Applachain Pain Therapy Institute

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

11322 Issued in WV

Legal business name

APPLACHAIN PAIN THERAPY INSTITUTE

Practice address

4407 Maccorkle Ave SE
Charleston, WV 25304-2505

Phone

(304) 925-2922

Fax

(304) 926-8009

NPI assigned

Mar 29, 2007

Last updated

Oct 24, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Josiah Kelley Lilly, MDNPI 1376507566

Title

Owner

Phone

(304) 925-2922

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

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.

• Josiah Kenneth Lilly III, MD MS

  • Pain Medicine Physician
  • Charleston, WV
  • NPI 1376507566
  NPD (past) Authorized official
• George M. Baylor, MD

  • Pain Medicine (Anesthesiology) Physician
  • Salem, VA
  • NPI 1093806192
  NPD (past)
• Carla R. Nutter, PA-C

  • Surgical Physician Assistant
  • Naperville, IL
  • NPI 1013192046
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1144340787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4407 MACCORKLE AVE SE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042505",
            "telephone_number": "304-925-2922",
            "fax_number": "304-926-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4407 MACCORKLE AVE SE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042505",
            "telephone_number": "304-925-2922",
            "fax_number": "304-926-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLACHAIN PAIN THERAPY INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "LILLY",
        "authorized_official_first_name": "JOSIAH",
        "authorized_official_middle_name": "KELLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-925-2922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "WV",
            "license": "11322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0201994000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabriella Apgar
• Appalachian Center for Independent Living, Inc.
• Appalachian Direct Care Advocates
• Appalachian Labs of WV LLC
• Appalachian Therapy Services LLC
• Emily Applegate, PHARMD
• Brian S Aprill, MD
• Mohamed Abdelfattah Ahmed Arafa, M.D
• Marcela Arauz
• Woodrow Arbaugh

• Interventional Pain Medicine Physician in Charleston, WV
• Providers in Charleston, WV by specialty
• Interventional Pain Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.