LYDIA DAVIS (NPI# 1770087959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770087959 |
| Entity Type | Individual |
| Full Name | LYDIA DAVIS |
| Credential | DO |
| Practice Address |
6040 University Town Centre Dr Morgantown WV 26501 |
| Mailing Address |
332 Crystal Springs Rd Elkins WV 26241-8673 |
| Practice Telephone | 3045984800 |
| Practice Fax Number | 3042857373 |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2018-03-21 |
| Gender Code | F |
| 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 |
|---|---|---|---|---|
| 1477082410 | Lydia Anna Davis | Counselor | 198 W Marydale Ave, Soldotna, AK 99669-7501 | 2017-06-04 |
| 1760509244 | Lydia J Davis | Optometrist | 835 Paoli Pk, West Chester, PA 19380-4550 | 2007-03-22 |
| 1003049107 | Lydia Susanne Davis | Pharmacist | 226 Se 8th Ave, Hillsboro, OR 97123-4218 | 2009-08-24 |
| 1821254764 | Lydia Rose Davis | Counselor | 1021 N Broadway, Everett, WA 98201-1405 | 2008-07-30 |
| 1710170857 | Lydia Stephenson Davis | Internal Medicine | 200 Lothrop St, S563 Scaife Hall, Pittsburgh, PA 15213-2536 | 2007-08-22 |
| 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 | 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 |
|---|---|---|---|---|
| 1396358149 | Jamara Washington | Student in an Organized Health Care Education/Training Program | 5000 Domain Dr Apt 715, Morgantown, WV 26501-2528 | 2020-08-30 |
| 1275146540 | Virginia Fay Honaker | Student in an Organized Health Care Education/Training Program | 5000 Station St Apt 1012, Morgantown, WV 26508-7442 | 2020-08-26 |
| 1487282554 | Michael Joseph Dugan IIi | Student in an Organized Health Care Education/Training Program | 64 Medical Center Dr Rm 1200, Morgantown, WV 26505-3409 | 2020-04-01 |
| 1295363646 | Catherine Maxine Powers | Student in an Organized Health Care Education/Training Program | 385 Dorsey Ave, Morgantown, WV 26501-6460 | 2020-03-31 |
| 1124656491 | Lauren Bakos | Student in an Organized Health Care Education/Training Program | Department of Oral Surgery Room 1200 Hsc North, Morgantown, WV 26506 | 2020-03-31 |
| 1679100127 | Joshua James Hurley | Student in an Organized Health Care Education/Training Program | 17 Van Gilder St, Morgantown, WV 26505-1760 | 2020-03-25 |
| 1629605399 | Rehab Othman Mohamed | Student in an Organized Health Care Education/Training Program | 206 Carmell Ct, Morgantown, WV 26505-7801 | 2020-03-24 |
| 1427684471 | Ameneh Zare Shahabadi | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr Fl 5, Morgantown, WV 26506-1200 | 2020-03-20 |
| 1831725985 | Ion Prisneac | Student in an Organized Health Care Education/Training Program | 64 Medical Center Dr Rm 4601, Morgantown, WV 26505-3409 | 2020-03-20 |
| 1720613888 | Katharina Marie Mitchell | Student in an Organized Health Care Education/Training Program | Wvu Hospitals Ruby Memorial & Physician Office Center, 1 Medical Center Drive, Morgantown, WV 26506 | 2020-03-10 |
| Find all providers in MORGANTOWN | ||||
| City | MORGANTOWN |
| Zip Code | 26501 |
Please comment or provide details below to improve the information on LYDIA DAVIS.
| 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.