Beckley Physicians Group PLLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

BECKLEY PHYSICIANS GROUP PLLC

Practice address

179 Woodland Drive
Ste 202
Beckley, WV 25801

Phone

(304) 255-1002

Fax

(304) 253-1871

NPI assigned

Dec 1, 2006

Last updated

Aug 22, 2020By 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

Joshy Abraham, MDNPI 1912095274

Title

Partner

Phone

(304) 255-1002

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Locations

Practitioners 2

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.

• Suresh P Thomas, MD

  • Internal Medicine Physician
  • Beckley, WV
  • NPI 1700967122
  Medicare reassignment NPD
• Joshy Abraham, MD

  • Cardiovascular Disease Physician
  • Beckley, WV
  • NPI 1912095274
  Authorized official Same address or phone

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962570556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 WOODLAND DRIVE",
            "address_2": "STE 202",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "25801",
            "telephone_number": "304-255-1002",
            "fax_number": "304-253-1871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 WOODLAND DRIVE",
            "address_2": "STE 202",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "25801",
            "telephone_number": "304-255-1002",
            "fax_number": "304-253-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BECKLEY PHYSICIANS GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "JOSHY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "304-255-1002",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810005023",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beckley Pharmacy
• Beckley Pharmacy (Beckley Pharmacy, DME)
• Beckley Pharmacy Inc. (Beckley Pharmacy)
• Beckley Pharmacy, Inc. (Beckley Pharmacy Infusion Services)
• Beckley Physical Medicine
• Beckley Podiatry Associates Inc
• Beckley SNF LLC (Beckley Rehabilitation and Healthcare Center)
• Beckley Speech Therapy Inc
• Beckley Surgery Center, Inc
• Beckley V AMC

• Cardiovascular Disease Physician in Beckley, WV
• Providers in Beckley, WV by specialty
• Cardiovascular Disease Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.