NPIMap

Organization Active NPI

Ge Bariatric & Anti-Aging Solutions, LLC

Doing business as InShapeWV

  • Clinic/Center
  • Beckley, WV
National Provider Identifier
1679917553
Registry record updated May 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
50904 Issued in WV
Legal business name
GE BARIATRIC & ANTI-AGING SOLUTIONS, LLC
Doing business as
InShapeWV
Practice address
956 N Eisenhower Dr
Beckley, WV 25801-3114
Phone
(681) 238-5258
Fax
(681) 238-5700
NPI assigned
Apr 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2019

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

Authorized official

Name
Mr. James R Ellis, ANP-BC
Title
Nurse Practitioner/Owner
Phone
(681) 238-5258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 50904 WV Primary

Addresses

Primary practice location

956 N Eisenhower Dr
Beckley, WV 25801-3114

Mailing address

956 N Eisenhower Dr
Beckley, WV 25801-3114
Phone (681) 238-5258

Other identifiers 4

IdentifierTypeStateIssuer
1336604750OtherNPI-DANA FROBLE
1346599313OtherNPI-PAULA BRAMMER
1679917553OtherNPI-MERCEDES WEIKLE
1447237458OtherNPI-DR. ROGER EDWARDS

Other names 1

  • InShapeWV Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
51D2047634Inshapewv, LLC Dba Inshapewv, LLC956 North Eisenhower Drive, Beckley, WV 25801Certificate of waiverSep 27, 2026

National Provider Directory

National Provider Directory

Locations

956 N Eisenhower Dr
Beckley, WV 25801
Phone (681) 238-5258

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557878400000",
    "number": "1679917553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "956 N EISENHOWER DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013114",
            "telephone_number": "681-238-5258",
            "fax_number": "681-238-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "956 N EISENHOWER DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013114",
            "telephone_number": "681-238-5258",
            "fax_number": "681-238-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GE BARIATRIC & ANTI-AGING SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-23",
        "last_updated": "2019-05-15",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "681-238-5258",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ANP-BC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WV",
            "license": "50904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI-DANA FROBLE",
            "identifier": "1336604750",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI-PAULA BRAMMER",
            "identifier": "1346599313",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI-MERCEDES WEIKLE",
            "identifier": "1679917553",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI-DR. ROGER EDWARDS",
            "identifier": "1447237458",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "InShapeWV",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "InShapeWV",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.