Individual provider Active NPI

Jeffrey Ronald Hawk, DO

  • Family Medicine Physician
  • Apple Grove, WV
National Provider Identifier
1881755338
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4302 Issued in WV
Practice address
67 Hereford Lane
Apple Grove, WV 25502-9403
Phone
(304) 733-8750
Fax
(304) 908-6042
NPI assigned
Dec 12, 2006
Last updated
Aug 31, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4302 WV Primary
Occupational Medicine Physician 2083X0100X 4302 WV

Addresses

Primary practice location

67 Hereford Lane
Apple Grove, WV 25502-9403

Mailing address

1448 10TH Ave Ste 304
Huntington, WV 25701-3579
Phone (304) 691-6381

Other practice location 1

3952 Teays Valley Road
Hurricane, WV 25526-8728
Phone (304) 757-6736

Other practice location 2

4600 Route 152
Lavalette, WV 25535-9702
Phone (304) 697-9480

Other practice location 3

1600 Medical Center Drive
Suite 1500
Huntington, WV 25701-3657
Phone (304) 691-1100

Other practice location 4

100 Corporate Center Drive
Suite 300
Scott Depot, WV 25515
Phone (681) 464-2879

Other practice location 5

108 Mingo Street
Kermit, WV 25674-0430
Phone (304) 393-4303

Other practice location 6

659 Central Avenue
Barboursville, WV 25504-1313
Phone (304) 736-5247

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jeffrey.hawk@marshall.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240911000886 WV Practitioner - Family Practice 0749214807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

67 Hereford LN
Apple Grove, WV 25502-9403
Phone (304) 733-8750

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
4302WVMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians & Surgeons, Inc. CurrentSince Jun 17, 2024 Accepting new patients
University Physicians & Surgeons, Inc Family Medicine CurrentSince Jun 17, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Bem Medical Arts Center, Inc Family Medicine Past Accepting new patients

Locations

67 Hereford Ln
Apple Grove, WV 25502
Phone (304) 733-8750

659 Central Ave
Barboursville, WV 25504
Phone (304) 691-6878

1448 10th Ave
Ste 304
Huntington, WV 25701
Phone (304) 691-6381

1600 Medical Center Dr
Ste 1500
Huntington, WV 25701
Phone (304) 691-1100

1600 Medical Center Dr
Ste 3500
Huntington, WV 25701
Phone (304) 691-1300

3952 Teays Valley Rd
Hurricane, WV 25526
Phone (304) 757-6736

4600 Route 152
Lavalette, WV 25535
Phone (304) 697-9460

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1881755338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1448 10TH AVE STE 304",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013579",
            "telephone_number": "304-691-6381",
            "fax_number": "304-691-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 HEREFORD LANE",
            "city": "APPLE GROVE",
            "state": "WV",
            "postal_code": "255029403",
            "telephone_number": "304-733-8750",
            "fax_number": "304-908-6042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3952 Teays Valley Road",
            "address_purpose": "LOCATION",
            "city": "Hurricane",
            "state": "WV",
            "postal_code": "255268728",
            "country_code": "US",
            "telephone_number": "304-757-6736",
            "fax_number": "304-757-0582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4600 Route 152",
            "address_purpose": "LOCATION",
            "city": "Lavalette",
            "state": "WV",
            "postal_code": "255359702",
            "country_code": "US",
            "telephone_number": "304-697-9480",
            "fax_number": "304-697-9491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 Medical Center Drive",
            "address_2": "Suite 1500",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257013657",
            "country_code": "US",
            "telephone_number": "304-691-1100",
            "fax_number": "304-691-1153",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Corporate Center Drive",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Scott Depot",
            "state": "WV",
            "postal_code": "25515",
            "country_code": "US",
            "telephone_number": "681-464-2879",
            "fax_number": "681-880-4665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "108 Mingo Street",
            "address_purpose": "LOCATION",
            "city": "Kermit",
            "state": "WV",
            "postal_code": "256740430",
            "country_code": "US",
            "telephone_number": "304-393-4303",
            "fax_number": "304-393-3254",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "659 Central Avenue",
            "address_purpose": "LOCATION",
            "city": "Barboursville",
            "state": "WV",
            "postal_code": "255041313",
            "country_code": "US",
            "telephone_number": "304-736-5247",
            "fax_number": "304-736-7367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAWK",
        "first_name": "JEFFREY",
        "middle_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "4302",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "WV",
            "license": "4302",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeffrey.hawk@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "67 Hereford Lane",
            "city": "Apple Grove",
            "state": "WV",
            "country_code": "US",
            "postal_code": "255029403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Apple Grove, WV

Sources for this page

Verify at the official NPI Registry.