Individual provider Active NPI

Steven F Nelson, PA C

  • Medical Physician Assistant
  • Huntington, WV
National Provider Identifier
1336174697
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
00575 Issued in WV
Practice address
2900 First Ave First Floor
The Center for Pain Relief Tri State PLLC
Huntington, WV 25702
Phone
(304) 526-8384
Fax
(304) 526-1951
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 00575 WV Primary

Addresses

Primary practice location

2900 First Ave First Floor
The Center for Pain Relief Tri State PLLC
Huntington, WV 25702

Mailing address

2900 First Avenue
Room 1022
Huntington, WV 25701-1241
Phone (304) 526-8958

Other identifiers 2

IdentifierTypeStateIssuer
203735494OtherWVTAX ID#
61007300OtherWVAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
575WVMDClinical Psychologist
00575WVMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Pain Relief Tri State PLLC Medical Past Accepting new patients
Emergency Medicine Physicians of Kanawha County, PLLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221091200000",
    "number": "1336174697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 FIRST AVENUE",
            "address_2": "ROOM 1022",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257011241",
            "telephone_number": "304-526-8958",
            "fax_number": "304-399-7579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 FIRST AVE FIRST FLOOR",
            "address_2": "THE CENTER FOR PAIN RELIEF TRI STATE PLLC",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "25702",
            "telephone_number": "304-526-8384",
            "fax_number": "304-526-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "STEVEN",
        "middle_name": "F",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2008-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WV",
            "license": "00575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID#",
            "identifier": "203735494",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "61007300",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; 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.