NPIMap

Individual provider Active NPI

Garrett W. Stover, M.D.

  • Diagnostic Radiology Physician
  • Morgantown, WV
National Provider Identifier
1023211703
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
23487 Issued in WV
Practice address
1200 J D Anderson Dr
Morgantown, WV 26505-3494
Phone
(304) 366-2600
NPI assigned
Jun 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 23487 WV Primary

Addresses

Primary practice location

1200 J D Anderson Dr
Morgantown, WV 26505-3494

Mailing address

700 Village Dr
Fairmont, WV 26554-7985
Phone (304) 366-2600

Other practice location 1

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-0672

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
I20120724000669 WV Practitioner - Diagnostic Radiology 3577729227 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
West Virginia University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiological Physician Associates IncGroup PAC ID 7719955368, 31 clinicians

Practice addresses (Care Compare)

889 Riverview Dr
Morgantown, WV 26505-4631
Phone (304) 366-2600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Imaging and Intervention, PLLC Diagnostic Radiology CurrentSince Apr 28, 2020 Accepting new patients
Radiological Physician Associates Inc Diagnostic Radiology CurrentSince Jul 1, 2012 Accepting new patients
Minnie Hamilton Health Care Center, Inc. Past Accepting new patients

Locations

400 Court St
#303
Charleston, WV 25301
Phone (304) 345-1503

700 Village Dr
Fairmont, WV 26554

186 Hospital Dr
Grantsville, WV 26147
Phone (304) 354-9244

1200 J D Anderson Dr
Morgantown, WV 26505
Phone (304) 598-1460

122 Pinnell St
#720
Ripley, WV 25271
Phone (866) 871-7843

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 7

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": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1023211703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 VILLAGE DR",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265547985",
            "telephone_number": "304-366-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 J D ANDERSON DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053494",
            "telephone_number": "304-366-2600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "26506",
            "country_code": "US",
            "telephone_number": "304-293-0672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOVER",
        "first_name": "GARRETT",
        "middle_name": "W.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WV",
            "license": "23487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.