Mary Beth Lichty, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

01384 Issued in WV

Practice address

341 Spruce St
Morgantown, WV 26505-5504

Phone

(304) 292-8234

Fax

(304) 284-0133

NPI assigned

Nov 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Sheila Gillikin MD PA

  • Infectious Disease Physician
  • Leesburg, FL
  • NPI 1629110051
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228867200000",
    "number": "1609948587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WEAVER TOWN HOMES",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265012251",
            "telephone_number": "304-906-5965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 SPRUCE ST",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265055504",
            "telephone_number": "304-292-8234",
            "fax_number": "304-284-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICHTY",
        "first_name": "MARY",
        "middle_name": "BETH",
        "name_prefix": "Ms.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9103568",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WV",
            "license": "01384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allyson Nicole Libby, APRN, FNP-BC
• David Libell, M.D.
• Joshua Luke Libell, MD
• Michele A Libell, PT
• Libera, Inc.
• Christina Liebau
• Dana Light
• Roberta Jo Lightcap
• Roxana Kay Lightner, LPN
• Joseph Douglas Ligier, PA

• Medical Physician Assistant in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Medical Physician Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.