmi | Pediatrics | 6040 University Town Center, Morgantown, WV 26501 | 2017-03-27 |
| 1740721158 | Christen Mcdaniel | Pediatrics | 6040 University Town Centre Dr, Morgantown, WV 26501-2421 | 2017-03-17 |
| 1043624307 | Audrey Miller | Pediatrics | 6040 University Town Centre Dr, Morgantown, WV 26501-2421 | 2014-06-16 |
| 1629481213 | Sara Annette Mcguire | Pediatrics | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2014-06-11 |
| Find all providers in MORGANTOWN | ||||
| City | MORGANTOWN |
| Zip Code | 26508 |
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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.