Individual provider Active NPI

Robert Vaughn Lamb III, M.D.

  • Specialist
  • South Charleston, WV
National Provider Identifier
1194710327
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
12844 Issued in WV
Practice address
24 Maccorkle Ave SW
Suite 201
South Charleston, WV 25303-1476
Phone
(304) 720-5000
Fax
(304) 720-5003
NPI assigned
Sep 14, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 12844 WV Primary

Addresses

Primary practice location

24 Maccorkle Ave SW
Suite 201
South Charleston, WV 25303-1476

Mailing address

24 Maccorkle Ave SW
Suite 201
South Charleston, WV 25303-1476
Phone (304) 720-5000

Other identifiers 1

IdentifierTypeStateIssuer
0087967000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040624001733 WV Practitioner - NephrologyPractitioner - Internal Medicine 6103802863 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Area Medical Center, Inc. CurrentSince Nov 1, 2019 Accepting new patients
Renal Consultants, PLLC Specialist CurrentSince Jul 1, 2004 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Nov 1, 2019 Accepting new patients

Locations

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

1400 Hospital Dr
Hurricane, WV 25526
Phone (304) 757-1700

24 Maccorkle Ave SW
Ste 201
South Charleston, WV 25303
Phone (304) 720-5000

Interoperability endpoints

  • Direct secure messaging: robert.lamb@xrco.ssdirect.aprima.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1194710327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 MACCORKLE AVE SW",
            "address_2": "SUITE 201",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253031476",
            "telephone_number": "304-720-5000",
            "fax_number": "304-720-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 MACCORKLE AVE SW",
            "address_2": "SUITE 201",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253031476",
            "telephone_number": "304-720-5000",
            "fax_number": "304-720-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMB",
        "first_name": "ROBERT",
        "middle_name": "VAUGHN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WV",
            "license": "12844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0087967000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Charleston, WV

Sources for this page

Verify at the official NPI Registry.