Active NPI
WV Spine and Pain Clinic
- Interventional Pain Medicine Physician
- Madison, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 20962
- Legal business name
- WV SPINE AND PAIN CLINIC
- Practice address
- 340 State St
Madison, WV 25130-1365 - Phone
- (304) 561-7879
- Fax
- (304) 307-6619
- NPI assigned
- Apr 10, 2007
- Last updated
- Aug 22, 2020
- 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
- Weixing William Guo, M.D.
- Title
- President
- Phone
- (304) 561-7879
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 | 20962 | WV | Primary |
Addresses
Primary practice location
340 State St
Madison, WV 25130-1365
Mailing address
PO Box 58125
Charleston, WV 25358-0125
Phone (304) 307-6618
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841070000 | Medicaid | WV |
National Provider Directory
National Provider Directory- Tax ID family
- WV Spine and Pain Clinic
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Interventional Pain Medicine Physician
- Cross Lanes, WV
- NPI 1700079704
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Anesthesiology Physician
- Kingwood, TX
- NPI 1982604344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1407079551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 58125",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253580125",
"telephone_number": "304-307-6618",
"fax_number": "304-307-6619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 STATE ST",
"city": "MADISON",
"state": "WV",
"postal_code": "251301365",
"telephone_number": "304-561-7879",
"fax_number": "304-307-6619"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WV SPINE AND PAIN CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GUO",
"authorized_official_first_name": "WEIXING",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "304-561-7879",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "WV",
"license": "20962",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1841070000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Madison, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.