Provider Demographics
NPI:1972621944
Name:LEIGH ANNE MASSEY, MD, INC.
Entity type:Organization
Organization Name:LEIGH ANNE MASSEY, MD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LEIGH ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:MASSEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:304-234-8030
Mailing Address - Street 1:2000 EOFF ST
Mailing Address - Street 2:SUITE 502
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003-3823
Mailing Address - Country:US
Mailing Address - Phone:304-234-8030
Mailing Address - Fax:304-234-8032
Practice Address - Street 1:2108 LUMBER AVE STE 2
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-5350
Practice Address - Country:US
Practice Address - Phone:304-234-8030
Practice Address - Fax:304-234-8032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2019-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV17665207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV3810006067Medicaid
G28914Medicare UPIN
LE9330671Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER