Active NPI
Rex D Lasure, M.D.
- Family Medicine Physician
- Wheeling, WV
National Provider Identifier
1710939665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 12951
- Practice address
- 40 Medical Park Ste 401
Wheeling, WV 26003-6392 - Phone
- (304) 243-3880
- Fax
- (304) 243-3895
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 12951 | WV | Primary |
Addresses
Primary practice location
40 Medical Park Ste 401
Wheeling, WV 26003-6392
Mailing address
270 Browns Run Rd
Wheeling, WV 26003-9464
Phone (304) 242-9871
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0056784000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12951 | WV | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medexpress Urgent Care PLLC-Morgantown | Past | Accepting new patients | |
| Medexpress Urgent Care, PC - Monaca | Past | Accepting new patients | |
| Wheeling Hospital, Inc. | Past | Accepting new patients |
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.
-
- Urgent Care Clinic/Center
- Morgantown, WV
- NPI 1235138280
-
- Anesthesiology Physician
- Wheeling, WV
- NPI 1922282581
-
- Urgent Care Clinic/Center
- Monaca, PA
- NPI 1801040092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509321600000",
"number": "1710939665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 BROWNS RUN RD",
"city": "WHEELING",
"state": "WV",
"postal_code": "260039464",
"telephone_number": "304-242-9871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 MEDICAL PARK STE 401",
"city": "WHEELING",
"state": "WV",
"postal_code": "260036392",
"telephone_number": "304-243-3880",
"fax_number": "304-243-3895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASURE",
"first_name": "REX",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2017-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WV",
"license": "12951",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0056784000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wheeling, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.