CENTER FOR PAIN RELIEF, INC. (NPI# 1831116375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831116375 |
| Entity Type | Organization |
| Organization Name | CENTER FOR PAIN RELIEF, INC. |
| Practice Address |
400 Court St Ste 100 Charleston WV 25301-1652 |
| Practice Telephone | 3043476120 |
| Practice Fax Number | 3043476142 |
| Mailing Telephone | 3043476120 |
| Mailing Fax Number | 3043476142 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-04-03 |
| Authorized Official Name | TIMOTHY RAY DEER (PRESIDENT, CEO) |
| Authorized Official Telephone | 3043476120 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
WV | Allopathic & Osteopathic Physicians | |
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
WV | Allopathic & Osteopathic Physicians | |
| N | 225100000X | Physical Therapist | WV | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
WV | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | MSBCBS | 001710709 | 01 |
| WV | 0011253000 | 05 | |
| WV | RR MEDICARE | CI5175 | 01 |
| Street Address |
400 COURT ST STE 100 |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25301-1652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346236072 | Brad L Lindsey | Anesthesiology | 400 Court St Ste 100, Charleston, WV 25301-1652 | 2005-09-27 |
| 1235585027 | Tara L. Tackett | Nurse Practitioner | 400 Court St Ste 100, Charleston, WV 25301 | 2016-05-11 |
| 1962897272 | Alyson Marie Engle | Anesthesiology | 400 Court St Ste 100, Charleston, WV 25301-1652 | 2015-04-02 |
| 1902243447 | Rebecca Lynne Butcher | Registered Nurse | 400 Court St Ste 100, Charleston, WV 25301-1652 | 2013-05-23 |
| 1780619742 | Christopher Konkyo Kim | Anesthesiology | 400 Court St Ste 100, Charleston, WV 25301-1652 | 2006-07-11 |
| 1194759092 | Carolyn Sue Poston | Physical Therapist | 400 Court St Ste 100, Charleston, WV 25301-1652 | 2006-07-10 |
| 1629002522 | Mindy Beth Gardner | Physical Therapist | 400 Court St Ste 100, Charleston, WV 25301-1652 | 2006-07-10 |
| 1861424210 | Timothy Ray Deer | Anesthesiology | 400 Court St Ste 100, Charleston, WV 25301-1652 | 2006-07-07 |
| 1972535367 | Wilfrido T Tolentino Jr. | Physician Assistant | 400 Court St Ste 100, Charleston, WV 25301-1652 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087680 | Kerrie Rena Harris | Counselor | 16 Leon Sullivan Way Suite 300, Charleston, WV 25301 | 2020-09-15 |
| 1285123471 | Burgess Dental | Dentist | 405 Capitol Street, The Parlor Suite, Charleston, WV 25301 | 2018-05-03 |
| 1104322320 | Kara Caldwell | Psychologist | 333 Laidley St., 4'th Floor East, Charleston, WV 25301 | 2018-04-05 |
| 1740638022 | Christina Phalen | Pharmacy Technician | 701 Lee Street East, Charleston, WV 25301 | 2016-05-27 |
| 1366867079 | Brooke Powell Garnes | Speech-Language Pathologist | 1313 Quarrier Street, Suite A, Charleston, WV 25301 | 2014-03-04 |
| 1952648404 | Implanted Pump Management, LLC | Home Infusion | 311 Laidley St., Suite 202, Charleston, WV 25301 | 2013-01-03 |
| 1730435108 | Chaitanya Mishra | Internal Medicine | 501 Morris St Ste 357, Charleston, WV 25301 | 2012-08-03 |
| 1033477278 | James Stephen Harman | Neurological Surgery | 415 Morris St Ste 400, Charleston, WV 25301 | 2012-04-25 |
| 1265674329 | Howard and Howard Dental LLC | Dentist | 1321 Virginia St., Charleston, WV 25301 | 2009-04-03 |
| 1881856144 | Steven David Hollosi | Emergency Medicine | 501 Morris St., Charleston, WV 25301 | 2008-06-27 |
| Find all providers in zip 25301 | ||||
| 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 |
|---|---|---|---|---|
| 1144340787 | Applachain Pain Therapy Institute | Pain Medicine | 4407 Maccorkle Ave Se, Charleston, WV 25304-2505 | 2007-03-29 |
| 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 | 25301 |
Please comment or provide details below to improve the information on CENTER FOR PAIN RELIEF, 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.