LAKESIDE FAMILY PRACTICE PLLC
NPI 1205919917
Family Medicine in Morgantown, WV

NPI Status: Active since October 24, 2006

Contact Information

933 CHEAT RD
MORGANTOWN, WV
ZIP 26508
Phone: (304) 594-2400
Fax: (304) 594-2256

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  • Organization
  • Family Medicine

About LAKESIDE FAMILY PRACTICE PLLC

This page provides the complete NPI Profile along with additional information for Lakeside Family Practice Pllc, a primary care provider established in Morgantown, West Virginia operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1205919917 assigned on October 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Brian W Hawthorne M.d. (President)

NPI
1205919917
Provider Name
LAKESIDE FAMILY PRACTICE PLLC
Entity Type
Organization
Location Address
933 CHEAT RD MORGANTOWN, WV 26508
Location Phone
(304) 594-2400
Location Fax
(304) 594-2256
Mailing Address
933 CHEAT RD MORGANTOWN, WV 26508
Mailing Phone
(304) 594-2400
Mailing Fax
(304) 594-2256
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-24-2006
Last Update Date
05-09-2011
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A primary care provider (PCP) like Lakeside Family Practice Pllc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. BRIAN W HAWTHORNE M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(304) 594-2400

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
9310521MEDICARE PIN (08)WV 
001709238OTHER (01)WVBLUE SHIELD GROUP PROVIDE
3810002243MEDICAID (05)WV 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1205919917
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22051811892
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 0 + 5 + 1 + 8 + 1 + 1 + 8 + 9 + 2 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1205919917 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1649251687DR. ROBIN W GARRETT D.O.
Individual
Family Medicine933 CHEAT RD
MORGANTOWN, WV 26508
(304) 594-2400
1578181533 NARAYAN GOLD PH.D.
Individual
Psychologist (Counseling)933 CHEAT RD
MORGANTOWN, WV 26508
(304) 554-2292
1124647193STILLWATER LLC
Organization
Counselor (Mental Health)933 CHEAT RD
MORGANTOWN, WV 26508
(304) 216-7779
1003422924 YAPING HUANG ANDERSON PH.D.
Individual
Psychologist (Counseling)933 CHEAT RD
MORGANTOWN, WV 26508
(304) 554-2292
1679144026 JOSE ADAM CRUZ
Individual
Counselor (Mental Health)933 CHEAT RD
MORGANTOWN, WV 26508
(304) 554-2292
1730853839 MARY COMERCI MA, NCC
Individual
Counselor (Mental Health)933 CHEAT RD
MORGANTOWN, WV 26508
(304) 554-2292
1568455442DR. ALAN L. BARNETT D.O.
Individual
Family Medicine (Geriatric Medicine)933 CHEAT RD
MORGANTOWN, WV 26508
(304) 594-2400
1922306471 JACOB E RAYMOND MA, LPC
Individual
Counselor (Professional)933 CHEAT RD
MORGANTOWN, WV 26508
(304) 554-2292
1427824630DR. ADAM HANSELL PHD, LPC, MA, MS
Individual
Counselor (Mental Health)933 CHEAT RD
MORGANTOWN, WV 26508
(304) 554-2292
1760248561DR. TAYLOR ALLEN PHD
Individual
Psychologist (Counseling)933 CHEAT RD
MORGANTOWN, WV 26508
(304) 554-2292
1851716633DR. LISA F. PLATT PH.D.
Individual
Psychologist933 CHEAT RD
MORGANTOWN, WV 26508
(304) 602-7755

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205919917, enumerated in the NPI registry as an "organization" on October 24, 2006

The provider is located at 933 Cheat Rd Morgantown, Wv 26508 and the phone number is (304) 594-2400

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on October 24, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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