NPIMap

Organization Active NPI

Capstone Treatment Center

  • Clinic/Center
  • Beckley, WV
National Provider Identifier
1144641200
Registry record updated Dec 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CAPSTONE TREATMENT CENTER
Doing business as
Capstone Treatment Center
Practice address
922B S Eisenhower Dr
Beckley, WV 25801-6324
Phone
(304) 573-4315
NPI assigned
Dec 16, 2013
Last updated
Dec 16, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
BRIDGEVIEW URGENT CARE PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 16, 2013

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

Authorized official

Name
Fred P Tzystuck, M.D.
Title
Owner
Phone
(304) 573-4315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X WV Primary

Addresses

Primary practice location

922B S Eisenhower Dr
Beckley, WV 25801-6324

Mailing address

922B S Eisenhower Dr
Beckley, WV 25801-6324
Phone (304) 573-4315

Other names 1

  • Capstone Treatment Center Doing business as

National Provider Directory

National Provider Directory
Part of
Capstone Treatment Center

Locations

922B S Eisenhower Dr
Beckley, WV 25801
Phone (304) 228-4895

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1387152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387152000000",
    "number": "1144641200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922B S EISENHOWER DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258016324",
            "telephone_number": "304-573-4315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922B S EISENHOWER DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258016324",
            "telephone_number": "304-573-4315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPSTONE TREATMENT CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRIDGEVIEW URGENT CARE PLLC",
        "enumeration_date": "2013-12-16",
        "last_updated": "2013-12-16",
        "status": "A",
        "authorized_official_last_name": "TZYSTUCK",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-573-4315",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capstone Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 16, 2013; 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.