NPIMap

Organization Active NPI

Preston Memorial Medical Group

  • Obstetrics & Gynecology Physician
  • Reedsville, WV
National Provider Identifier
1124056148
Registry record updated Jul 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
PRESTON MEMORIAL MEDICAL GROUP
Practice address
RT 7 Valley Professional Plaza
Reedsville, WV 26537-1442
Phone
(304) 864-7393
Fax
(304) 864-2827
NPI assigned
Jun 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2009

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

Authorized official

Name
Mrs. Melissa Lockwood
Title
President and Ceo
Phone
(304) 329-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

RT 7 Valley Professional Plaza
Reedsville, WV 26537-1442

Mailing address

300 S Price St
Kingwood, WV 26537-1442
Phone (304) 329-1400

Other identifiers 1

IdentifierTypeStateIssuer
0007709000MedicaidWV

Other names 1

  • West Preston Clinic Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248825600000",
    "number": "1124056148",
    "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": "304-329-1400",
            "fax_number": "304-329-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RT 7 VALLEY PROFESSIONAL PLAZA",
            "city": "REEDSVILLE",
            "state": "WV",
            "postal_code": "265371442",
            "telephone_number": "304-864-7393",
            "fax_number": "304-864-2827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTON MEMORIAL MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2009-07-29",
        "status": "A",
        "authorized_official_last_name": "LOCKWOOD",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "304-329-1400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007709000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Preston Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Reedsville, WV

Sources for this page

  • 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.