Active NPI
West Virginia Pain Institute Inc
- Interventional Pain Medicine Physician
- Beckley, WV
National Provider Identifier
1124406350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 1729
- Legal business name
- WEST VIRGINIA PAIN INSTITUTE INC
- Practice address
- 1717 Harper Rd FL 3
Beckley, WV 25801-3373 - Phone
- (304) 254-3131
- Fax
- (304) 254-3037
- NPI assigned
- May 7, 2015
- 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
- Dr. Andrew C. Thymius, D.O.
- Title
- President
- Phone
- (304) 254-3131
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | 1729 | WV | Primary |
Addresses
Primary practice location
1717 Harper Rd FL 3
Beckley, WV 25801-3373
Mailing address
1717 Harper Rd FL 3
Beckley, WV 25801-3373
Phone (304) 254-3131
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150716003135 | WV | Part B Supplier - Clinic/Group Practice | 2163735374 |
Receives reassigned benefits from 4 practitioners Practice locations: Beckley, WV |
National Provider Directory
National Provider DirectoryLocations
1717 Harper Rd
Ste D
Beckley, WV 25801
Phone (304) 254-3131
1717 Harper Rd
Ste E
Beckley, WV 25801
Phone (304) 252-4222
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Beckley, WV
- NPI 1083707855
Interventional Pain Medicine, WV
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713398400000",
"number": "1124406350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 HARPER RD FL 3",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258013373",
"telephone_number": "304-254-3131",
"fax_number": "304-254-3037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 HARPER RD FL 3",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258013373",
"telephone_number": "304-254-3131",
"fax_number": "304-254-3037"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST VIRGINIA PAIN INSTITUTE INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-07",
"last_updated": "2024-04-18",
"certification_date": "2024-04-18",
"status": "A",
"authorized_official_last_name": "THYMIUS",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "304-254-3131",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "WV",
"license": "1729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beckley, WV
- West Virginia Crna Associates, Inc
- West Virginia CVS Pharmacy LLC
- West Virginia CVS Pharmacy LLC
- West Virginia CVS Pharmacy LLC
- West Virginia Orthopedic Trauma Inc
- West Virginia Sleep Centers
- West Virginia Spine Center, PLLC
- West Virginia Surgical Institute
- West Virginia Vascular Institute PLLC
- West Virginia Vascular Institute PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.