Physician Associates PLLC

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

Legal business name

PHYSICIAN ASSOCIATES PLLC

Practice address

1842 Harper Rd
Beckley, WV 25801-3366

Phone

(304) 237-3487

NPI assigned

Mar 15, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Niteesh Bharara, MDNPI 1144480989

Title

President

Phone

(205) 910-7056

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gloria Jean Allen, LSW/MSW

  • Social Worker
  • Beckley, WV
  • NPI 1699254813
  Medicare reassignment Care Compare group NPD
• Ira A. Morris, M.D.

  • Family Medicine Physician
  • Wharton, WV
  • NPI 1043400898
  Medicare reassignment Care Compare group NPD
• Paula K Reilley, PHD FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Beckley, WV
  • NPI 1275622375
  Medicare reassignment Care Compare group NPD
• Sylvanus Oyogoa, MD

  • Surgery Physician
  • Beckley, WV
  • NPI 1801863139
  Medicare reassignment NPD
• Rajnikant S Shah, MD

  • Cardiovascular Disease Physician
  • Langhorne, PA
  • NPI 1184682593

  WV

  Medicare reassignment NPD
• Niteesh Bharara, MD

  • Interventional Pain Medicine Physician
  • Reston, VA
  • NPI 1144480989

  Sports Medicine

  NPD Authorized official
• Sarah Nicole Stanley, APRN, FNP-BC

  • Nurse Practitioner
  • Beckley, WV
  • NPI 1750995734
  NPD (past)

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

{
    "created_epoch": "1584230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584230400000",
    "number": "1093341612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1842 HARPER RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1842 HARPER RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013366",
            "telephone_number": "304-237-3487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-15",
        "last_updated": "2020-03-15",
        "certification_date": "2020-03-15",
        "status": "A",
        "authorized_official_last_name": "BHARARA",
        "authorized_official_first_name": "NITEESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-910-7056",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Phillips
• Makayla Phillips
• Olivia Phillips
• Samantha Phillips
• Stephanie Phillips
• Brittany Michelle Pierce, PRSS
• Clara Pike
• Austin Pinardo, DPT
• Gary Pinckney
• Katrina Pineda, PT

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Beckley, WV
• Providers in Beckley, WV by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.