PRESTON MEMORIAL MEDICAL GROUP – NPI #1114009941
Obstetrics & Gynecology

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Health Care Provider Taxonomy Code for Obstetrics & Gynecology

PRESTON MEMORIAL MEDICAL GROUP is a provider located in GRAFTON, WV. NPPES has assigned the NPI number 1114009941 to PRESTON MEMORIAL MEDICAL GROUP on October 20, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. PRESTON MEMORIAL MEDICAL GROUP is also known by the name GRAFTON CLINIC. The primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.

The NPI profile was previously updated about 17 years ago on Jul 29, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PRESTON MEMORIAL MEDICAL GROUP below.

NPI Profile for
PRESTON MEMORIAL MEDICAL GROUP

NPI Number
1114009941
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PRESTON MEMORIAL MEDICAL GROUP
Other Name: GRAFTON CLINIC
Primary location
500 MARKET STREET
GRAFTON CITY HOSPTIAL
GRAFTON, WV 26354
Phone: (304) 265-6400 Fax:
Mailing address
300 S PRICE ST
KINGWOOD, WV 26537-1442
Phone: (304) 329-2830 Fax: (304) 791-3737
Organization Subpart
No
Authorized Official
MELISSA LOCKWOOD
CEO
Phone: (304) 329-4700
Updated
Identifiers

Identifiers for PRESTON MEMORIAL MEDICAL GROUP

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERHOLEHOUSE, JAMES BCBSWV001710365
MEDICAIDWV0007709000
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207V00000X
- Obstetrics & Gynecology (Primary)		 WV

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.