Individual provider Active NPI

Lisa Dawn Conniff, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Saint George, WV
National Provider Identifier
1528097524
Registry record updated Jan 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
615 Issued in WV
Practice address
RT 1 Box 208
St. George, WV 26287
Phone
(304) 478-3339
Fax
(304) 478-3311
NPI assigned
Jul 2, 2006
Last updated
Jan 11, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 615 WV Primary

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

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051102000882 WV Practitioner - Physician Assistant 5991723520 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St George Medical Clinic IncGroup PAC ID 7911996244, 15 clinicians

Practice addresses (Care Compare)

8591 Holly Meadows Rd
Parsons, WV 26287-8604
Phone (304) 478-3339

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
615WVMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: lisaconniff@sgmci.allscriptsdirect.net

Organizations & group practices 1

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

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263168000000",
    "number": "1528097524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RT 1 BOX 108",
            "city": "BELINGTON",
            "state": "WV",
            "postal_code": "26250",
            "telephone_number": "304-823-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RT 1 BOX 208",
            "city": "ST. GEORGE",
            "state": "WV",
            "postal_code": "26287",
            "telephone_number": "304-478-3339",
            "fax_number": "304-478-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNIFF",
        "first_name": "LISA",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2010-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint George, WV

Sources for this page

Verify at the official NPI Registry.