Albert James Paine Jr., MD

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

License

13309 Issued in WV

Practice address

78 Brookshire LN
Beckley, WV 25801-6765

Phone

(304) 255-2341

Fax

(304) 255-2343

NPI assigned

Mar 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: albert.paine@wvafn.hcadirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mountain State ENT & Facial Plastic Surgery, Inc

  • Medical Specialty Clinic/Center
  • Beckley, WV
  • NPI 1982604997
  Medicare reassignment Authorized official
• Mountain State ENT & Facial Plastic Surgery, Inc

  dba Healing Springs Medical Spa

  • Massage Therapist
  • Beckley, WV
  • NPI 1649639048
  NPD Authorized official
• Beckley Surgery Center, Inc

  • Ambulatory Surgical Clinic/Center
  • Beckley, WV
  • NPI 1760473425
  NPD (past)

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1760443162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 BROOKSHIRE LN",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258016765",
            "telephone_number": "304-255-2341",
            "fax_number": "304-255-2343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 BROOKSHIRE LN",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258016765",
            "telephone_number": "304-255-2341",
            "fax_number": "304-255-2343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAINE",
        "first_name": "ALBERT",
        "middle_name": "JAMES",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "WV",
            "license": "13309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mountainstateent@allmedsccd.com",
            "affiliation": "N",
            "address_1": "86 Brookshire Ln",
            "city": "Beckley",
            "state": "WV",
            "country_code": "US",
            "postal_code": "258016765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Burchie Delane Pack
• Christina Pack
• Tresa Sue Pack
• Deborah Page
• Makahla Page
• Debbie Marie Painter
• Emily Painter
• Tonya Marie Palmer, MA CCC SLP
• Kylisha Pankey
• Sharita Pankey

• Facial Plastic Surgery Physician in Beckley, WV
• Providers in Beckley, WV by specialty
• Facial Plastic Surgery Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.