Mid-Ohio Valley Medical Group, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

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) 485-3317

NPI assigned

Oct 10, 2006

Organization subpart

Yes

Parent organization

MID-OHIO VALLEY MEDICAL GROUP INCAs reported in NPPES

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

Authorized official

Name

Robert Randal Heavner, M.D.NPI 1427051390

Title

President

Phone

(304) 485-3303

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MOVMG LAB Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Mid Ohio Valley Medical Group Inc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Mid-Ohio Valley Medical Group, Inc

  • Family Medicine Physician
  • Vienna, WV
  • NPI 1720041171
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Randal Heavner, MD

  • Family Medicine Physician
  • Parkersburg, WV
  • NPI 1427051390
  NPD (past) Authorized official

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1902994577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1669",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261021669",
            "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": "304-485-3317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-OHIO VALLEY MEDICAL GROUP, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MID-OHIO VALLEY MEDICAL GROUP INC",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "HEAVNER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "RANDAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-485-3303",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6703034000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOVMG LAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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
• Patricia Miller, RN

• Clinical Medical Laboratory in Vienna, WV
• Providers in Vienna, WV by specialty
• Clinical Medical Laboratory in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.