Organization Active NPI

George E. Lovegrove, M.D.

  • Internal Medicine Physician
  • Charleston, WV
National Provider Identifier
1396941225
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
11937 Issued in WV
Legal business name
GEORGE E. LOVEGROVE, M.D.
Practice address
4522 Maccorkle Ave SE
Suite 5
Charleston, WV 25304-1840
Phone
(304) 926-1001
Fax
(304) 926-1003
NPI assigned
Jun 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. George Edward Lovegrove, M.D.
Title
Owner
Phone
(304) 252-3900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 11937 WV Primary

Addresses

Primary practice location

4522 Maccorkle Ave SE
Suite 5
Charleston, WV 25304-1840

Mailing address

4130 Robert C Byrd Dr
Beckley, WV 25801-2206
Phone (304) 252-3900

Other identifiers 1

IdentifierTypeStateIssuer
3810002434MedicaidWV

Other names 1

  • West Virginia Vein and Skin Centers Doing business as

National Provider Directory

National Provider Directory
Tax ID family
George E Lovegrove MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396941225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 ROBERT C BYRD DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012206",
            "telephone_number": "304-252-3900",
            "fax_number": "304-252-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4522 MACCORKLE AVE SE",
            "address_2": "SUITE 5",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041840",
            "telephone_number": "304-926-1001",
            "fax_number": "304-926-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE E. LOVEGROVE, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOVEGROVE",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-252-3900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "11937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810002434",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Virginia Vein and Skin Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.