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CRANBERRY MEDICAL CLINIC
NPI 1508981291
Family Medicine in Terra Alta, WV

Active since March 20, 2007CLIA 51D0662831 · Waiver
603B W STATE AVE, TERRA ALTA, WV 26764(304) 789-2457(304) 789-6812 Get Directions Write a Review

NPPES record last updated: February 8, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Cranberry Medical Clinic NPPES

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

CRANBERRY MEDICAL CLINIC (NPI 1508981291) is a healthcare organization registered as a family medicine in Terra Alta, West Virginia and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through September 14, 2027 and lists Norma Keim, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1508981291
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameROGER A LEWIS
Location Address603B W STATE AVETerra Alta, WV 26764-1223
Mailing Address603b W State AveTerra Alta, WV 26764-1223 · (304) 789-2457 · Fax (304) 789-6812
Phone(304) 789-2457
Fax(304) 789-6812
Organization SubpartNo
Authorized OfficialNorma KeimOffice Manager · (304) 789-2457
Enumeration DateMarch 20, 2007
Last NPPES UpdateFebruary 8, 2010
✔ NPI 1508981291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WV · 12705
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.

603B W STATE AVE, Terra Alta, WV 26764
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Other Names 1

Doing Business AsCranberry Medical Clinic

Other Identifiers 3

Medicare ID-Type Unspecified9337321WV · Medicare Group
Medicaid0201807000WV
OtherCM7276WV · Medicare Railroad

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 51D0662831

Cranberry Medical Clinic · Terra Alta, WV
Active · expires Sep 14, 2027
CLIA Number51D0662831
Laboratory TypePhysician Office
Certificate Effective DateSeptember 15, 2025
Certificate Expiration DateSeptember 14, 2027
Laboratory DirectorRoger A. Lewis MD
Laboratory Phone(304) 789-2457
Laboratory LocationCranberry Medical Clinic603 B West State Ave, Terra Alta, WV 26764
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. ROGER A LEWIS M.D.
Family Medicine
603B W STATE AVE
TERRA ALTA, WV 26764
Preston County (304) 789-2457

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 Roger A Lewis's NPI number?

The NPI number for Roger A Lewis is 1508981291. It was assigned to this organization in the NPPES registry on March 20, 2007.

Where is Roger A Lewis located?

Roger A Lewis is located at 603B W State Ave, Terra Alta, WV 26764. The listed phone number is (304) 789-2457.

What is Roger A Lewis's specialty?

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

Does Roger A Lewis hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D0662831) is associated with this NPI, valid through September 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Roger A Lewis accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Roger A Lewis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Roger A Lewis was last updated on February 8, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.