ROSHAWNA IMAN (NPI# 1508346289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508346289 |
| Entity Type | Individual |
| Full Name | ROSHAWNA IMAN |
| Other Name | ROSHAWNA MONGOLD |
| Credential | PNP-BC |
| Practice Address |
9000 Coombs Farm Rd Ste 102 Morgantown WV 26508-1150 |
| Mailing Address |
1247 Suncrest Town Centre Dr Morgantown WV 26505-1876 |
| Practice Telephone | 3045998003 |
| Practice Fax Number | 3045998003 |
| Mailing Telephone | 3045998000 |
| Mailing Fax Number | 3045998003 |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2020-04-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
80117 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 101 Tygart Mall Loop Ste 102a, Fairmont, WV 265542972 | 3045998003 | 3045998003 |
| 1247 Suncrest Town Centre Dr, Morgantown, WV 265051876 | 3045998000 | 3045998003 |
| 139 Conference Center Way Ste 113, Bridgeport, WV 263309147 | 3045998003 | 3045998003 |
| Street Address |
9000 COOMBS FARM RD STE 102 |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26508-1150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447295795 | Lisa Anne Mcbride | Pediatrics | 9000 Coombs Farm Rd Ste 102, Morgantown, WV 26508-1150 | 2006-06-19 |
| 1487179388 | Michaelyn Schrock | Nurse Practitioner | 9000 Coombs Farm Rd Ste 102, Morgantown, WV 26508-1150 | 2017-08-11 |
| 1598780702 | Patricia Jo Thomson Malone | Pediatrics | 9000 Coombs Farm Rd Ste 102, Morgantown, WV 26508-1150 | 2006-07-12 |
| 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 | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598169500 | Jessica Costello | Nurse Practitioner | 1202 Suncrest Town Centre Dr, Morgantown, WV 26505-1828 | 2014-10-20 |
| 1639275647 | Lolita M. Carter | Nurse Practitioner | 49 Highcroft Dr, Morgantown, PA 19543-8847 | 2006-09-16 |
| 1821600743 | Emily Rossignol | Nurse Practitioner | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-08-21 |
| 1518483205 | Tera Lindquist | Nurse Practitioner | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2017-08-15 |
| 1487179388 | Michaelyn Schrock | Nurse Practitioner | 9000 Coombs Farm Rd Ste 102, Morgantown, WV 26508-1150 | 2017-08-11 |
| 1942663323 | Jessica Bulebush | Nurse Practitioner | 1 Medical Center Drive, Morgantown, WV 26506 | 2016-04-01 |
| 1073989752 | Deanna Hinkle | Nurse Practitioner | 1247 Suncrest Town Centre Dr, Morgantown, WV 26505-1876 | 2015-08-17 |
| 1467849984 | Crystal Dalton | Nurse Practitioner | 1 Medical Center Drive, Morgantown, WV 26506 | 2015-04-22 |
| 1710373691 | Lya Cartwright-stroupe | Nurse Practitioner | 1 Medical Center Drive, Morgantown, WV 26506 | 2015-04-08 |
| 1275927048 | Victoria Lancaster | Nurse Practitioner | 1 Medical Center Drive, Morgantown, WV 26506 | 2015-03-19 |
| Find all providers in MORGANTOWN | ||||
| City | MORGANTOWN |
| Zip Code | 26508 |
Please comment or provide details below to improve the information on ROSHAWNA IMAN.
| 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.