Preston Memorial Medical Group

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

PRESTON MEMORIAL MEDICAL GROUP

Practice address

500 Market Street
Grafton City Hosptial
Grafton, WV 26354

Phone

(304) 265-6400

NPI assigned

Oct 20, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Melissa Lockwood

Title

Ceo

Phone

(304) 329-4700

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Grafton Clinic Other name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248825600000",
    "number": "1114009941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S PRICE ST",
            "city": "KINGWOOD",
            "state": "WV",
            "postal_code": "265371442",
            "telephone_number": "304-329-2830",
            "fax_number": "304-791-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MARKET STREET",
            "address_2": "GRAFTON CITY HOSPTIAL",
            "city": "GRAFTON",
            "state": "WV",
            "postal_code": "26354",
            "telephone_number": "304-265-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTON MEMORIAL MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2009-07-29",
        "status": "A",
        "authorized_official_last_name": "LOCKWOOD",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "304-329-4700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007709000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOLEHOUSE, JAMES BCBS",
            "identifier": "001710365",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grafton Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brittany N Poe
• Cindy May Poe
• Cynthia Poling
• Janice Poling
• Savannah M Posey
• Preston Taylor Community Health Centers Inc
• Preston Taylor Community Health Centers Incorporated
• Preston Taylor Community Health Centers Incorporated
• Preston Taylor Community Health Centers, Incorporated
• Preston Taylor Community Health Centers, Incorporated

• Obstetrics & Gynecology Physician in Grafton, WV
• Providers in Grafton, WV by specialty
• Obstetrics & Gynecology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.