Organization Active NPI

Beckley Pain Clinic

  • Pain Clinic/Center
  • Beckley, WV
National Provider Identifier
1033518097
Registry record updated Aug 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
41174 Issued in WV
Legal business name
BECKLEY PAIN CLINIC
Practice address
1902 Harper Rd
Beckley, WV 25801-2642
Phone
(304) 894-8817
NPI assigned
Aug 15, 2014
Last updated
Aug 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Debra Lynn McGraw, CFNP
Title
Family Nurse Practitioner
Phone
(304) 894-8817

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X 41174 WV Primary

Addresses

Primary practice location

1902 Harper Rd
Beckley, WV 25801-2642

Mailing address

1902 Harper Rd
Beckley, WV 25801-2642
Phone (304) 894-8817

National Provider Directory

National Provider Directory

Locations

1902 Harper Rd
Beckley, WV 25801
Phone (304) 252-9211

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408060800000",
    "number": "1033518097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 HARPER RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012642",
            "telephone_number": "304-894-8817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 HARPER RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012642",
            "telephone_number": "304-894-8817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BECKLEY PAIN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-15",
        "last_updated": "2014-08-15",
        "status": "A",
        "authorized_official_last_name": "MCGRAW",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "304-894-8817",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CFNP"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "WV",
            "license": "41174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.