Bernard Joseph Luby (NPI# 1659431096, PAC ID# 3870685183) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1659431096 |
| PAC ID by PECOS | 3870685183 |
| Professional Enrollment ID | I20120522001214 |
| Full Name | Bernard Joseph Luby |
| Address |
624 Chestnut St South Charleston WV 25309-1241 |
| Gender | M |
| Medical School | WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 510029 | THOMAS MEMORIAL HOSPITAL |
| 510022 | CHARLESTON AREA MEDICAL CENTER |
| 510031 | ST FRANCIS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 624 Chestnut St, South Charleston, WV 25309-1241 |
| Street Address |
624 CHESTNUT ST |
| City | SOUTH CHARLESTON |
| State | WV |
| Zip | 25309-1241 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy Dale Walker | Nurse Practitioner | Ths Physician Partners Inc | 506 Chestnut St, South Charleston, WV 25309-1204 |
| Michael S Dewitt | Family Medicine | Ths Physician Partners Inc | 506 Chestnut St, South Charleston, WV 25309-1204 |
| Amy Marie Combs | Physician Assistant | Ths Physician Partners Inc | 506 Chestnut St, South Charleston, WV 25309-1204 |
| Gregory Thomas Lagos | Dermatology | Center for Dermatology and Skin Care, Inc. | 607 Chestnut St, South Charleston, WV 25309-1205 |
| Megan C Evans | Physician Assistant | Center for Dermatology and Skin Care, Inc. | 607 Chestnut St, South Charleston, WV 25309-1205 |
| Derek L. Ramsey | Physician Assistant | Center for Dermatology and Skin Care, Inc. | 607 Chestnut St, South Charleston, WV 25309-1205 |
| Randi Linn Dillon | Physician Assistant | Center for Dermatology and Skin Care, Inc. | 607 Chestnut St, South Charleston, WV 25309-1205 |
| Jacqueline Moore | Physician Assistant | South Charleston Dermatology Pllc | 4815 Kanawha Ave Sw, South Charleston, WV 25309-1207 |
| Michelle Leigh Endicott | Dermatology | South Charleston Dermatology Pllc | 4815 Kanawha Ave Sw, South Charleston, WV 25309-1207 |
| Todd V Kreitzer | Dermatology | South Charleston Dermatology Pllc | 4815 Kanawha Ave Sw, South Charleston, WV 25309-1207 |
| Find all physicians in zip 25309 | |||
| City | SOUTH CHARLESTON |
| Zip Code | 25309 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | SOUTH CHARLESTON + OBSTETRICS/GYNECOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.