The Center for Pain Relief Tri State PLLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

18714 Issued in WV

Legal business name

THE CENTER FOR PAIN RELIEF TRI STATE PLLC

Practice address

100 Peyton Way Ste 200
Cprts Administrative Office
Charleston, WV 25309-8545

Phone

(904) 436-0153

Fax

(904) 494-6467

NPI assigned

Jul 18, 2006

Organization subpart

No

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

Authorized official

Name

David L. Caraway, M.D.

Title

Managing Member

Phone

(304) 881-2102

Specialties & licenses 8

Addresses

Locations

Practitioners 11

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

• Kathy F Clagg, RN

  • Pain Management Registered Nurse
  • Huntington, WV
  • NPI 1952331183
  NPD (past)
• Ashley Jo Clay, PA-C

  • Medical Physician Assistant
  • Huntington, WV
  • NPI 1033499322
  NPD (past)
• Kenneth J Devlin, M.A.

  • Psychologist
  • Ona, WV
  • NPI 1689751059
  NPD (past)
• Steven F Nelson, PA C

  • Medical Physician Assistant
  • Huntington, WV
  • NPI 1336174697
  NPD (past)
• Jessica Erin Rulen-Riddle, PA-C

  • Medical Physician Assistant
  • Huntington, WV
  • NPI 1881791242
  NPD (past)
• Debra Stultz, M.D.

  • Psychiatry Physician
  • Barboursville, WV
  • NPI 1346249836
  NPD (past)
• Tammy Lynn Dann, D.O.

  • Pain Medicine (Anesthesiology) Physician
  • Dayton, OH
  • NPI 1932361573
  NPD (past)
• Andrea Lynne George, FNP

  • Family Nurse Practitioner
  • New York, NY
  • NPI 1235242967

  Pain Management

  NPD (past)
• Jeffrey L Jones, PA-C

  • Physician Assistant
  • Portsmouth, OH
  • NPI 1356502785
  NPD (past)
• Tamela R. King, C-FNP

  • Nurse Practitioner
  • Proctorville, OH
  • NPI 1265439384
  NPD (past)
• Marcella S McGuffin, PA-C

  • Medical Physician Assistant
  • Ashland, KY
  • NPI 1891747432
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417564800000",
    "number": "1386662013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PEYTON WAY STE 200",
            "address_2": "THE CENTER FOR PAIN RELIEF TRI STATE PLLC",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253098545",
            "telephone_number": "904-436-0153",
            "fax_number": "904-494-6467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PEYTON WAY STE 200",
            "address_2": "CPRTS ADMINISTRATIVE OFFICE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253098545",
            "telephone_number": "904-436-0153",
            "fax_number": "904-494-6467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR PAIN RELIEF TRI STATE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2014-12-03",
        "status": "A",
        "authorized_official_last_name": "CARAWAY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "304-881-2102",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "163WP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Pain Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WX0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "WV",
            "license": "18714",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leshia Dawn Thaxton
• Rebecca Thaxton, M.D.
• William James Thaxton
• Michelle Beth Thayer, PRSS
• The Arc of the Three Rivers, Inc.
• The Children'S Home Society of West Virginia, Inc.
• The Developmental Advantage, LLC
• The Healing House, Inc
• The Healing House, Inc.
• The Massage and Reiki Center LLC

• 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 Dec 3, 2014; 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.