NPIMap

Organization Active NPI

Preston Memorial Medical Group

  • Gynecology Physician
  • Kingwood, WV
National Provider Identifier
1932425790
Registry record updated Apr 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
PRESTON MEMORIAL MEDICAL GROUP
Practice address
428 Morgantown St
Kingwood, WV 26537-1093
Phone
(304) 441-2010
Fax
(304) 441-2042
NPI assigned
Apr 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2010

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

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X Primary

Addresses

Primary practice location

428 Morgantown St
Kingwood, WV 26537-1093

Mailing address

300 S Price St
Kingwood, WV 26537-1442
Phone (304) 329-1400

Other names 1

  • PMMG WOMEN'S HEALTH CENTER Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271635200000",
    "number": "1932425790",
    "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": "428 MORGANTOWN ST",
            "city": "KINGWOOD",
            "state": "WV",
            "postal_code": "265371093",
            "telephone_number": "304-441-2010",
            "fax_number": "304-441-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTON MEMORIAL MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-19",
        "last_updated": "2010-04-19",
        "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": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PMMG WOMEN'S HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingwood, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; 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.