NPIMap

Organization Active NPI

Ohio Valley Pain Management Clinic, Inc, PC

  • Interventional Pain Medicine Physician
  • Wheeling, WV
National Provider Identifier
1992927362
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
OHIO VALLEY PAIN MANAGEMENT CLINIC, INC, PC
Practice address
2000 Eoff Street
Suite 506
Wheeling, WV 26003
Phone
(304) 234-8161
Fax
(304) 234-8171
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

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

Authorized official

Name
Dr. Samy F Sakla, M.D.
Title
President
Phone
(304) 234-8161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

2000 Eoff Street
Suite 506
Wheeling, WV 26003

Mailing address

2000 Eoff Street
Suite 506
Wheeling, WV 26003
Phone (304) 234-8161

Other identifiers 1

IdentifierTypeStateIssuer
3810010440MedicaidWV

National Provider Directory

National Provider Directory

Locations

2000 Eoff St
Ste 506
Wheeling, WV 26003
Phone (304) 234-8161

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1992927362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 EOFF STREET",
            "address_2": "SUITE 506",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "26003",
            "telephone_number": "304-234-8161",
            "fax_number": "304-234-8171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 EOFF STREET",
            "address_2": "SUITE 506",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "26003",
            "telephone_number": "304-234-8161",
            "fax_number": "304-234-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO VALLEY PAIN MANAGEMENT CLINIC, INC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "SAKLA",
        "authorized_official_first_name": "SAMY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-234-8161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810010440",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.