LARISSA CASABURI (NPI# 1144386145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144386145 |
| Entity Type | Individual |
| Full Name | LARISSA CASABURI |
| Other Name | LARISSA BRAGA |
| Credential | MD |
| Practice Address |
6040 University Town Centre Dr Morgantown WV 26501 |
| Mailing Address |
6040 University Town Centre Dr Morgantown WV 26501-2421 |
| Practice Telephone | 3042936307 |
| Mailing Telephone | 3042936307 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
1010 | WV | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
0101258349 | VA | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
195 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | LICENSE | 195 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Uva Hospital, Lee Street, 1st Floor, Charlottesville, VA 229080001 | 4349826018 | 4349821618 |
| 6040 University Town Centre Dr, Morgantown, WV 26501 | 3042936307 |
| Street Address |
6040 UNIVERSITY TOWN CENTRE DR |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275503229 | Lekha S. Hota | Obstetrics & Gynecology | 6040 University Town Centre Dr, Morgantown, WV 26501-2421 | 2006-01-24 |
| 1417565227 | Michelle Renee Borland | Nurse Practitioner | 6040 University Town Centre Dr, Morgantown, WV 26501-2421 | 2020-07-17 |
| 1700407608 | Angela Lynn Goodhart | Pharmacist | 6040 University Town Centre Dr, Morgantown, WV 26501-2421 | 2020-05-01 |
| 1982231049 | Florette Kapinga Tshiaba | Student in an Organized Health Care Education/Training Program | 6040 University Town Centre Dr, Morgantown, WV 26501-2421 | 2020-03-26 |
| 1245867399 | Delaney Aliece Wagener | Student in an Organized Health Care Education/Training Program | 6040 University Town Centre Dr, Morgantown, WV 26501-2421 | 2020-03-26 |
| 1285261081 | Samuel Pilla | Student in an Organized Health Care Education/Training Program | 6040 University Town Centre Dr, Morgantown, WV 26501-2421 | 2020-03-24 |
| 1366078255 | Samantha Rae Nibert | Student in an Organized Health Care Education/Training Program | 6040 University Town Centre Dr, Morgantown, WV 26501-2421 | 2020-03-23 |
| 1336775253 | Colin Winkie | Student in an Organized Health Care Education/Training Program | 6040 University Town Centre Dr, Morgantown, WV 26501-2421 | 2020-03-23 |
| 1992331896 | Eric Dylan Saunders | Student in an Organized Health Care Education/Training Program | 6040 University Town Centre Dr, Morgantown, WV 26501-2421 | 2020-03-23 |
| 1639705650 | Trevor Gregory Aldred | Student in an Organized Health Care Education/Training Program | 6040 University Town Centre Dr, Morgantown, WV 26501-2421 | 2020-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528718 | Billie Jane Shrout | Technician | #4 Ami Dr, Morgantown, WV 26501 | 2020-11-02 |
| 1932668852 | Donald Brubaker | Student in an Organized Health Care Education/Training Program | Wvu Medicine, University Town Centre, 6040 University Town Centre Drive, Morgantown, WV 26501 | 2019-03-19 |
| 1194280446 | Braeden Chase Carroll | Specialist/Technologist | 636 Madison Ave, Morgantown, WV 26501 | 2019-01-31 |
| 1629541545 | Key Learning Autism Center Inc | Community/Behavioral Health | Mountaineer Mall, 5000 Greenbag Road Space A-1, Morgantown, WV 26501 | 2019-01-03 |
| 1922575463 | Heather Lynne Oneal | Midwife | 864 Vandalia Rd, Morgantown, WV 26501 | 2018-11-01 |
| 1609252634 | Nathan Robert Tomasik | Physical Therapist | 746 Fairmont Road, Westover, WV 26501 | 2015-07-31 |
| 1174922462 | Shelly Cummings | Nurse Practitioner | 5000 Greenbag Rd Ste E08, Morgantown, WV 26501 | 2014-08-22 |
| 1841609419 | Christine A Sutch | Family Medicine | 6040 University Town Center, Morgantown, WV 26501 | 2014-08-08 |
| 1073808432 | Megan B Darrah | Occupational Therapist | 6 Edwin Street, Morgantown, WV 26501 | 2011-06-14 |
| 1831325729 | Carol M. Kisner Mcgraw | Occupational Therapist | 26 Commerce Drive, Westover, WV 26501 | 2009-06-05 |
| Find all providers in zip 26501 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942612197 | Health and Education Building-urgent Care | Radiology | 390 Birch Street Suite B, Morgantown, WV 26506-6894 | 2014-05-22 |
| 1467795591 | Philip Connor Louden | Radiology | 1 Medical Center Dr, Room 1144, Morgantown, WV 26506 | 2013-03-27 |
| 1871818872 | Cara M Bryan | Radiology | 1 Medical Center Drive 9001a, Morgantown, WV 26506 | 2010-04-01 |
| 1407815772 | Teppe Popovich | Radiology | 364 Patteson Drive, Morgantown, WV 26505 | 2006-03-23 |
| 1396721817 | Daniel Allen Martin | Radiology | 101 Stadium Dr, Morgantown, WV 26506-7911 | 2005-12-16 |
| 1245230549 | William L Noble | Radiology | 99 J D Anderson Dr, Morgantown, WV 26505-4000 | 2005-07-28 |
| 1487064689 | Ariel Bailey | Radiology | 1 Medical Center Drive, Room 1144, Morgantown, WV 26506 | 2014-04-28 |
| 1063760429 | Brian Markovich | Radiology | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2012-08-16 |
| 1437416302 | Parissa Feizi | Radiology | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2012-04-17 |
| 1376819755 | Mark Forrest Lisle | Radiology | 1 Medical Center Drive, Room 1144, Morgantown, WV 26506 | 2012-03-29 |
| Find all providers in MORGANTOWN | ||||
| City | MORGANTOWN |
| Zip Code | 26501 |
Please comment or provide details below to improve the information on LARISSA CASABURI.
| 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.