Active NPI
Mid-Ohio Valley Medical Group Inc.
- Family Medicine Physician
- Belpre, OH
National Provider Identifier
1235353103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1514286
- Legal business name
- MID-OHIO VALLEY MEDICAL GROUP INC.
- Practice address
- 610 Washington Blvd
Suite 1
Belpre, OH 45714-2465 - Phone
- (740) 423-5055
- Fax
- (740) 423-5058
- NPI assigned
- Apr 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lisa G Hays
- Title
- Office Coordinator
- Phone
- (304) 485-4439
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1514286 | OH | Primary |
Addresses
Primary practice location
610 Washington Blvd
Suite 1
Belpre, OH 45714-2465
Mailing address
800 Grand Central Mall
Suite 4
Vienna, WV 26105-4100
Phone (304) 485-4439
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2751991 | Medicaid | OH | |
| 3810008457 | Medicaid | WV | |
| DF3852 | Other | OH | RAILROAD MEDICARE PIN |
National Provider Directory
National Provider DirectoryLocations
610 Washington Blvd
#1
Belpre, OH 45714
Phone (740) 423-5055
610 Washington Blvd
Ste 1
Belpre, OH 45714
Phone (740) 423-5055
604 Ann St
Parkersburg, WV 26101
Phone (304) 422-0405
418 Grand Park Dr
Ste 311
Parkersburg, WV 26105
Phone (304) 485-7700
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Belpre, OH
- NPI 1134402555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1370390400000",
"number": "1235353103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 GRAND CENTRAL MALL",
"address_2": "SUITE 4",
"city": "VIENNA",
"state": "WV",
"postal_code": "261054100",
"telephone_number": "304-485-4439",
"fax_number": "304-485-6489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 WASHINGTON BLVD",
"address_2": "SUITE 1",
"city": "BELPRE",
"state": "OH",
"postal_code": "457142465",
"telephone_number": "740-423-5055",
"fax_number": "740-423-5058"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MID-OHIO VALLEY MEDICAL GROUP INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-12",
"last_updated": "2013-06-05",
"status": "A",
"authorized_official_last_name": "HAYS",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OFFICE COORDINATOR",
"authorized_official_telephone_number": "304-485-4439",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "OH",
"license": "1514286",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2751991",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810008457",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PIN",
"identifier": "DF3852",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Belpre, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.