DR. LYNNETTA FAITH PAYNE (NPI# 1366636763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366636763 |
| Entity Type | Individual |
| Full Name | DR. LYNNETTA FAITH PAYNE |
| Credential | D.O. |
| Practice Address |
1717 Harper Rd Third Floor, Suite A&b Beckley WV 25801-3373 |
| Mailing Address |
1717 Harper Rd Third Floor Suite A&b Beckley WV 25801-3373 |
| Practice Telephone | 3044613879 |
| Practice Fax Number | 3044610256 |
| Mailing Telephone | 3044613879 |
| Mailing Fax Number | 3044613858 |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2013-06-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 2330 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CLIA | 51D2046168 | 01 | |
| WV | MEDICARE PTAN | WV1663A | 01 |
| Street Address |
1717 HARPER RD THIRD FLOOR, SUITE A&B |
| City | BECKLEY |
| State | WV |
| Zip Code | 25801-3373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770587594 | George M. Charron | Specialist | 1717 Harper Rd, Second Floor Suite A, Beckley, WV 25801-3373 | 2005-06-09 |
| 1114475746 | Raleigh General Hospital LLC | Internal Medicine | 1717 Harper Rd, Suite G, Beckley, WV 25801-3373 | 2016-09-12 |
| 1750731600 | Carissa Bennett | Nurse Practitioner | 1717 Harper Rd, Beckley, WV 25801-3373 | 2016-06-21 |
| 1639530975 | Mansour Alvi | Orthopaedic Surgery | 1717 Harper Rd, Beckley, WV 25801-3373 | 2016-03-15 |
| 1245695212 | Raleigh General Hospital LLC | Internal Medicine | 1717 Harper Rd, Second Floor, Suite C, Beckley, WV 25801-3373 | 2015-12-17 |
| 1124406350 | West Virginia Pain Institute Inc | Pain Medicine | 1717 Harper Rd, Second Floor, Suite D, Beckley, WV 25801-3373 | 2015-05-07 |
| 1861801078 | Advanced Specialties, P LLC | Urology | 1717 Harper Rd, 3rd Floor, Suite A, Beckley, WV 25801-3373 | 2014-08-13 |
| 1518210012 | Jeanine Rae Robinson | Nurse Practitioner | 1717 Harper Rd, Suite A, Beckley, WV 25801-3373 | 2012-10-22 |
| 1407106339 | Matthew K. Nelson Md | Orthopaedic Surgery | 1717 Harper Rd, Second Floor, Suite B, Beckley, WV 25801-3373 | 2012-09-18 |
| 1952651309 | Patience Agbonavbare | Internal Medicine | 1717 Harper Rd, Second Floor, Suite C, Beckley, WV 25801-3373 | 2012-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144835190 | Misty Dawn Chambers | Psychologist | 154 Lagoon Way, Beckley, USA 25801 | 2020-09-15 |
| 1912511437 | Katherine Lynne Mcghee | Technician | 120 Schlager Dr., Beckley, WV 25801 | 2020-09-02 |
| 1255942421 | Tyesha Burger | Technician | 442 Industrial Dr, Beckley, WV 25801 | 2020-08-12 |
| 1053920553 | Angela Sanches | Case Manager/Care Coordinator | 134 Gooseberry Ln, Beckley, WV 25801 | 2020-07-30 |
| 1871119933 | Tiffani Michelle Dale | Counselor | 111 Coral Court, Apt 5, Beckley, WV 25801 | 2020-06-24 |
| 1679046049 | Liberty Dental Centers | Dentist | 102 Galleria Plaza, Beckley, WV 25801 | 2019-01-08 |
| 1952884942 | Susan Rae Rash | Nurse Practitioner | 250 Stanaford Rd Ste 203, Beckley, WV 25801 | 2018-09-14 |
| 1689169039 | Megan Rae Walker | Dentist | 3153 Robert C. Byrd Drive, Beckley, WV 25801 | 2018-06-28 |
| 1104318625 | Mountain State Vascular, Inc. | Surgery | 121 George Street, Beckley, WV 25801 | 2018-05-31 |
| 1356841100 | Harper Road Treatment Center LLC | Family Medicine | 1802 Harper Rd Ste 202, Beckley, WV 25801 | 2018-02-19 |
| Find all providers in zip 25801 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184062549 | Appalachian Regional Healthcare, Inc. | Urology | 407 Carriage Drive, Beckley, WV 25801 | 2013-06-07 |
| 1861801078 | Advanced Specialties, P LLC | Urology | 1717 Harper Rd, 3rd Floor, Suite A, Beckley, WV 25801-3373 | 2014-08-13 |
| 1750791646 | Raleigh General Hospital LLC | Urology | 1717 Harper Rd Fl 2, Suite G, Beckley, WV 25801-3373 | 2014-05-01 |
| 1730440090 | Raleigh General Hospital LLC | Urology | 1717 Harper Rd, Beckley, WV 25801-3373 | 2012-06-04 |
| 1245284199 | Ronald C. Motley | Urology | 200 Veterans Ave, Beckley, WV 25801-6444 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194153825 | Amjad H. Alwaal | Urology | 1115 20th St Ste 107, Huntington, WV 25703-0003 | 2013-10-15 |
| 1386981488 | Integrated Health Care Providers, Inc. | Urology | 707 Madison Avenue, Madison, WV 25130 | 2013-01-09 |
| 1477823060 | Steve Joseph Misak | Urology | 2118 Jefferson St, Bluefield, WV 24701-4708 | 2012-01-12 |
| 1639477284 | S Vyas Md Inc | Urology | 22 1/2 W 2nd Ave, Williamson, WV 25661-3506 | 2011-03-07 |
| 1992012728 | Ignacio H Luna Md Inc | Urology | 426 Eighth St., Suite 300, Glen Dale, WV 26038 | 2010-08-31 |
| 1083893648 | Rodney Dean Md Pllc | Urology | 432 Division St, South Charleston, WV 25309-1402 | 2007-10-31 |
| 1649496571 | Shozo Kurusu | Urology | 1313 Quarrier St, Charleston, WV 25301-6002 | 2007-04-18 |
| 1184757163 | Naeem Pervaiz, M.d., P.C. | Urology | 608 New Hope Rd Ste 1, Princeton, WV 24740-2287 | 2007-03-13 |
| 1558496489 | Rajendra K Jain Urology Inc | Urology | 2828 First Ave Suite 204, Huntington, WV 25702 | 2007-02-22 |
| 1235295577 | The Urology Center, Pllc | Urology | 9 Chenoweth Dr # B, Bridgeport, WV 26330-1675 | 2006-12-29 |
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| 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.