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

Active since October 24, 2006
933 CHEAT RD, MORGANTOWN, WV 26508(304) 594-2400(304) 594-2256 Get Directions Write a Review

NPPES record last updated: May 9, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lakeside Family Practice Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKESIDE FAMILY PRACTICE PLLC (NPI 1205919917) is a healthcare organization registered as a family medicine in Morgantown, West Virginia and active in the NPI registry since October 2006. The organization lists Brian W Hawthorne, President, as its authorized official.

NPPES Registry Identity

NPI1205919917
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLAKESIDE FAMILY PRACTICE PLLC
Location Address933 CHEAT RDMorgantown, WV 26508-5631
Mailing Address933 Cheat RdMorgantown, WV 26508-5631 · (304) 594-2400 · Fax (304) 594-2256
Phone(304) 594-2400
Fax(304) 594-2256
Organization SubpartNo
Authorized OfficialBrian W HawthornePresident · (304) 594-2400
Enumeration DateOctober 24, 2006
Last NPPES UpdateMay 9, 2011
✔ NPI 1205919917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

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.

933 CHEAT RD, Morgantown, WV 26508
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Other Identifiers 3

Medicare PIN9310521WV
Other001709238WV · Blue Shield Group Provide
Medicaid3810002243WV

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YAPING HUANG ANDERSON PH.D.
Psychologist (Counseling)
933 CHEAT RD
MORGANTOWN, WV 26508
Monongalia County (304) 554-2292
STILLWATER LLC
Counselor (Mental Health)
933 CHEAT RD
MORGANTOWN, WV 26508
Monongalia County (304) 216-7779
DR. ADAM HANSELL PHD, LPC, MA, MS
Counselor (Mental Health)
933 CHEAT RD
MORGANTOWN, WV 26508
Monongalia County (304) 554-2292
NURO LLC
Psychologist (Clinical)
933 CHEAT RD
MORGANTOWN, WV 26508
Monongalia County (302) 554-2292
DR. ALAN L. BARNETT D.O.
Family Medicine (Geriatric Medicine)
933 CHEAT RD
MORGANTOWN, WV 26508
Monongalia County (304) 594-2400
NARAYAN GOLD PH.D.
Psychologist (Counseling)
933 CHEAT RD
MORGANTOWN, WV 26508
Monongalia County (304) 554-2292
DR. ROBIN W GARRETT D.O.
Family Medicine
933 CHEAT RD
MORGANTOWN, WV 26508
Monongalia County (304) 594-2400
JOSE ADAM CRUZ
Counselor (Mental Health)
933 CHEAT RD
MORGANTOWN, WV 26508
Monongalia County (304) 554-2292

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakeside Family Practice PLLC's NPI number?

The NPI number for Lakeside Family Practice PLLC is 1205919917. It was assigned to this organization in the NPPES registry on October 24, 2006.

Where is Lakeside Family Practice PLLC located?

Lakeside Family Practice PLLC is located at 933 Cheat Rd, Morgantown, WV 26508. The listed phone number is (304) 594-2400.

What is Lakeside Family Practice PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Lakeside Family Practice PLLC was last updated on May 9, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.