Organization Active NPI

Beckley Physical Medicine

  • General Practice Physician
  • Beckley, WV
National Provider Identifier
1629481098
Registry record updated Jun 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
BECKLEY PHYSICAL MEDICINE
Practice address
9 Yellow Wood Way
Beckley, WV 25801-7126
Phone
(304) 250-6047
Fax
(304) 250-6048
NPI assigned
Jun 3, 2014
Last updated
Jun 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2014

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

Authorized official

Name
Steve Nathanson, MD
Title
Medical Director
Phone
(304) 250-6047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

9 Yellow Wood Way
Beckley, WV 25801-7126

Mailing address

9 Yellow Wood Way
Beckley, WV 25801-7126
Phone (304) 250-6047

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401753600000",
    "number": "1629481098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 YELLOW WOOD WAY",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258017126",
            "telephone_number": "304-250-6047",
            "fax_number": "304-250-6048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 YELLOW WOOD WAY",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258017126",
            "telephone_number": "304-250-6047",
            "fax_number": "304-250-6048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BECKLEY PHYSICAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-03",
        "last_updated": "2014-06-03",
        "status": "A",
        "authorized_official_last_name": "NATHANSON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "304-250-6047",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 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.