Matthew W Lively (NPI# 1255444592, PAC ID# 7618901604) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1255444592 |
| PAC ID by PECOS | 7618901604 |
| Professional Enrollment ID | I20050920000332 |
| Full Name | Matthew W Lively |
| Organization Legal Name | MOUNTAINEER ORTHOPEDIC SPECIALISTS, LLC |
| Address |
2195 Cheat Rd Suite 2 Morgantown WV 26508-4516 |
| Phone Number | 3045940456 |
| Gender | M |
| Credential | MD |
| Medical School | WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | PEDIATRIC MEDICINE, SPORTS MEDICINE |
| Group Practice PAC ID | 4486672300 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 510024 | MONONGALIA COUNTY GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2195 Cheat Rd, Suite 2, Morgantown, WV 26508-4516 | 3045940456 | MOUNTAINEER ORTHOPEDIC SPECIALISTS, LLC |
| Organization Legal Name | MOUNTAINEER ORTHOPEDIC SPECIALISTS, LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William R Post | Orthopedic Surgery | Mountaineer Orthopedic Specialists, LLC | 2195 Cheat Rd, Suite 2, Morgantown, WV 26508-4516 |
| Allan Evangelista | Podiatry | Mountaineer Orthopedic Specialists, LLC | 2195 Cheat Rd, Suite 2, Morgantown, WV 26508-4516 |
| Street Address |
2195 CHEAT RD SUITE 2 |
| City | MORGANTOWN |
| State | WV |
| Zip | 26508-4516 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul K Calvert | Physical Therapy | Calvert Rehabilitation Group Inc | 2195 Cheat Rd, Morgantown, WV 26508-0022 |
| Kari L Calvert | Physical Therapy | Calvert Rehabilitation Group Inc | 2195 Cheat Rd, Morgantown, WV 26508-0022 |
| William R Post | Orthopedic Surgery | Mountaineer Orthopedic Specialists, LLC | 2195 Cheat Rd, Suite 2, Morgantown, WV 26508-4516 |
| Allan Evangelista | Podiatry | Mountaineer Orthopedic Specialists, LLC | 2195 Cheat Rd, Suite 2, Morgantown, WV 26508-4516 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy Patrick Dorey Jr. | Chiropractic | 6000 Coombs Farm Dr, Building F Unit 102, Morgantown, WV 26508 | |
| Jason Alexander Chong | Psychologist, Clinical | Neuropsychology Group of West Virginia Pllc | 9000 Coombs Farm Dr, Suite 202, Morgantown, WV 26508 |
| Martin L Boone | Psychologist, Clinical | Neuropsychology Group of West Virginia Pllc | 9000 Coombs Farm Dr, Suite 202, Morgantown, WV 26508 |
| Susan Millham | Clinical Social Worker | 7000 Coombs Farm Rd, Suite 202, Morgantown, WV 26508-0803 | |
| William T Mcclellan | Plastic and Reconstructive Surgery | 5000 Coombs Farm Rd, Suite 102, Morgantown, WV 26508-1121 | |
| Jennifer Guriel Myers | Psychologist, Clinical | 4000 Coombs Farm Rd, Suite 102, Morgantown, WV 26508-1192 | |
| Jan E Palmer | Internal Medicine | Monongalia County General Hospital Company | 1300 Fort Pierpont Dr, Suite 101, Morgantown, WV 26508-1314 |
| Lauren R Ruehle | Nurse Practitioner | Monongalia County General Hospital Company | 1300 Fort Pierpont Dr, Suite 101, Morgantown, WV 26508-1314 |
| Anthony D Marcucci | Family Medicine | Monongalia County General Hospital Company | 1300 Fort Pierpont Dr, Suite 101, Morgantown, WV 26508-1314 |
| William Clifford Mitchell | Family Medicine | Monongalia County General Hospital Company | 1300 Fort Pierpont Dr, Suite 101, Morgantown, WV 26508-1314 |
| Find all physicians in zip 26508 | |||
| City | MORGANTOWN |
| Zip Code | 26508 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MORGANTOWN + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Matthew W Lively.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.