APPLACHAIN PAIN THERAPY INSTITUTE (NPI# 1144340787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144340787 |
| Entity Type | Organization |
| Organization Name | APPLACHAIN PAIN THERAPY INSTITUTE |
| Practice Address |
4407 Maccorkle Ave Se Charleston WV 25304-2505 |
| Practice Telephone | 3049252922 |
| Practice Fax Number | 3049268009 |
| Mailing Telephone | 3049252922 |
| Mailing Fax Number | 3049268009 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-10-24 |
| Authorized Official Name | DR. JOSIAH KELLEY LILLY (OWNER) |
| Authorized Official Telephone | 3049252922 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
11322 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0201994000 | 05 |
| Street Address |
4407 MACCORKLE AVE SE |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25304-2505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013971761 | Brenda Moody Walker | Nurse Practitioner | 4407 Maccorkle Ave Se, Charleston, WV 25304-2541 | 2006-04-12 |
| 1407466535 | Valley Health Systems, Inc | Pediatrics | 4407 Maccorkle Ave Se, Charleston, WV 25304-2541 | 2020-08-04 |
| 1285283390 | Chelsea Salvatore | Nurse Practitioner | 4407 Maccorkle Ave Se, Charleston, WV 25304-2541 | 2019-09-11 |
| 1659701738 | Heather N Hudson | Physician Assistant | 4407 Maccorkle Ave Se, Charleston, WV 25304-2541 | 2013-11-26 |
| 1437404852 | Michelle Arceneaux Proops | Nurse Practitioner | 4407 Maccorkle Ave Se, 2nd Floor, Charleston, WV 25304-2505 | 2012-07-23 |
| 1821267154 | Robert Scott Milam | Physician Assistant | 4407 Maccorkle Ave Se, Charleston, WV 25304-2505 | 2008-02-20 |
| 1346310893 | Hanger Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 4407 Maccorkle Ave Se, Charleston, WV 25304-2541 | 2006-11-09 |
| 1417067539 | Tracy Lynn Smith | Psychologist | 4407 Maccorkle Ave Se, Charleston, WV 25304-2541 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740893908 | Sade Yvonne Rice | Technician | 392 B South Parkd Rd, Charleston, WV 25304 | 2020-08-27 |
| 1053931410 | Pir Ali Shah | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Avenue Southeast Robert C. Bind Clinical, Charleston, WV 25304 | 2020-04-25 |
| 1649807603 | Jasmine Shah | Student in an Organized Health Care Education/Training Program | 3110 Maccorkle Avenue, Se, Student Services Department - Wvu Building, 4th Floor, Charleston, WV 25304 | 2020-03-26 |
| 1447811872 | Kwasi Amponsah Gambrah | Student in an Organized Health Care Education/Training Program | 3200 Mac Corkle Ave. Se, Robert C. Byrd Clinical Teaching Center, 5th Floor, Charlestoni, WV 25304 | 2019-06-26 |
| 1457916751 | Divya Kalluru | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Avenue Southeast, Robert C. Bird Clinica, 4th Floor Internal Medicine Department, Charleston, WV 25304 | 2019-05-02 |
| 1841854965 | Sean Michael Percy Losier | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Ave., Se, Camc Family Medicine Center Robert C. Byrd Clinical Tea, Charleston, WV 25304 | 2019-04-24 |
| 1700440047 | Priyanka Chowdhry | Student in an Organized Health Care Education/Training Program | Robert C. Bird Clinical Training Center, 4th Floor, 3200 Maccorkle Avenue, Southeast, Charleston, WV 25304 | 2019-04-23 |
| 1568925469 | Saranya Dinesan | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Ave. Se, 4th Floor, Robert C. Byrd Clini, Charleston, WV 25304 | 2019-04-09 |
| 1043771694 | Mary Elizabeth Novak | Student in an Organized Health Care Education/Training Program | Camc Memorial Hospital, Surgicare Center, 3200 Maccorkle Ave Se, Charleston, WV 25304 | 2019-03-27 |
| 1124518600 | Abdullah Sohail | Student in an Organized Health Care Education/Training Program | 4th Floor, 3200 Maccorkle Ave, South East Robert C. Bir, Charleston, WV 25304 | 2018-05-10 |
| Find all providers in zip 25304 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093891590 | George M Inabinet Jr. | Pain Medicine | 171 Ashley Ave, Charleston, SC 29425-8908 | 2006-10-27 |
| 1750492534 | Dale Raymond Tabor | Pain Medicine | 109 Bee St, Va Anesthesia Service, Charleston, SC 29401-5703 | 2006-08-31 |
| 1831146778 | Jeffrey W Folk | Pain Medicine | 125 Doughty St, Ste 420, Charleston, SC 29403 | 2006-05-27 |
| 1891741427 | Todd P Joye | Pain Medicine | 125 Doughty St, Ste 420, Charleston, SC 29403 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942680194 | Interventional Pain Institute | Pain Medicine | 1288 Suncrest Town Centre Dr, Morgantown, WV 26505-1828 | 2015-06-03 |
| 1992927362 | Ohio Valley Pain Management Clinic, Inc, PC | Pain Medicine | 2000 Eoff Street, Suite 506, Wheeling, WV 26003 | 2007-05-03 |
| 1710912498 | Roland F Chalifoux Jr | Pain Medicine | 1001 W Baltimore St, Mcmechen, WV 26040-1503 | 2006-07-11 |
| 1467417469 | George K Van Osten | Pain Medicine | 1741 Williamsport Pike, Martinsburg, WV 25404-4341 | 2006-04-20 |
| 1326023888 | Stephanie Hanh Le | Pain Medicine | 249 Three Springs Dr, Weirton, WV 26062 | 2005-12-07 |
| 1508487083 | Center for Pain Management, LLC | Pain Medicine | 1741 Williamsport Pike, Martinsburg, WV 25404-4341 | 2020-05-06 |
| 1124406350 | West Virginia Pain Institute Inc | Pain Medicine | 1717 Harper Rd, Second Floor, Suite D, Beckley, WV 25801-3373 | 2015-05-07 |
| 1831529379 | Three Rivers Spine & Pain Medicine | Pain Medicine | 249 Three Springs Dr, Weirton, WV 26062-3814 | 2013-11-20 |
| 1376885095 | Advanced Pain Relief Centers Inc | Pain Medicine | 1008 Tavern Rd, Ste 301, Martinsburg, WV 25401 | 2013-03-20 |
| 1659644805 | Advanced Pain Relief Centers Inc | Pain Medicine | 1008 Tavern Rd, Ste 301, Martinsburg, WV 25401-2801 | 2012-02-20 |
| Find all providers with the same taxonomy | ||||
| City | CHARLESTON |
| Zip Code | 25304 |
Please comment or provide details below to improve the information on APPLACHAIN PAIN THERAPY INSTITUTE.
| 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.