Individual provider Active NPI

Dana Tiberio Lounder, M.D.

  • Pediatrics Physician
  • Weirton, WV
National Provider Identifier
1144515180
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
27589 Issued in WV
Practice address
3710 Pennsylvania Ave Ste B
Weirton, WV 26062
Phone
(304) 914-3893
Fax
(304) 844-9562
NPI assigned
Jun 17, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35.123668 OH
Pediatrics Physician 208000000X 27589 WV Primary

Addresses

Primary practice location

3710 Pennsylvania Ave Ste B
Weirton, WV 26062

Mailing address

3710 Pennsylvania Ave Ste B
Weirton, WV 26062-4129
Phone (304) 914-3893

Other practice location 1

3333 Burnet Ave
MLC 7015
Cincinnati, OH 45229-3026
Phone (513) 636-1281

Other names 1

  • Dr. Dana Michele Tiberio Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200122000856 WV Practitioner - Pediatric Medicine 9133554132 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.123668OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
WMC Physician Practices LLC CurrentSince Sep 25, 2019 Accepting new patients
WMC Physician Practices LLC Pediatrics CurrentSince Sep 25, 2019 Accepting new patients
Weirton Medical Center, Inc Past Accepting new patients

Locations

651 Colliers Way
Ste 207
Weirton, WV 26062
Phone (304) 797-6433

651 Colliers Way
Ste 300
Weirton, WV 26062
Phone (304) 797-6404

3710 Pennsylvania Ave
Ste B
Weirton, WV 26062
Phone (304) 224-1230

Interoperability endpoints

  • Direct secure messaging: dlounder260599@direct.wvuhsdirect.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1144515180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 PENNSYLVANIA AVE STE B",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260624129",
            "telephone_number": "304-914-3893",
            "fax_number": "304-844-9562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 PENNSYLVANIA AVE STE B",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "26062",
            "telephone_number": "304-914-3893",
            "fax_number": "304-844-9562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3333 Burnet Ave",
            "address_2": "MLC 7015",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452293026",
            "country_code": "US",
            "telephone_number": "513-636-1281",
            "fax_number": "513-636-3549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOUNDER",
        "first_name": "DANA",
        "middle_name": "TIBERIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-17",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.123668",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WV",
            "license": "27589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "TIBERIO",
            "middle_name": "MICHELE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Weirton, WV

Sources for this page

Verify at the official NPI Registry.