Active NPI
George E. Lovegrove, M.D.
- Internal Medicine Physician
- Charleston, WV
National Provider Identifier
1396941225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 11937
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810002434 | Medicaid | WV |
Other names 1
- West Virginia Vein and Skin Centers
National Provider Directory
National Provider Directory- Tax ID family
- George E Lovegrove MD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Internal Medicine Physician
- Beckley, WV
- NPI 1922181288
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.