WV Spine and Pain Clinic

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

20962 Issued in WV

Legal business name

WV SPINE AND PAIN CLINIC

Practice address

314 Goff Mountain Rd
Suite 16
Cross Lanes, WV 25313-6602

Phone

(304) 561-7879

Fax

(304) 307-6619

NPI assigned

Aug 22, 2007

Last updated

Aug 22, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Weixing William Guo, M.D.NPI 1982604344

Title

President

Phone

(304) 561-7879

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

WV Spine and Pain Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• WV Spine and Pain Clinic

  • Interventional Pain Medicine Physician
  • Madison, WV
  • NPI 1407079551
  NPD tax ID

Locations

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.

• Weixing William Guo, M.D.

  • Anesthesiology Physician
  • Kingwood, TX
  • NPI 1982604344
  NPD (past) Authorized official

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187740800000",
    "number": "1700079704",
    "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": "304-561-7879",
            "fax_number": "304-307-6619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 GOFF MOUNTAIN RD",
            "address_2": "SUITE 16",
            "city": "CROSS LANES",
            "state": "WV",
            "postal_code": "253136602",
            "telephone_number": "304-561-7879",
            "fax_number": "304-307-6619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WV SPINE AND PAIN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2007-08-22",
        "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_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "WV",
            "license": "20962",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "WV",
            "license": "20962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810000903",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tara Woods
• Linda O Workman, M.A.
• Linda Sue Workman
• Richard L Workman, M.A.
• WV Primary Care Inc
• Harrison Yoo
• Infinite Young
• Timothy Young

• Interventional Pain Medicine Physician in Cross Lanes, WV
• Providers in Cross Lanes, WV by specialty
• Interventional Pain Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; 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.