LARA SROUJI (NPI# 1801138508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801138508 |
| Entity Type | Individual |
| Full Name | LARA SROUJI |
| Practice Address |
1 Medical Center Dr Morgantown WV 26506-1200 |
| Practice Telephone | 3045984000 |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2020-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
29081 | WV | Allopathic & Osteopathic Physicians |
| Street Address |
1 MEDICAL CENTER DR |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26506-1200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072062 | Marissa D Davis | Nurse Practitioner | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-10-27 |
| 1649879313 | Emily Keator Stallings | Advanced Practice Midwife | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-10-22 |
| 1003414400 | Eric Allen | Nurse Practitioner | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-10-16 |
| 1134726334 | Anna Elizabeth Warfiled | Physician Assistant | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-10-01 |
| 1023625357 | Diane Lynn Casdorph | Pharmacist | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-09-30 |
| 1578179081 | Samantha Renee Wise | Nurse Practitioner | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-09-20 |
| 1740893056 | Catherine Kelly | Nurse Practitioner | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-08-26 |
| 1821600743 | Emily Rossignol | Nurse Practitioner | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-08-21 |
| 1265044010 | Melissa J Rinehart | Pharmacist | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-08-21 |
| 1700497054 | Chelsea J Thomas | Speech-Language Pathologist | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-08-11 |
| Find all providers in the same location | ||||
| 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 | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801138318 | Margaret Mary Mathewson | Pediatrics | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2013-03-22 |
| 1730344045 | Claudiu C Faraon-pogaceanu | Pediatrics | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2008-07-25 |
| 1265514780 | Charles J Mullett | Pediatrics | 1 Stadium Drive, Morgantown, WV 26506 | 2006-10-20 |
| 1568542488 | Satid Thammasitboon | Pediatrics | 1 Stadium Drive, Morgantown, WV 26506 | 2006-10-16 |
| 1427138387 | Melvin L Wright | Pediatrics | 1 Stadium Drive, Morgantown, WV 26506 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578664421 | James E Mcjunkin | Pediatrics | 830 Pennsylvania Ave, Suite 103, Charleston, WV 25302 | 2006-09-25 |
| 1497812317 | Marie Difilippo Frazier | Pediatrics | 1600 Medical Center Dr, Suite 3500, Huntington, WV 25701-3656 | 2007-01-02 |
| 1992728117 | Pediatrix Medical Group PC | Pediatrics | 800 Pennsylvania Ave, Charleston, WV 25302-3351 | 2006-07-26 |
| 1891751731 | Mouna G Chebib | Pediatrics | 830 Pennsylvania Ave, Suite 406, Charleston, WV 25302-3302 | 2006-04-20 |
| 1760446637 | James M Waldeck | Pediatrics | 1600 Medical Center Dr, Suite 3500, Huntington, WV 25701-3656 | 2006-04-17 |
| 1689638611 | Eduardo Pino | Pediatrics | 1600 Medical Center Dr, Suite 3500, Huntington, WV 25701-3656 | 2006-04-14 |
| 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.