Lakeside Family Practice PLLC
NPI 1205919917 · Family Medicine Physician · Morgantown, WV
Lakeside Family Practice PLLC is a Family Medicine Physician organization in Morgantown, WV (NPI 1205919917).
Provider details
- NPI number
- 1205919917
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Brian Hawthorne, President(304) 594-2400
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-24
- Last updated
- 2011-05-09
Frequently asked questions
- What is Lakeside Family Practice PLLC's NPI number?
- Lakeside Family Practice PLLC's National Provider Identifier (NPI) is 1205919917, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeside Family Practice PLLC?
- Lakeside Family Practice PLLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Lakeside Family Practice PLLC located?
- Lakeside Family Practice PLLC's practice location on file with NPPES is 933 Cheat Rd, Morgantown, WV 26508-5631.
- What is Lakeside Family Practice PLLC's phone number?
- The practice phone number listed in the NPPES registry for Lakeside Family Practice PLLC is (304) 594-2400.
- Who is the authorized official for Lakeside Family Practice PLLC?
- The authorized official listed on Lakeside Family Practice PLLC's NPPES record is Brian Hawthorne, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeside Family Practice PLLC's NPI active?
- Yes — Lakeside Family Practice PLLC's NPI (1205919917) is active in the NPPES registry as of the last update on 2011-05-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.