NPIMap

Organization Active NPI

Know Pain Clinic, Inc

  • Pain Medicine (Anesthesiology) Physician
  • Beckley, WV
National Provider Identifier
1669438081
Registry record updated Sep 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
KNOW PAIN CLINIC, INC
Practice address
1902 Harper Rd Ste C
Beckley, WV 25801-2642
Phone
(304) 252-2100
Fax
(304) 252-8200
NPI assigned
Apr 25, 2006
Last updated
Sep 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2009

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

Authorized official

Name
Cecil Graham, MDNPI 1578558920
Title
President
Phone
(304) 252-2100

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)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X Primary

Addresses

Primary practice location

1902 Harper Rd Ste C
Beckley, WV 25801-2642

Mailing address

PO Box 890471
Charlotte, NC 28289-0471
Phone (800) 277-8151

Other identifiers 3

IdentifierTypeStateIssuer
001710419OtherWVMOUNTAIN STATE BCBS
151556400OtherUS DEPT OF LABOR
0008261000MedicaidWV

National Provider Directory

National Provider Directory

Locations

1902 Harper Rd
Ste C
Beckley, WV 25801
Phone (304) 252-2100

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253145600000",
    "number": "1669438081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 890471",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282890471",
            "telephone_number": "800-277-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 HARPER RD STE C",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012642",
            "telephone_number": "304-252-2100",
            "fax_number": "304-252-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOW PAIN CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-25",
        "last_updated": "2009-09-17",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "CECIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-252-2100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOUNTAIN STATE BCBS",
            "identifier": "001710419",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "151556400",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008261000",
            "state": "WV"
        }
    ],
    "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 Sep 17, 2009; 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.