JMC LLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

JMC LLC

Practice address

800 Hazlett Ave
Wheeling, WV 26003-6933

Phone

(304) 905-8797

NPI assigned

Apr 12, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Jason Pettress

Title

CCM

Phone

(304) 905-8797

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523491200000",
    "number": "1437656741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 HAZLETT AVE",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036933",
            "telephone_number": "304-905-8797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 HAZLETT AVE",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036933",
            "telephone_number": "304-905-8797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-12",
        "last_updated": "2018-04-12",
        "status": "A",
        "authorized_official_last_name": "PETTRESS",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CCM",
        "authorized_official_telephone_number": "304-905-8797",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; 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.