Lisa Dawn Conniff, PHYSICIAN ASSISTANT
Individual provider Active NPI Physician Assistant · St. George, WV
NPI 1528097524 · NPPES record last updated Jan 11, 2010
Key facts
- NPI
- 1528097524
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 615 (WV)
- Practice address
- RT 1 Box 208
St. George, WV 26287 - Phone
- (304) 478-3339
- Fax
- (304) 478-3311
- NPI assigned
- Jul 2, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St George Medical Clinic Inc
Practice addresses (Care Compare)
8591 Holly Meadows Rd
Parsons, WV 26287-8604
Phone (304) 478-3339
Hospital & facility affiliations
- Adoration Home Health
- Davis Medical Center
- West Virginia University Hospitals, Inc
- United Hospital Center, Inc
- St Joseph'S Hospital of Buckhannon, Inc
- Garrett Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051102000882 | WV | Practitioner - Physician Assistant | 5991723520 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 615 | WV | MD | Physician Assistant |
Interoperability endpoints
- lisaconniff@sgmci.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 615 | WV | Yes |
Addresses
Primary practice location
RT 1 Box 208
St. George, WV 26287
Mailing address
RT 1 Box 108
Belington, WV 26250
Phone (304) 823-1290
Other providers in St. George, WV
All providers in St. George, WV · Physician Assistant in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.