Mid-Ohio Valley Medical Group, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01387 Issued in WV

Legal business name

MID-OHIO VALLEY MEDICAL GROUP, INC

Practice address

800 Grand Central Mall
Suite 4
Vienna, WV 26105-4131

Phone

(304) 485-3300

Fax

(304) 485-6489

NPI assigned

Apr 7, 2006

Organization subpart

No

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

Addresses

Other identifiers 2

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Mid-Ohio Valley Medical Group, Inc.

  • Clinical Medical Laboratory
  • Vienna, WV
  • NPI 1902994577
  NPPES parent name

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1720041171",
    "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": "261054131",
            "telephone_number": "304-485-3300",
            "fax_number": "304-485-3317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 GRAND CENTRAL MALL",
            "address_2": "SUITE 4",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261054131",
            "telephone_number": "304-485-3300",
            "fax_number": "304-485-6489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-OHIO VALLEY MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-07",
        "last_updated": "2011-12-13",
        "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": "WV",
            "license": "01387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2160325",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4000315000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Menm, LLC
• Mental Health Balance & Development, LLC
• Angela Dawn Merritt
• Michael M. Dickerson, MD
• Michael Shramowiat LLC
• Mid-Ohio Valley Medical Group, Inc.
• Mid-Ohio Valley Nephrology Association
• Stevan J. Milhoan, MD
• Ernest E Miller Jr., DO
• Kayla Miller

• Family Medicine Physician in Vienna, WV
• Providers in Vienna, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.