SUSAN TUBENS (NPI# 1780082719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780082719 |
| Entity Type | Individual |
| Full Name | SUSAN TUBENS |
| Credential | PA-C |
| Practice Address |
1 Medical Center Dr Ofc Center Morgantown WV 26506-1200 |
| Practice Telephone | 3045984800 |
| Mailing Telephone | 3045984800 |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2018-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2161 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
055.0031229 | VT | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 44 S Main St, Randolph, VT 050601381 | 8027287000 |
| Street Address |
1 MEDICAL CENTER DR OFC CENTER |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26506-1200 |
| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720686066 | Ana Brandt | Physician Assistant | 33 Medical Center Dr, Morgantown, WV 26505-4024 | 2020-10-09 |
| 1518339670 | Justin Browning | Physician Assistant | 1 Medicial Center Drive, Morgantown, WV 26505 | 2015-10-28 |
| 1568842326 | Katelyn Gross | Physician Assistant | 4000 Hampton Ctr, Suite B, Morgantown, WV 26505-1730 | 2015-06-05 |
| 1871929711 | Alicia Zomcik | Physician Assistant | Room 3400 Hss, Wvu Ruby Memorial Hospital, Morgantown, WV 26506 | 2013-09-24 |
| 1528340312 | Kayla Annette Donoghue | Physician Assistant | 165 Scott Ave Ste 100, Morgantown, WV 26508-8847 | 2011-09-16 |
| 1578713160 | Beth Ann Guzzi | Physician Assistant | 1000 J D Anderson Dr Ste 401, Morgantown, WV 26505 | 2008-09-19 |
| 1417119736 | Gregory Paul Selasky | Physician Assistant | 491 Michigan Ave, Morgantown, WV 26501-3908 | 2008-06-27 |
| 1801000559 | Julie Ann Ramsey | Physician Assistant | 1 Medical Drive #9247, Student Health Center Rcb Hsc, Morgantown, WV 26554 | 2007-05-10 |
| 1730300948 | Stacy Leigh Skidmore | Physician Assistant | 1 Stadium Drive Physician Office Center, Morgantown, WV 26506-9196 | 2007-05-02 |
| 1740263995 | Gary P Barcinas | Physician Assistant | 111 Stanley St, Morgantown, WV 26508-9115 | 2005-11-22 |
| Find all providers in MORGANTOWN | ||||
| City | MORGANTOWN |
| Zip Code | 26506 |
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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.