Individual provider Active NPI

Michael R Lao, M.D.

  • Obstetrics & Gynecology Physician
  • Charleston, WV
National Provider Identifier
1902920119
Registry record updated Aug 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
22067 Issued in WV
Practice address
1003 Oakhurst Dr
Charleston, WV 25314-2044
Phone
(304) 720-4455
Fax
(304) 720-0436
NPI assigned
Mar 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 22067 WV Primary

Addresses

Primary practice location

1003 Oakhurst Dr
Charleston, WV 25314-2044

Mailing address

1003 Oakhurst Dr
Charleston, WV 25314-2044
Phone (304) 720-4455

Other identifiers 1

IdentifierTypeStateIssuer
3810007664MedicaidWV

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
I20070322000076 WV Practitioner - Obstetrics/Gynecology 7719080209 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22067WVMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Area Medical Center, Inc. CurrentSince Apr 18, 2022 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Apr 18, 2022 Accepting new patients
Premier Women'S Health Specialists, PLLC Obstetrics & Gynecology CurrentSince Jan 20, 2010 Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients
Womencare, Inc Past Accepting new patients

Locations

3200 Maccorkle Ave SE
#C
Charleston, WV 25304
Phone (304) 347-1336

1003 Oakhurst Dr
Charleston, WV 25314
Phone (304) 345-4525

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

830 Pennsylvania Ave
Ste 304
Charleston, WV 25302
Phone (304) 388-1515

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251590400000",
    "number": "1902920119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 OAKHURST DR",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253142044",
            "telephone_number": "304-720-4455",
            "fax_number": "304-720-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 OAKHURST DR",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253142044",
            "telephone_number": "304-720-4455",
            "fax_number": "304-720-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAO",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2009-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WV",
            "license": "22067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810007664",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.