NPIMap

Individual provider Active NPI

Lawrence M Wyner, MD

  • Urology Physician
  • Huntington, WV
National Provider Identifier
1790843316
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
16680 Issued in WV
Practice address
1115 20TH St
Suite 107
Huntington, WV 25703-2071
Phone
(304) 691-1900
Fax
(304) 691-1929
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 35059870 OH
Urology Physician 208800000X 16680 WV Primary

Addresses

Primary practice location

1115 20TH St
Suite 107
Huntington, WV 25703-2071

Mailing address

1115 20TH Street
Suite 107
Huntington, WV 25703
Phone (304) 691-1900

Other identifiers 1

IdentifierTypeStateIssuer
0130195000MedicaidWV

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lawrence.wyner@marshall.cernerdirect.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080708000355 WV Practitioner - Urology 6103998166 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of North Carolina at Chapel Hill School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
THS Physician Partners IncGroup PAC ID 9537316393, 366 clinicians

Practice addresses (Care Compare)

4610 Kanawha Ave SW
Suite 401
South Charleston, WV 25309-1367
Phone (304) 768-7368

Hospital & facility affiliations

  • Thomas Memorial Hospital Hospital, South Charleston, WV, CCN 510029
  • Charleston Area Medical Center Hospital, Charleston, WV, CCN 510022

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35059870OHMDUrology Physician
16680WVMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians & Surgeons, Inc Urology CurrentSince Jul 1, 2008 Accepting new patients
University Physicians & Surgeons, Inc. CurrentSince Jul 1, 2008 Accepting new patients
THS Physician Partners Inc Urology CurrentSince May 23, 2025 Accepting new patients

Locations

L3539
Columbus, OH 43260
Phone (304) 414-4800

1115 20th St
Ste 107
Huntington, WV 25703
Phone (304) 691-1200

1249 15th St
#4093
Huntington, WV 25701

1600 Medical Center Dr
Ste 3500
Huntington, WV 25701
Phone (304) 691-1300

4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800

4610 Kanawha Ave SW
Ste 401
South Charleston, WV 25309
Phone (304) 768-7368

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.

Hospital & facility affiliations 12

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1790843316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 20TH STREET",
            "address_2": "SUITE 107",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "25703",
            "telephone_number": "304-691-1900",
            "fax_number": "304-691-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 20TH ST",
            "address_2": "SUITE 107",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257032071",
            "telephone_number": "304-691-1900",
            "fax_number": "304-691-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNER",
        "first_name": "LAWRENCE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": "35059870",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "WV",
            "license": "16680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0130195000",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lawrence.wyner@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1115 20th St",
            "address_2": "Suite 107",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257032071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.