MORGANTOWN RADIOLOGY ASSOC PC (NPI# 1548544562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548544562 |
| Entity Type | Organization |
| Organization Name | MORGANTOWN RADIOLOGY ASSOC PC |
| Practice Address |
1200 J D Anderson Dr Morgantown WV 26505-3494 |
| Mailing Address |
116 Pinehurst Ln Gibsonia PA 15044-6085 |
| Practice Telephone | 3045981297 |
| Mailing Telephone | 4125596657 |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2011-10-10 |
| Authorized Official Name | DR. SURENDRA PAWAR (PRESIDENT) |
| Authorized Official Telephone | 4125596657 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
1200 J D ANDERSON DR |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26505-3494 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407840572 | John J Azar | Internal Medicine | 1200 J D Anderson Dr, Morgantown, WV 26505-3494 | 2005-09-06 |
| 1699383158 | Emily Joyce Courtwright | Physician Assistant | 1200 J D Anderson Dr, Morgantown, WV 26505-3494 | 2020-07-21 |
| 1912532466 | Grant Perrine | Registered Nurse | 1200 J D Anderson Dr, Morgantown, WV 26505-3494 | 2020-03-05 |
| 1225669286 | Elizabeth Sippey | Physician Assistant | 1200 J D Anderson Dr, Morgantown, WV 26505-3494 | 2020-01-29 |
| 1427692573 | Christina Maria Maust | Registered Nurse | 1200 J D Anderson Dr, Morgantown, WV 26505-3494 | 2019-11-01 |
| 1518517903 | Allison Hone | Nurse Practitioner | 1200 J D Anderson Dr, Morgantown, WV 26505 | 2019-09-17 |
| 1356999312 | Avery James Gookin | Internal Medicine | 1200 J D Anderson Dr, Morgantown, WV 26505-3494 | 2019-09-03 |
| 1851959134 | Rebecca Ruth Cain | Nurse Practitioner | 1200 J D Anderson Dr, Morgantown, WV 26505-3494 | 2019-06-03 |
| 1629634894 | Jancis Anne Hanna | Registered Nurse | 1200 J D Anderson Dr, Morgantown, WV 26505-3494 | 2019-05-14 |
| 1285297820 | Emily Ann Hair | Nurse Practitioner | 1200 J D Anderson Dr, Morgantown, WV 26505-3494 | 2019-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535208 | Robert Howard Taylor | Pharmacist | 1608 Earl Core Rd, Morgantown, WV 26505 | 2020-10-13 |
| 1194366757 | Grace Catherine Clonch | Student in an Organized Health Care Education/Training Program | 3450 Monogahela Blvd, Morgantown, WV 26505 | 2019-10-04 |
| 1538629852 | Alexander Gross | Student in an Organized Health Care Education/Training Program | : 64 Medical Center Drive, Room 4601, Morgantown, WV 26505 | 2019-03-22 |
| 1194284018 | Ana Isabel Gomez Velazquez | Student in an Organized Health Care Education/Training Program | 64 Medical Center Dr., Room 4601, Morgantown, WV 26505 | 2019-03-19 |
| 1922584242 | Lisa Kate Hostutler | Pharmacist | 1851 Earl L. Core Rd, Morgantown, WV 26505 | 2018-07-19 |
| 1760983779 | Ashley Garner | Social Worker | 3602 Collins Ferry Road, Morgantown, WV 26505 | 2018-02-24 |
| 1861992174 | Usa Vein Clinics of West Virginia Pllc | Surgery | 1010 Suncrest Towne Centre, Morgantown, WV 26505 | 2018-02-14 |
| 1396272092 | Essential Foundations, Pllc | Community/Behavioral Health | 1287 Suncrest Towne Centre, Morgantown, WV 26505 | 2017-05-12 |
| 1689111452 | Good Heart Therapy Services, Pllc | Public Health or Welfare | 235 Hgh Street, Suite 311, Morgantown, WV 26505 | 2017-01-31 |
| 1982141776 | Heidi Otoole | Counselor | 235 High Street, Suite 720, Morgantown, WV 26505 | 2017-01-31 |
| Find all providers in zip 26505 | ||||
| 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 |
| 1376819755 | Mark Forrest Lisle | Radiology | 1 Medical Center Drive, Room 1144, Morgantown, WV 26506 | 2012-03-29 |
| Find all providers in MORGANTOWN | ||||
| City | MORGANTOWN |
| Zip Code | 26505 |
Please comment or provide details below to improve the information on MORGANTOWN RADIOLOGY ASSOC PC.
| 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.