Active NPI
Beckley Pain Clinic
- Pain Clinic/Center
- Beckley, WV
National Provider Identifier
1033518097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Clinic/Center
- License
- 41174
- 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, 2014
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Cardiovascular Disease Physician
- Mason, OH
- NPI 1962596700
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
- Beckley Hearing Center, Inc.
- Beckley Medical Imaging Inc.
- Beckley Oncology Associates Inc (Raleigh Regional Cancer Center)
- Beckley Oncology Associates, Inc.
- Beckley Orthotics and Prosthetics LLC
- Beckley Pain Clinic LLC
- Beckley Pediatric Associates
- Beckley Pediatric Associates LTD
- Beckley Pharmacy
- Beckley Pharmacy (Beckley Pharmacy, DME)
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.