BERNARD J. LUBY M.D. INC. (NPI# 1609987783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609987783 |
| Entity Type | Organization |
| Organization Name | BERNARD J. LUBY M.D. INC. |
| Practice Address |
624 Chestnut Street South Charleston WV 25309-1241 |
| Practice Telephone | 3047661133 |
| Practice Fax Number | 3047661131 |
| Mailing Telephone | 3047661133 |
| Mailing Fax Number | 3047661131 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-11-03 |
| Authorized Official Name | MRS. CYNTHIA LUBY-BARNES (BUSINESS MANAGER) |
| Authorized Official Telephone | 3047661135 |
| Is Organization Subpart | Y |
| Parent Organization Name | BERNARD J. LUBY, M.D.; INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
WV12708 | WV | Allopathic & Osteopathic Physicians |
| Y | 207V00000X | Obstetrics & Gynecology | WV12708 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0094699000 | 05 |
| Street Address |
624 CHESTNUT STREET |
| City | SOUTH CHARLESTON |
| State | WV |
| Zip Code | 25309-1241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376905 | Lovie Bradshaw | Technician | 4823 Tennessee St., South Charleston, WV 25309 | 2020-11-03 |
| 1306447735 | Barbara Mackenzie | Technician | 4224 Kanawha Turnpike, South Charleston, WV 25309 | 2020-11-03 |
| 1548861974 | Sarah Nichols | Technician | 4990 Colonial Park Dr. Apt. F, South Charleston, WV 25309 | 2020-11-03 |
| 1629690177 | Jennifer Mabry-goins | Technician | 4505 River Avenue, S Charleston, WV 25309 | 2020-05-07 |
| 1811537715 | Brandon C Dean | Psychologist | 4857 Macorkle Ave. Sw, South Charleston, WV 25309 | 2020-01-09 |
| 1467096057 | Linda Mullins | Technician | 60 Hayvon Lane, South Charleston, WV 25309 | 2019-11-06 |
| 1831743616 | Ann Myriah Beck | Nurse Practitioner | 4610 Maccorkle Ave Sw # 300, South Charleston, WV 25309 | 2019-07-30 |
| 1942671227 | Edward W Eskew | Family Medicine | 4605 Maccorkle Avenue, Sw, Thspp-psychiatry, South Charleston, WV 25309 | 2015-10-13 |
| 1720468218 | Link Investments LLC | Pharmacy | 5151 Macorkle Avenue, South Charleston, WV 25309 | 2015-06-01 |
| 1366840951 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 304 Southbridge Blvd., S.ccharleston, WV 25309 | 2014-12-12 |
| Find all providers in zip 25309 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356478663 | Ammar Shammaa | Obstetrics & Gynecology | 4803 Kentucky St, South Charleston, WV 25309-1309 | 2007-02-27 |
| 1790777654 | Betty A Goad | Obstetrics & Gynecology | 131 7th Ave Sw, South Charleston, WV 25303-1417 | 2005-08-17 |
| 1326044413 | Bassam Nicholas Shamma | Obstetrics & Gynecology | 4607 Maccorkle Ave Sw, Ste 301, South Charleston, WV 25309-1364 | 2005-06-23 |
| 1811161524 | Woman Care Clinic Inc | Obstetrics & Gynecology | 4501 Maccorkle Ave Sw, Suite 200, South Charleston, WV 25309-1444 | 2008-04-15 |
| 1659431096 | Bernard Joseph Luby | Obstetrics & Gynecology | 4607 Maccorkle Ave Sw Ste 206, South Charleston, WV 25309-1364 | 2006-12-08 |
| 1245266840 | Kimberly Bush-uy | Obstetrics & Gynecology | 4607 Maccorkle Ave Sw, Suite 201, South Charleston, WV 25309-1364 | 2006-06-24 |
| 1346200599 | Kiran R Patel | Obstetrics & Gynecology | 401 Division St, Ste 306, South Charleston, WV 25309-1455 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750847489 | Womencare Inc | Obstetrics & Gynecology | 108 Washington St W # 201, Charleston, WV 25302-2344 | 2019-02-19 |
| 1073024923 | East Mountain Health Physicians Inc | Obstetrics & Gynecology | 710 Somerset Blvd Ste 100, Charles Town, WV 25414-4998 | 2017-10-18 |
| 1699202150 | John L Hahn Md Inc | Obstetrics & Gynecology | 10 Valley St Ste 101, Petersburg, WV 26847-9568 | 2017-05-16 |
| 1154778413 | Samantha Jo Johnson | Obstetrics & Gynecology | 232 Aldridge Ave, Summersville, WV 26651-1802 | 2016-05-17 |
| 1881021533 | Suncrest Obstetrics and Gynecology | Obstetrics & Gynecology | 1272 Suncrest Town Centre Dr, Morgantown, WV 26505-1828 | 2013-09-26 |
| 1891044970 | Rae Anne Bailey | Obstetrics & Gynecology | 410 Carriage Drive, Beckley, WV 25801 | 2012-09-05 |
| 1497002356 | Femcare Pllc | Obstetrics & Gynecology | 1207 Hospital Dr, Hurricane, WV 25526-8707 | 2012-08-10 |
| 1780947002 | Roy James Stevens | Obstetrics & Gynecology | 676 Manor Pl, Morgantown, WV 26505-2438 | 2012-06-21 |
| 1770844466 | Johanna Lucy Cook | Obstetrics & Gynecology | 830 Pennsylvania Ave Ste 304, Charleston, WV 25302-3390 | 2012-05-30 |
| 1790045821 | Brandon M Lingenfelter | Obstetrics & Gynecology | 411 12th Street Ext, Princeton, WV 24740-2300 | 2012-05-23 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH CHARLESTON |
| Zip Code | 25309 |
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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.