MID-OHIO VALLEY MEDICAL GROUP, INC. (NPI# 1902994577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902994577 |
| Entity Type | Organization |
| Organization Name | MID-OHIO VALLEY MEDICAL GROUP, INC. |
| Other Organization Name | MOVMG LAB |
| Practice Address |
800 Grand Central Mall Suite 4 Vienna WV 26105-4131 |
| Mailing Address |
Po Box 1669 Parkersburg WV 26102-1669 |
| Practice Telephone | 3044853300 |
| Practice Fax Number | 3044853317 |
| Mailing Telephone | 3044853300 |
| Mailing Fax Number | 3044853317 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2007-10-29 |
| Authorized Official Name | ROBERT RANDAL HEAVNER (PRESIDENT) |
| Authorized Official Telephone | 3044853303 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | MID-OHIO VALLEY MEDICAL GROUP INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | WV | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 6703034000 | 05 |
| Other Name | Type Code |
|---|---|
| MOVMG LAB | Doing Business As Name - Organization |
| Street Address |
800 GRAND CENTRAL MALL SUITE 4 |
| City | VIENNA |
| State | WV |
| Zip Code | 26105-4131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051390 | Robert Randal Heavner | Family Medicine | 800 Grand Central Mall, Suite 4, Vienna, WV 26105-4131 | 2005-05-24 |
| 1710469606 | Karen Malee Palmateer | Physician Assistant | 800 Grand Central Mall, Mov Medical Office Building, Suite 10, Vienna, WV 26105 | 2018-09-06 |
| 1982080057 | Amanda Holman | Registered Nurse | 800 Grand Central Mall, Suite 4, Vienna, WV 26105-4100 | 2015-07-30 |
| 1073903373 | Mid-ohio Valley Nephrology Association | Family Medicine | 800 Grand Central Mall, Suite 9, Vienna, WV 26105-4100 | 2015-01-26 |
| 1801204003 | William A Cline, Do, Pllc | Surgery | 800 Grand Central Mall, Suite 2, Vienna, WV 26105-4100 | 2014-07-31 |
| 1932459542 | Heather Nichole Nutter | Audiologist | 800 Grand Central Mall, Suite 11, Vienna, WV 26105-4100 | 2012-09-12 |
| 1215284997 | Pamela J Parker | Nurse Practitioner | 800 Grand Central Mall, Suite 4, Vienna, WV 26105-4100 | 2012-08-13 |
| 1609139906 | First Settlement Orthopaedics Inc | Orthopaedic Surgery | 800 Grand Central Mall, Suite 6, Vienna, WV 26105-4100 | 2012-06-21 |
| 1720368483 | Matthew Dean Sells | Physical Therapist | 800 Grand Central Mall, Suite 1, Vienna, WV 26105-4100 | 2011-08-25 |
| 1265732093 | Megan Ann Fluharty | Physician Assistant | 800 Grand Central Mall, Ste 3, Vienna, WV 26105-4100 | 2010-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023536596 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 3 Merrywood Lane, Vienna, WV 26105 | 2017-09-06 |
| 1558889196 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 2 Merrywood Lane, Vienna, WV 26105 | 2017-09-05 |
| 1538555206 | Cecilia Velarde Harrington | Internal Medicine | 418 Grand Park Dr Ste 311, Parkersburg, WV 26105 | 2015-04-09 |
| 1568854974 | Kathryn Eileen Epkey | Student in an Organized Health Care Education/Training Program | 411 28th Street, Vienna, WV 26105 | 2015-02-21 |
| 1023120441 | Robert William Azar | Otolaryngology | 1801 Grand Central Ave, Vienna, WV 26105 | 2006-08-31 |
| 1578521407 | John A Stavrakis | Optometrist | 701 Grand Central Ave, Vienna, WV 26105 | 2006-05-02 |
| 1881203149 | Charlene Rein | Dentist | 501 Grand Central Ave, Vienna, WV 26105 | 2020-07-23 |
| 1891355434 | Mohamed Moustafa Meky | Dentist | 501 Grand Central Ave, Parkersburg, WV 26105 | 2019-06-17 |
| 1568990091 | Jonathon Ray Barbosa Scott | Specialist/Technologist | 1 Campus Drive, Vienna, WV 26105 | 2017-05-29 |
| 1356772677 | Drs. Krajekian,brock & Henderson Inc | Dentist | 417 Grand Park Dr, Suite 103, Parkersburg, WV 26105 | 2013-12-12 |
| Find all providers in zip 26105 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326382532 | 1st Class Sleep Diagnostics, Inc | Clinical Medical Laboratory | 2559 Chain Bridge Rd, Vienna, VA 22181-5517 | 2012-11-15 |
| 1588965941 | Esoterix Genetic Laboratories, LLC | Clinical Medical Laboratory | 8300 Old Courthouse Rd Ste 240, Vienna, VA 22182-3822 | 2010-11-16 |
| 1770117095 | Ccrm Northern Virginia, LLC | Clinical Medical Laboratory | 8010 Towers Crescent Dr Fl 5, Vienna, VA 22182-2710 | 2020-02-25 |
| 1679917793 | Total Sleep Care | Clinical Medical Laboratory | 226 Maple Ave W, Ste 311, Vienna, VA 22180-5677 | 2013-04-19 |
| 1356305163 | Genzyme Corporation | Clinical Medical Laboratory | 8300 Old Courthouse Rd, Suite 240, Vienna, VA 22182-3822 | 2006-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235784745 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1345 Mercer St, Princeton, WV 24740-3033 | 2019-08-02 |
| 1346892650 | West Virginia Laboratories | Clinical Medical Laboratory | 1740 Union Carbide Dr Bldg 740, South Charleston, WV 25303-2732 | 2019-07-16 |
| 1831674084 | Appalachian Labs of Wv LLC | Clinical Medical Laboratory | 708 Bigley Ave., Ste. A, Charleston, WV 25302-3357 | 2018-10-03 |
| 1720567241 | Tug River Health Association, Inc. | Clinical Medical Laboratory | 512 Mountaineeer Highway, Room 1344, Bradshaw, WV 24874-2487 | 2018-08-07 |
| 1245765684 | Bds Healthcare LLC | Clinical Medical Laboratory | 1451 Earl L Core Rd, Morgantown, WV 26505-0314 | 2017-04-24 |
| 1538608757 | Vitas Laboratory LLC | Clinical Medical Laboratory | 5487 Country Club Rd, Grafton, WV 26354-8762 | 2017-02-21 |
| 1376081612 | Mountaineer Laboratories LLC | Clinical Medical Laboratory | 1337 Virginia St E, Charleston, WV 25301-3011 | 2017-02-07 |
| 1629520853 | Mountaineer Laboratories LLC | Clinical Medical Laboratory | 1410 Jefferson Blvd # B, Point Pleasant, WV 25550-1344 | 2016-11-04 |
| 1831647403 | West Virginia Drug Testing Laboratories | Clinical Medical Laboratory | 108 S Walker St, Princeton, WV 24740-2745 | 2016-09-13 |
| 1811443302 | Reality Check Drug Testing | Clinical Medical Laboratory | 550 N Eisenhower Dr, Beckley, WV 25801-3109 | 2016-08-25 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MID-OHIO VALLEY MEDICAL GROUP, INC..
| 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.