CENTER FOR PAIN RELIEF INC. (NPI# 1346408838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346408838 |
| Entity Type | Organization |
| Organization Name | CENTER FOR PAIN RELIEF INC. |
| Practice Address |
100 Peyton Way Ste 100 Charleston WV 25309-8545 |
| Mailing Address |
400 Court St Ste 100 Charleston WV 25301-1652 |
| Practice Telephone | 3047206747 |
| Practice Fax Number | 3047206749 |
| Mailing Telephone | 3043476120 |
| Mailing Fax Number | 3043476142 |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2020-04-03 |
| Authorized Official Name | TIMOTHY RAY DEER (MD, OWNER) |
| Authorized Official Telephone | 3043476120 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTER FOR PAIN RELIEF INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | 17647 | WV | Allopathic & Osteopathic Physicians |
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
17647 | WV | Allopathic & Osteopathic Physicians |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
17647 | WV | Allopathic & Osteopathic Physicians |
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 17647 | WV | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0011253000 | 05 | |
| WV | MEDICARE OTHER | 9296571 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Center for Pain Relief Inc. | 400 Court St, Charleston, West Virginia 25301 |
| Street Address |
100 PEYTON WAY STE 100 |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25309-8545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376905 | Lovie Bradshaw | Technician | 4823 Tennessee St., South Charleston, WV 25309 | 2020-11-03 |
| 1306447735 | Barbara Mackenzie | Technician | 4224 Kanawha Turnpike, South Charleston, WV 25309 | 2020-11-03 |
| 1548861974 | Sarah Nichols | Technician | 4990 Colonial Park Dr. Apt. F, South Charleston, WV 25309 | 2020-11-03 |
| 1629690177 | Jennifer Mabry-goins | Technician | 4505 River Avenue, S Charleston, WV 25309 | 2020-05-07 |
| 1811537715 | Brandon C Dean | Psychologist | 4857 Macorkle Ave. Sw, South Charleston, WV 25309 | 2020-01-09 |
| 1467096057 | Linda Mullins | Technician | 60 Hayvon Lane, South Charleston, WV 25309 | 2019-11-06 |
| 1831743616 | Ann Myriah Beck | Nurse Practitioner | 4610 Maccorkle Ave Sw # 300, South Charleston, WV 25309 | 2019-07-30 |
| 1942671227 | Edward W Eskew | Family Medicine | 4605 Maccorkle Avenue, Sw, Thspp-psychiatry, South Charleston, WV 25309 | 2015-10-13 |
| 1720468218 | Link Investments LLC | Pharmacy | 5151 Macorkle Avenue, South Charleston, WV 25309 | 2015-06-01 |
| 1366840951 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 304 Southbridge Blvd., S.ccharleston, WV 25309 | 2014-12-12 |
| Find all providers in zip 25309 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1255938320 | Peninsula Cosmetic and Family Dentistry, Inc. | Durable Medical Equipment & Medical Supplies | 538 Savannah Hwy, Charleston, SC 29407-7210 | 2020-10-02 |
| 1174156061 | Dasco-camc Home Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 2120 Pennsylvania Ave Ste 1, Charleston, WV 25302-4135 | 2020-02-19 |
| 1902444508 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 3865 West Ashley Circle, Charleston, SC 29414 | 2019-12-13 |
| 1669021770 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 1411 Folly Rd, Charleston, SC 29412-9562 | 2019-09-11 |
| 1114497435 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 10 Westedge St, Suite 100, Charleston, SC 29403 | 2018-11-29 |
| 1841765559 | Midwest Medical Associates, Inc. | Durable Medical Equipment & Medical Supplies | 211 King St Ste 103, Charleston, SC 29401-3184 | 2018-10-09 |
| 1891299681 | Appalachian Medical LLC | Durable Medical Equipment & Medical Supplies | 418 Virginia St W, Charleston, WV 25302-2008 | 2018-03-19 |
| 1821513235 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1812 Sam Rittenberg Blvd Ste 2, Charleston, SC 29407-4868 | 2017-08-07 |
| 1841721537 | Tac Med | Durable Medical Equipment & Medical Supplies | 1473 Ashley Garden Blvd, Charleston, SC 29414-9126 | 2017-03-23 |
| 1730540287 | Roper Saint Francis Physicians Network | Durable Medical Equipment & Medical Supplies | 2093 Henry Tecklenburg Dr Ste 303e, Charleston, SC 29414-5743 | 2016-03-11 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 25309 |
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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.