LYNETTE J CLINE (NPI# 1093714099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093714099 |
| Entity Type | Individual |
| Full Name | LYNETTE J CLINE |
| Credential | PAC |
| Practice Address |
1300 Fort Pierpont Dr Ste 101 Morgantown WV 26508 |
| Mailing Address |
1300 Fort Pierpont Dr Ste 101 Morgantown WV 26508-1314 |
| Practice Telephone | 3042417150 |
| Practice Fax Number | 3045998917 |
| Mailing Telephone | 3042417150 |
| Mailing Fax Number | 3045998917 |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2019-04-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 01177 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810004490 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 Mon Health Medical Park Dr Ste 1201, Morgantown, WV 265051143 | 3045999400 | |
| 1300 Fort Pierpont Dr Ste 101, Morgantown, WV 26508 | 3042417150 | 3045998917 |
| 6000 Memorial Church Drive, Morgantown, WV 26501 | 3042927316 | 3045998917 |
| Street Address |
1300 FORT PIERPONT DR STE 101 |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457720526 | Karla Price | Nurse Practitioner | 1300 Fort Pierpont Dr Ste 101, Morgantown, WV 26508-1314 | 2015-09-18 |
| 1922067271 | Mia J Shilobod | Physician Assistant | 1300 Fort Pierpont Dr Ste 101, Morgantown, WV 26508 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989026 | Ruth Gibson | Technician | 4 Elpaso Ave, Morgantown, WV 26508 | 2020-10-09 |
| 1518565845 | Anne Jiang | Pharmacist | 7000 Mid Atlantic Dr., Morgantown, WV 26508 | 2020-10-09 |
| 1396356283 | Jessica Dawn Taylor | Technician | Lot 128 Healthy Heights Village, Morgantown, WV 26508 | 2020-08-13 |
| 1992297733 | Jeffrey G Minchau Dds Ms | Dentist | 9000 Coombs Farm Dr, Ste 304, Morgantown, WV 26508 | 2018-06-06 |
| 1346796257 | Gregory Ice | Social Worker | 1627 Grafton Rd, Morgantown, WV 26508 | 2016-08-31 |
| 1306242540 | Mountaineer Psychological Services | Community/Behavioral Health | 4000 Coombs Farm Drive, Bldg D Unit 102, Morgantown, WV 26508 | 2014-11-17 |
| 1750722906 | Tingler Rx | Pharmacy | 889 Venture Drive, Suite 2, Morgantown, WV 26508 | 2013-07-16 |
| 1881033983 | Amy Rodgers Smith | Music Therapist | 714 Venture Drive #115, Morgantown, WV 26508 | 2013-06-21 |
| 1013250588 | Walid Radwan | Student in an Organized Health Care Education/Training Program | 1121 Eagle Run Road, Morgantown, WV 26508 | 2013-04-02 |
| 1467727040 | Sara Lyndsey Disimone | Counselor | 3000 Coombs Farm Road, Suite 102, Morgantown, WV 26508 | 2012-03-15 |
| Find all providers in zip 26508 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720686066 | Ana Brandt | Physician Assistant | 33 Medical Center Dr, Morgantown, WV 26505-4024 | 2020-10-09 |
| 1518339670 | Justin Browning | Physician Assistant | 1 Medicial Center Drive, Morgantown, WV 26505 | 2015-10-28 |
| 1568842326 | Katelyn Gross | Physician Assistant | 4000 Hampton Ctr, Suite B, Morgantown, WV 26505-1730 | 2015-06-05 |
| 1780082719 | Susan Tubens | Physician Assistant | 1 Medical Center Dr Ofc Center, Morgantown, WV 26506-1200 | 2014-12-08 |
| 1871929711 | Alicia Zomcik | Physician Assistant | Room 3400 Hss, Wvu Ruby Memorial Hospital, Morgantown, WV 26506 | 2013-09-24 |
| 1528340312 | Kayla Annette Donoghue | Physician Assistant | 165 Scott Ave Ste 100, Morgantown, WV 26508-8847 | 2011-09-16 |
| 1578713160 | Beth Ann Guzzi | Physician Assistant | 1000 J D Anderson Dr Ste 401, Morgantown, WV 26505 | 2008-09-19 |
| 1417119736 | Gregory Paul Selasky | Physician Assistant | 491 Michigan Ave, Morgantown, WV 26501-3908 | 2008-06-27 |
| 1801000559 | Julie Ann Ramsey | Physician Assistant | 1 Medical Drive #9247, Student Health Center Rcb Hsc, Morgantown, WV 26554 | 2007-05-10 |
| 1730300948 | Stacy Leigh Skidmore | Physician Assistant | 1 Stadium Drive Physician Office Center, Morgantown, WV 26506-9196 | 2007-05-02 |
| Find all providers in MORGANTOWN | ||||
| City | MORGANTOWN |
| Zip Code | 26508 |
Please comment or provide details below to improve the information on LYNETTE J CLINE.
| 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.