JOSHUA PAUL ENNIS (NPI# 1730703893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730703893 |
| Entity Type | Individual |
| Full Name | JOSHUA PAUL ENNIS |
| Credential | DO |
| Practice Address |
1464 Jefferson St N Lewisburg WV 24901-1380 |
| Practice Telephone | 3046453220 |
| Practice Fax Number | 3046471273 |
| Mailing Telephone | 3046453220 |
| Mailing Fax Number | 3046471273 |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2020-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497066492 | Joshua James Ennis | Emergency Medicine | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2010-06-24 |
| Street Address |
1464 JEFFERSON ST N |
| City | LEWISBURG |
| State | WV |
| Zip Code | 24901-1380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487659561 | Belinda K Smith | Family Medicine | 1464 Jefferson St N, Lewisburg, WV 24901-1380 | 2005-06-16 |
| 1063036127 | Vernon Leung | Student in an Organized Health Care Education/Training Program | 1464 Jefferson St N, Lewisburg, WV 24901-1380 | 2020-06-04 |
| 1407494883 | Meghan R Pankey | Nurse Practitioner | 1464 Jefferson St N, Lewisburg, WV 24901-1380 | 2019-12-16 |
| 1013496991 | West Virginia School of Osteopathic Medicine Clinic Inc | Psychologist | 1464 Jefferson St N, Lewisburg, WV 24901-1380 | 2018-08-10 |
| 1417447855 | Robert Joseph Tavares | Student in an Organized Health Care Education/Training Program | 1464 Jefferson St N, Lewisburg, WV 24901-1380 | 2018-05-11 |
| 1750818316 | Chelsea Feger | Family Medicine | 1464 Jefferson St N, Lewisburg, WV 24901-1380 | 2017-05-15 |
| 1184158107 | Christopher Paul Kennedy | Family Medicine | 1464 Jefferson St N, Lewisburg, WV 24901-1380 | 2017-04-17 |
| 1730626029 | Jenifer Richmond | Nurse Practitioner | 1464 Jefferson St N, Lewisburg, WV 24901-1380 | 2017-01-24 |
| 1902351547 | Morgan Bergeson | Dietitian, Registered | 1464 Jefferson St N, Lewisburg, WV 24901-1380 | 2016-08-24 |
| 1447667167 | Jocelyn Emily Ford | Nurse Practitioner | 1464 Jefferson St N, Lewisburg, WV 24901-1380 | 2014-07-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093940 | Amy Lu Moss | Technician | 254 Moss D Lane, Fairlea, WV 24901 | 2020-11-04 |
| 1083212377 | Miranda Shope | Technician | 814 Maple Ave., Lewisburg, WV 24901 | 2020-10-09 |
| 1184235830 | Carol E Beasley | Technician | 147 Windy Hill Road, Lewisburg, WV 24901 | 2020-08-14 |
| 1790317782 | Preston Dyer Modlin | Psychologist | 635 Church Street, Lewisburg, WV 24901 | 2020-02-07 |
| 1437780269 | Healthcare 360 Pllc | Family Medicine | 208 Dawkins Drive, Lewisburg, WV 24901 | 2020-01-30 |
| 1821655390 | Janet Lee Kowalsky | Student in an Organized Health Care Education/Training Program | 1464 N Jefferson St., Lewisburg, WV 24901 | 2019-05-21 |
| 1598321192 | Ali Yousaf | Student in an Organized Health Care Education/Training Program | 400 North Jefferson, Lewisburg, WV 24901 | 2019-05-20 |
| 1770053308 | Micheala Renae Taylor | Student in an Organized Health Care Education/Training Program | 1464 North Jefferson Street, Lewisburg, WV 24901 | 2018-11-27 |
| 1659840486 | Maggie King Clendenen | Nurse Practitioner | 454 Bell Drive, Lewisburg, WV 24901 | 2018-11-22 |
| 1861979312 | Vincent Morra | Student in an Organized Health Care Education/Training Program | 1464 N Jefferson St, Lewisburg, WV 24901 | 2018-07-26 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528687654 | Alexander Richard Woinski | Student in an Organized Health Care Education/Training Program | 400 Jefferson St. North, Lewisburg, WV 24901-2490 | 2020-04-09 |
| 1821655390 | Janet Lee Kowalsky | Student in an Organized Health Care Education/Training Program | 1464 N Jefferson St., Lewisburg, WV 24901 | 2019-05-21 |
| 1598321192 | Ali Yousaf | Student in an Organized Health Care Education/Training Program | 400 North Jefferson, Lewisburg, WV 24901 | 2019-05-20 |
| 1770053308 | Micheala Renae Taylor | Student in an Organized Health Care Education/Training Program | 1464 North Jefferson Street, Lewisburg, WV 24901 | 2018-11-27 |
| 1861979312 | Vincent Morra | Student in an Organized Health Care Education/Training Program | 1464 N Jefferson St, Lewisburg, WV 24901 | 2018-07-26 |
| 1992281299 | Crissandra Digges | Student in an Organized Health Care Education/Training Program | 1464 N Jefferson St, Lewisburg, WV 24901 | 2018-07-19 |
| 1790279255 | Leah Suzanne Willing | Student in an Organized Health Care Education/Training Program | Robert C. Byrd Clinic, 400 North Jefferson Street, Lewisburg, WV 24901 | 2018-06-19 |
| 1821614645 | Jordan Spusta | Student in an Organized Health Care Education/Training Program | 400 North Jefferson Street, Lewisburg, WV 24901 | 2020-06-17 |
| 1184248031 | Albert Tao | Student in an Organized Health Care Education/Training Program | 400 North Jefferson Street, Lewisburg, WV 24901 | 2020-06-05 |
| 1063036127 | Vernon Leung | Student in an Organized Health Care Education/Training Program | 1464 Jefferson St N, Lewisburg, WV 24901-1380 | 2020-06-04 |
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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.