HARPER ROAD TREATMENT CENTER LLC (NPI# 1356841100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356841100 |
| Entity Type | Organization |
| Organization Name | HARPER ROAD TREATMENT CENTER LLC |
| Practice Address |
1802 Harper Rd Ste 202 Beckley WV 25801 |
| Mailing Address |
1802 Harper Rd Ste 202 Beckley WV 25801-3376 |
| Practice Telephone | 6812077389 |
| Mailing Telephone | 6812077389 |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2019-07-02 |
| Authorized Official Name | PRAKASH PURANIK (PARTNER/OWNER) |
| Authorized Official Telephone | 6812077389 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 508 New Hope Rd Ste 207, Princeton, WV 247402271 | 6812825409 |
| Street Address |
1802 HARPER RD STE 202 |
| City | BECKLEY |
| State | WV |
| Zip Code | 25801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144835190 | Misty Dawn Chambers | Psychologist | 154 Lagoon Way, Beckley, USA 25801 | 2020-09-15 |
| 1912511437 | Katherine Lynne Mcghee | Technician | 120 Schlager Dr., Beckley, WV 25801 | 2020-09-02 |
| 1255942421 | Tyesha Burger | Technician | 442 Industrial Dr, Beckley, WV 25801 | 2020-08-12 |
| 1053920553 | Angela Sanches | Case Manager/Care Coordinator | 134 Gooseberry Ln, Beckley, WV 25801 | 2020-07-30 |
| 1871119933 | Tiffani Michelle Dale | Counselor | 111 Coral Court, Apt 5, Beckley, WV 25801 | 2020-06-24 |
| 1679046049 | Liberty Dental Centers | Dentist | 102 Galleria Plaza, Beckley, WV 25801 | 2019-01-08 |
| 1952884942 | Susan Rae Rash | Nurse Practitioner | 250 Stanaford Rd Ste 203, Beckley, WV 25801 | 2018-09-14 |
| 1689169039 | Megan Rae Walker | Dentist | 3153 Robert C. Byrd Drive, Beckley, WV 25801 | 2018-06-28 |
| 1104318625 | Mountain State Vascular, Inc. | Surgery | 121 George Street, Beckley, WV 25801 | 2018-05-31 |
| 1154830578 | Angela Dawn Norman | Counselor | 101 S. Eisenhower Dr., Beckley, WV 25801 | 2017-09-28 |
| Find all providers in zip 25801 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750995734 | Sarah Nicole Stanley | Family Medicine | 31 Sandlewood Dr, Beckley, WV 25801-2358 | 2020-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942847975 | Recovery Care LLC | Family Medicine | 37 Carroll Avenue, Keyser, WV 26726 | 2019-12-10 |
| 1316438773 | Road To Recovery, LLC | Family Medicine | 111 Court St S, Ripley, WV 25271 | 2018-05-22 |
| 1942671227 | Edward W Eskew | Family Medicine | 4605 Maccorkle Avenue, Sw, Thspp-psychiatry, South Charleston, WV 25309 | 2015-10-13 |
| 1285013896 | Doctors Specialty Care | Family Medicine | 27 Trovato St, Suite Number 103, Bridgeport, WV 26330-7002 | 2015-05-28 |
| 1316354574 | New Lifeclinics Inc | Family Medicine | 3471 Ohio River Rd, Point Pleasant, WV 25550-4401 | 2014-07-18 |
| 1861829947 | Hamada E Mahmoud | Family Medicine | 5505 Us Route 60 East, Suite 175, Huntington, WV 25705-2058 | 2013-10-03 |
| 1972943785 | Phillip Bradley Hall | Family Medicine | 680 Genesis Blvd, Ste 201, Bridgeport, WV 26330-9135 | 2013-06-26 |
| 1336413335 | Rodney Michael Simpkins | Family Medicine | 131 Moorefield Pl, Scott Depot, WV 25560-9565 | 2012-03-08 |
| 1003070194 | Emad Y Mousa | Family Medicine | 77 Hospital Dr Ste 200, Logan, WV 25601-3451 | 2008-07-17 |
| 1194338244 | Envision Medical Care, LLC | Family Medicine | 111 Court St S, Ripley, WV 25271-1408 | 2020-08-28 |
| Find all providers with the same taxonomy | ||||
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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.