Preston Memorial Medical Group

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

PRESTON MEMORIAL MEDICAL GROUP

Practice address

12302 Veteran's Memorial Highway
Reedsville, WV 26547

Phone

(304) 864-7393

Fax

(304) 864-2827

NPI assigned

Dec 8, 2009

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 1

• WEST PRESTON FAMILY PLANNING Other name

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260230400000",
    "number": "1639408495",
    "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": "12302 VETERAN'S MEMORIAL HIGHWAY",
            "city": "REEDSVILLE",
            "state": "WV",
            "postal_code": "26547",
            "telephone_number": "304-864-7393",
            "fax_number": "304-864-2827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTON MEMORIAL MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-08",
        "last_updated": "2009-12-08",
        "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": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810015728",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEST PRESTON FAMILY PLANNING",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sierra Nicole Newsome
• Sheena Rae Nicholson, MSW, LICSW
• Preston County Pediatrics & Internal Medicine - Uha
• Preston County Sheltered Workship, Inc
• Preston Memorial Medical Group
• Preston Memorial Medical Group (Preston Memorial Urgent Care)
• Aubriana Reel
• Isaac Richman
• Melody Hope Richman
• Regina Rider

• Obstetrics & Gynecology Physician in Reedsville, WV
• Providers in Reedsville, WV by specialty
• Obstetrics & Gynecology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.