Lisa R Mallory (NPI# 1598223216, PAC ID# 9830431493) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1598223216 |
PAC ID by PECOS | 9830431493 |
Professional Enrollment ID | I20190430002944 |
Full Name | Lisa R Mallory |
Organization Legal Name | THS PHYSICIAN PARTNERS INC |
Address |
6 A Bank St Nitro WV 25143-1708 |
Phone Number | 3043063058 |
Gender | F |
Graduation Year | 2018 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 9537316393 |
Number of Group Practice Members | 76 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
510029 | THOMAS MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
6 A Bank St, Nitro, WV 25143-1708 | 3043063058 | THS PHYSICIAN PARTNERS INC |
506 Chestnut St, South Charleston, WV 25309-1204 | 3047668558 | THS PHYSICIAN PARTNERS INC |
Organization Legal Name | THS PHYSICIAN PARTNERS INC |
Physicians | 76 |
Name | Specialty | Organization | Address |
---|---|---|---|
Dragana Orlovic | Infectious Disease | Ths Physician Partners Inc | 434 Division St, South Charleston, WV 25309-1443 |
Tracy L Leege | Nurse Practitioner | Ths Physician Partners Inc | 6 A Bank St, Nitro, WV 25143-1708 |
Jeremy Dale Walker | Nurse Practitioner | Ths Physician Partners Inc | 506 Chestnut St, South Charleston, WV 25309-1204 |
Lisa Mcclure | Nurse Practitioner | Ths Physician Partners Inc | 500 Poplar St, Suite 202, South Charleston, WV 25309-1472 |
Jonathan M White | Family Medicine | Ths Physician Partners Inc | 11924 Winfield Rd, Winfield, WV 25213-7913 |
Luke Weldon Martin | General Surgery | Ths Physician Partners Inc | 331 Laidley St, Suite 503, Charleston, WV 25301-1682 |
John W Hannah | Urology | Ths Physician Partners Inc | 4610 Kanawha Ave Sw, Suite 401, South Charleston, WV 25309-1367 |
Bruce Fredric Haupt | Orthopedic Surgery | Ths Physician Partners Inc | 610 Chestnut St, South Charleston, WV 25309-1251 |
Ziad Kahwash | Endocrinology | Ths Physician Partners Inc | 436 Division St, South Charleston, WV 25309-1402 |
Rebecca Jean Donohoe | Nurse Practitioner | Ths Physician Partners Inc | 4820 Kentucky St, South Charleston, WV 25309-1310 |
Street Address |
6 A BANK ST |
City | NITRO |
State | WV |
Zip | 25143-1708 |
Name | Specialty | Organization | Address |
---|---|---|---|
Tracy L Leege | Nurse Practitioner | Ths Physician Partners Inc | 6 A Bank St, Nitro, WV 25143-1708 |
Angela D Whitman | Family Medicine | Ths Physician Partners Inc | 6 A Bank St, Nitro, WV 25143-1708 |
Andrea Dawn Moses | Nurse Practitioner | Ths Physician Partners Inc | 6 A Bank St, Nitro, WV 25143-1708 |
Melisa Jane Snodgrass | Physician Assistant | Ths Physician Partners Inc | 6 A Bank St, Nitro, WV 25143-1708 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jay Lee Mcclanahan | Chiropractic | 642 Cross Lanes Dr, Nitro, WV 25143-1163 | |
E Michael Robie | Family Medicine | Charleston Area Medical Center, Inc. | 4111 1st Ave, Suite 3, Nitro, WV 25143-1345 |
Joanna B Stover | Physician Assistant | Charleston Area Medical Center, Inc. | 4111 1st Ave, Suite 3, Nitro, WV 25143-1345 |
Derrick Richard Green | Pathology | Charleston Area Medical Center, Inc. | 4111 1st Ave, Suite 3, Nitro, WV 25143-1345 |
Sarah Y Taylor | Optometry | Taylor Eye Associates, Pllc | 3802 38th St, Nitro, WV 25143-1641 |
Travis Lee Taylor | Optometry | Taylor Eye Associates, Pllc | 3802 38th St, Nitro, WV 25143-1641 |
Elizabeth Ann Parsons | Optometry | Taylor Eye Associates, Pllc | 3802 38th St, Nitro, WV 25143-1641 |
Gregory Mark Moreland | Family Medicine | 2206 22nd St, Nitro, WV 25143-1729 | |
Roland W Meffert Ii | Chiropractic | 803 8th St, Nitro, WV 25143-1909 |
City | NITRO |
Zip Code | 25143 |
Specialty | NURSE PRACTITIONER |
City + Specialty | NITRO + NURSE PRACTITIONER |
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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.