LAWRENCE M WYNER (NPI# 1790843316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790843316 |
| Entity Type | Individual |
| Full Name | LAWRENCE M WYNER |
| Credential | MD |
| Practice Address |
1115 20th St Suite 107 Huntington WV 25703-2071 |
| Mailing Address |
1115 20th Street Suite 107 Huntington WV 25703 |
| Practice Telephone | 3046911900 |
| Practice Fax Number | 3046911929 |
| Mailing Telephone | 3046911900 |
| Mailing Fax Number | 3046911929 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2014-04-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208800000X | Urology | 35059870 | OH | Allopathic & Osteopathic Physicians |
| Y | 208800000X | Urology | 16680 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0130195000 | 05 |
| Street Address |
1115 20TH ST SUITE 107 |
| City | HUNTINGTON |
| State | WV |
| Zip Code | 25703-2071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316907611 | Lynne Welch | Nurse Practitioner | 1115 20th St, Suite 205, Huntington, WV 25703-2071 | 2006-03-23 |
| 1306466164 | Jacob Shumac | Student in an Organized Health Care Education/Training Program | 1115 20th St, Huntington, WV 25703-2071 | 2020-04-22 |
| 1326668153 | Heidi Johnson | Student in an Organized Health Care Education/Training Program | 1115 20th St, Huntington, WV 25703-2071 | 2020-04-22 |
| 1548880362 | Jill Bange | Student in an Organized Health Care Education/Training Program | 1115 20th St, Huntington, WV 25703-2071 | 2020-04-22 |
| 1689229288 | James Tyler Rosier | Clinical Neuropsychologist | 1115 20th St, Huntington, WV 25703-2071 | 2019-08-09 |
| 1205393741 | Nathan Boggs | Nurse Practitioner | 1115 20th St, Huntington, WV 25703-2071 | 2019-02-20 |
| 1689101859 | Louis Nieuwenhuizen | Psychologist | 1115 20th St, Huntington, WV 25703-2071 | 2017-05-18 |
| 1437685120 | Justin Godby | Student in an Organized Health Care Education/Training Program | 1115 20th St, Huntington, WV 25703-2071 | 2017-05-02 |
| 1053846139 | Tiffany White | Psychiatry & Neurology | 1115 20th St, Huntington, WV 25703-2071 | 2017-04-26 |
| 1609301787 | Erika Maynard | Student in an Organized Health Care Education/Training Program | 1115 20th St, Huntington, WV 25703-2071 | 2017-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710590021 | Jasmine Maynard | Student in an Organized Health Care Education/Training Program | 1538 Charleston Ave, Huntington, WV 25703 | 2020-08-26 |
| 1073161022 | Art Phillips | Student in an Organized Health Care Education/Training Program | Kopp Building, 1 John Marshall Drive, Huntington, WV 25703 | 2019-09-03 |
| 1447612742 | Ruthie Cooper | Psychiatry & Neurology | 1115 20th St # 205, Huntington, WV 25703 | 2016-03-25 |
| 1194047548 | Peggy Jo Proudfoot Harman | Counselor | 320 18th St., Gullickson Hall Suite G01, Huntington, WV 25703 | 2010-02-25 |
| 1598837460 | Frederick H Sammons Dds Ltd | Dentist | 1040 20th St, Huntington, WV 25703 | 2006-11-15 |
| 1649368291 | Sportscare Medical Associates, Inc. | Neuromusculoskeletal Medicine, Sports Medicine | 320 Lynda Ct, Huntington, WV 25703 | 2006-10-10 |
| 1902906019 | Tri-state Allergy, Inc | Allergy & Immunology | 1001 20th Street, Huntington, WV 25703 | 2006-09-25 |
| 1568472512 | Jamie R Stoner | Nurse Practitioner | 2501 3rd Avenue, Huntington, WV 25703 | 2006-08-09 |
| 1790717940 | Jeffrey T Boggess | Psychologist | 1115 20th Street, Suite 205, Huntington, WV 25703 | 2006-07-07 |
| 1184699415 | Valley Health Systems Inc | Obstetrics & Gynecology | 2585 3rd Ave, Huntington, WV 25703 | 2006-02-21 |
| Find all providers in zip 25703 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194153825 | Amjad H. Alwaal | Urology | 1115 20th St Ste 107, Huntington, WV 25703-0003 | 2013-10-15 |
| 1558496489 | Rajendra K Jain Urology Inc | Urology | 2828 First Ave Suite 204, Huntington, WV 25702 | 2007-02-22 |
| 1245310762 | Huntington Urological Assoc Lab | Urology | 2860 3rd Avenue, Suite 230, Huntington, WV 25702-1453 | 2006-10-17 |
| 1649286568 | Charles T. Hennings | Urology | 634 Park Ave, Huntington, NY 11743-3833 | 2006-07-31 |
| 1295734598 | Eric J Sacknoff | Urology | 2900 1st Ave Ste 230, Huntington, WV 25702-1241 | 2005-07-19 |
| 1699772665 | Charles Stephen Woolums | Urology | 5170 Us Route 60, Huntington, WV 25705-2004 | 2005-07-05 |
| 1215932785 | George R Beneke | Urology | 1540 Spring Valley Dr, Huntington, WV 25704-9300 | 2005-06-20 |
| 1033340013 | Kip L Bodi Physician Facs Pllc | Urology | 775 Park Ave, Suite 262, Huntington, NY 11743-3976 | 2009-08-07 |
| 1790938595 | North Shore Medical Group | Urology | 21 Southdown Rd, Huntington, NY 11743-2538 | 2008-10-24 |
| 1851562342 | Paul Jason Shannon | Urology | 21 Southdown Rd, Huntington, NY 11743-2538 | 2008-03-12 |
| Find all providers in HUNTINGTON | ||||
| City | HUNTINGTON |
| Zip Code | 25703 |
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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.