PRESTON MEMORIAL HOSPITAL CORPORATION (NPI# 1841230661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841230661 |
| Entity Type | Organization |
| Organization Name | PRESTON MEMORIAL HOSPITAL CORPORATION |
| Other Organization Name | HOSPITAL MEDICAL GROUP |
| Practice Address |
150 Memorial Dr Kingwood WV 26537 |
| Practice Telephone | 3043291400 |
| Practice Fax Number | 3043291175 |
| Mailing Telephone | 3043291400 |
| Mailing Fax Number | 3043291175 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2015-07-09 |
| Authorized Official Name | MRS. MELISSA LOCKWOOD (PRESIDENT AND CEO) |
| Authorized Official Telephone | 3043291400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 56 | WV | Allopathic & Osteopathic Physicians |
| N | 207L00000X | Anesthesiology | 56 | WV | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 56 | WV | Allopathic & Osteopathic Physicians |
| N | 207T00000X | Neurological Surgery | 56 | WV | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | 56 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | WV97818A | 05 | |
| WV | WV97818 | 05 | |
| WV | BCBS ANES GROUP | 001808002 | 01 |
| WV | BCBS GROUP | 001706817 | 01 |
| WV | 0104806001 | 05 | |
| WV | WV17028A | 05 |
| Other Name | Type Code |
|---|---|
| Hospital Medical Group | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306037684 | Preston Memorial Hospital Corporation | Case Manager/Care Coordinator | 300 S Price St, Kingwood, WV 26537-1442 | 2007-08-05 |
| 1639113046 | Preston Memorial Hospital Corporation | Medicare Defined Swing Bed Unit | 150 Memorial Dr, Kingwood, WV 26537 | 2006-06-15 |
| 1013950054 | Preston Memorial Hospital Corporation | General Acute Care Hospital | 150 Memorial Dr, Kingwood, WV 26537 | 2006-06-14 |
| 1225077118 | Preston Memorial Hospital Corporation | Home Health | 410 E Main St, Kingwood, WV 26537-1723 | 2006-06-06 |
| Street Address |
150 MEMORIAL DR |
| City | KINGWOOD |
| State | WV |
| Zip Code | 26537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548254907 | Nancy Louise Jones | Physician Assistant | 150 Memorial Dr, Kingwood, WV 26537-1141 | 2005-08-31 |
| 1356963300 | Brittany Elizabeth Shaffer | Registered Nurse | 150 Memorial Dr, Kingwood, WV 26537-1141 | 2020-05-13 |
| 1265067128 | Katherine Barton | Occupational Therapist | 150 Memorial Dr, Kingwood, WV 26537-1141 | 2020-03-11 |
| 1265067177 | Ashley E Greene | Physical Therapist | 150 Memorial Dr, Kingwood, WV 26537-1141 | 2020-03-11 |
| 1891320354 | Garrett Dalton Simmons | Physical Therapist | 150 Memorial Dr, Kingwood, WV 26537-1141 | 2020-03-05 |
| 1568096824 | Ashley Ann Gardo | Speech-Language Pathologist | 150 Memorial Dr, Kingwood, WV 26537-1141 | 2020-02-26 |
| 1780239608 | Erin Marie Thomas | Specialist/Technologist | 150 Memorial Dr, Kingwood, WV 26537-1141 | 2019-08-07 |
| 1134693633 | Elise Roman | Occupational Therapist | 150 Memorial Dr, Kingwood, WV 26537-1141 | 2019-01-17 |
| 1215419759 | Jeremy Allen Dixon | Specialist/Technologist | 150 Memorial Dr, Kingwood, WV 26537-1141 | 2018-08-31 |
| 1265928162 | Terrie Lyn Roth | Nurse Practitioner | 150 Memorial Dr, Kingwood, WV 26537-1141 | 2018-07-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702604 | Amanda Dawn Slaubaugh | Technician | 74 Alex Dr, Kingwood, WV 26537 | 2020-08-31 |
| 1306330345 | Kingwood Family Care, LLC | Clinic/Center | 17548 Veterans Memorial Highway, Suite D, Kingwood, WV 26537 | 2018-06-21 |
| 1336558089 | Nicholas Kyle | Physical Therapist | 421 Morgantown St., Kingwood, WV 26537 | 2014-08-07 |
| 1447666896 | Alicia Suzanne Helmick | Pharmacist | 220 W. Main St, Kingwood Pharmacy, Kingwood, WV 26537 | 2014-07-07 |
| 1083035133 | Carmen Sigley | Nurse Practitioner | 209 East Hight Str., Kingwood, WV 26537 | 2013-12-16 |
| 1386946002 | Molly Renee Dorian | Occupational Therapist | 300 Preston Drive, Kingwood, WV 26537 | 2010-12-01 |
| 1083830343 | Preston County Senior Citizens, Inc. | Home Health | 421 E. Main St., Kingwood, WV 26537 | 2007-04-17 |
| 1730305152 | Preston County Senior Citizens, Inc. | Home Health | 421 East Main St., Kingwood, WV 26537 | 2007-04-17 |
| 1629133806 | Kendra L Barker | Nurse Practitioner | 1343 N. Preston Highway, Preston Healthcare Services, LLC., Kingwood, WV 26537 | 2006-12-27 |
| 1821181132 | Every Bodys Chiropractic Pllc | Chiropractor | 425 E Main Street, Suite 418, Kingwood, WV 26537 | 2006-10-02 |
| Find all providers in zip 26537 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861704744 | J H Thomas Jr. | Emergency Medicine | 2300 Green Oak Dr Ste 900, Kingwood, TX 77339-2055 | 2010-07-08 |
| 1821224320 | Edwin Robert Malone Jr. | Emergency Medicine | 22999 U.S. 59, Kingwood Medical Center, Kingwood, TX 77339 | 2009-06-10 |
| 1255500799 | Nicholas Warren Mclain | Emergency Medicine | 3002 Willow Wood Trl, Kingwood, TX 77345-5442 | 2008-02-28 |
| 1396931093 | Etex Emergency Physicians Pllc | Emergency Medicine | 300 Kingwood Medical Dr, Kingwood, TX 77339-6400 | 2007-09-18 |
| 1699979419 | Christopher Alan Durham | Emergency Medicine | 5002 Maple Brook Ln, Pcmh Graduate Medical Education, Kingwood, TX 77345-1020 | 2007-06-14 |
| 1194749432 | David W. Olson | Emergency Medicine | 5603 Beaver Lodge Dr, Kingwood, TX 77345-1745 | 2006-07-27 |
| 1790704997 | Edwin Joe Sasin II | Emergency Medicine | 1524 Kingwood Dr, Kingwood, TX 77339-3042 | 2006-07-19 |
| 1891729315 | John R. Temple Jr. | Emergency Medicine | 23330 Eastex Fwy, Kingwood, TX 77339-4471 | 2006-07-10 |
| 1871524348 | Maria G Berdayes | Emergency Medicine | 451 Kingwood Medical Dr Ste 200, Kingwood, TX 77339-6404 | 2006-07-05 |
| 1831126622 | Dale Meyers | Emergency Medicine | 300 S. Price St, C/o Preston Memorial Hospital, Kingwood, WV 26537 | 2006-06-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.