LISA ANN WAUGH (NPI# 1053517011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053517011 |
| Entity Type | Individual |
| Full Name | LISA ANN WAUGH |
| Credential | LMT |
| Practice Address |
1109 Jefferson Rd S Charleston WV 25309-9780 |
| Mailing Address |
2939 Shadyside Rd St Albans WV 25177 |
| Practice Telephone | 3046107888 |
| Mailing Telephone | 3046107888 |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | 0388 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | LICENSE | 0388 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033597778 | Lisa Lynn Waugh | Counselor | 5224 Olympic Dr Nw, Suite 101, Gig Harbor, WA 98335-1790 | 2015-05-14 |
| 1194727784 | Lisa J Waugh | Registered Nurse | 3482 Broadway St, Boulder, CO 80304-1824 | 2005-08-12 |
| Street Address |
1109 JEFFERSON RD |
| City | S CHARLESTON |
| State | WV |
| Zip Code | 25309-9780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376905 | Lovie Bradshaw | Technician | 4823 Tennessee St., South Charleston, WV 25309 | 2020-11-03 |
| 1306447735 | Barbara Mackenzie | Technician | 4224 Kanawha Turnpike, South Charleston, WV 25309 | 2020-11-03 |
| 1548861974 | Sarah Nichols | Technician | 4990 Colonial Park Dr. Apt. F, South Charleston, WV 25309 | 2020-11-03 |
| 1629690177 | Jennifer Mabry-goins | Technician | 4505 River Avenue, S Charleston, WV 25309 | 2020-05-07 |
| 1811537715 | Brandon C Dean | Psychologist | 4857 Macorkle Ave. Sw, South Charleston, WV 25309 | 2020-01-09 |
| 1467096057 | Linda Mullins | Technician | 60 Hayvon Lane, South Charleston, WV 25309 | 2019-11-06 |
| 1831743616 | Ann Myriah Beck | Nurse Practitioner | 4610 Maccorkle Ave Sw # 300, South Charleston, WV 25309 | 2019-07-30 |
| 1942671227 | Edward W Eskew | Family Medicine | 4605 Maccorkle Avenue, Sw, Thspp-psychiatry, South Charleston, WV 25309 | 2015-10-13 |
| 1720468218 | Link Investments LLC | Pharmacy | 5151 Macorkle Avenue, South Charleston, WV 25309 | 2015-06-01 |
| 1366840951 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 304 Southbridge Blvd., S.ccharleston, WV 25309 | 2014-12-12 |
| Find all providers in zip 25309 | ||||
| Taxonomy Code | 204C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine, Sports Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083836654 | Almost Heaven Therapeutic Massage | Neuromusculoskeletal Medicine, Sports Medicine | 1436 Greenbrier Street, Charleston, WV 25311 | 2007-05-03 |
| 1780713438 | Debra Lynn Price | Neuromusculoskeletal Medicine, Sports Medicine | 1436 Greenbrier St, Charleston, WV 25311-1006 | 2007-03-05 |
| 1245367929 | Joby Joseph,md Inc | Neuromusculoskeletal Medicine, Sports Medicine | 888 Oakwood Rd, Suite 210, Charleston, WV 25314-2000 | 2007-02-28 |
| 1649368291 | Sportscare Medical Associates, Inc. | Neuromusculoskeletal Medicine, Sports Medicine | 320 Lynda Ct, Huntington, WV 25703 | 2006-10-10 |
| 1295799245 | Joby Joseph | Neuromusculoskeletal Medicine, Sports Medicine | 888 Oakwood Road, Suite 210, Charleston, WV 25314-2070 | 2006-04-14 |
| 1134120173 | John C Sharp | Neuromusculoskeletal Medicine, Sports Medicine | 105 Duncan Rd, Marlinton, WV 24954-0320 | 2005-08-01 |
| 1285821561 | Mountain State Orthopedics & Sports Medicine | Neuromusculoskeletal Medicine, Sports Medicine | 400 Fairview Heights Rd, Ste. 301, Summersville, WV 26651-9308 | 2007-10-01 |
| 1851445225 | William R Carson | Neuromusculoskeletal Medicine, Sports Medicine | 400 Fairview Heights Rd, Ste 301, Summersville, WV 26651-9308 | 2007-01-23 |
| City | S CHARLESTON |
| Zip Code | 25309 |
Please comment or provide details below to improve the information on LISA ANN WAUGH.
| 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.