Healthcare Provider Details

I. General information

NPI: 1598344749
Provider Name (Legal Business Name): COLIN MARK LINGAFELT DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2021
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MEDICAL PARK
WHEELING WV
26003-6300
US

IV. Provider business mailing address

425 W 5TH ST
EAST LIVERPOOL OH
43920-2405
US

V. Phone/Fax

Practice location:
  • Phone: 304-243-3000
  • Fax: 304-243-3060
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number58.031948
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number4398
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: