PAIN CENTER OF VIRGINIA, PLLC (NPI# 1144756768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144756768 |
| Entity Type | Organization |
| Organization Name | PAIN CENTER OF VIRGINIA, PLLC |
| Other Organization Name | PAIN CENTER OF WEST VIRGINIA |
| Practice Address |
1000 Tavern Rd Suite 300 Martinsburg WV 25401-2845 |
| Practice Telephone | 3042636165 |
| Mailing Telephone | 3042636165 |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2017-05-02 |
| Authorized Official Name | MS. TINA RIVENBARK (ADMINISTRATOR) |
| Authorized Official Telephone | 3042636165 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
25285 | WV | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Pain Center of West Virginia | Other Name - Individual/Organization |
| Street Address |
1000 TAVERN RD SUITE 300 |
| City | MARTINSBURG |
| State | WV |
| Zip Code | 25401-2845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811956311 | Suresh K Menon | Dermatology | 1000 Tavern Rd, Suite 400, Martinsburg, WV 25401-2845 | 2006-03-22 |
| 1366862617 | Gail Hedges | Nurse Practitioner | 1000 Tavern Rd, Suite 100, Martinsburg, WV 25401-2864 | 2014-04-24 |
| 1376700047 | Tammy Grove Hamilton, LLC | Nurse Practitioner | 1000 Tavern Rd, Suite 100, Martinsburg, WV 25401-2864 | 2008-05-20 |
| 1801975248 | Tammy Grove Hamilton | Nurse Practitioner | 1000 Tavern Rd, Suite 100, Martinsburg, WV 25401-2864 | 2006-11-05 |
| 1184664831 | Julia Patricia Pickard | Family Medicine | 1000 Tavern Rd, Suite 100, Martinsburg, WV 25401-2864 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020537 | Christina Anne Williams | Nurse Practitioner | 2100 Hospital Drive, Martinsburg, WV 25401 | 2020-07-10 |
| 1013530633 | Pdi Health Wv LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 126 E. Burke Street, Martinsburg, WV 25401 | 2020-05-19 |
| 1699293035 | Tiffany Curry | Social Worker | 653 Winchester Avenue, Martinsburg, WV 25401 | 2017-09-06 |
| 1972042992 | Berkeley County Council | Counselor | 800 Emmett Rousch Drive, Martinsburg, WV 25401 | 2017-02-23 |
| 1023569449 | Heidi Crawford | Registered Nurse | 401 South College Street, Berkeley County Board of Ed, Martinsburg, WV 25401 | 2016-10-20 |
| 1578911293 | Christina Marie Van Hilst | Nurse Practitioner | 1001 Sushruta Dr, Martinsburg, WV 25401 | 2016-06-03 |
| 1578926549 | Barathy Radhakrishnan | Speech-Language Pathologist | 401 Queen Street, Berkeley County Board of Education, Martinsburg, WV 25401 | 2016-03-29 |
| 1972985638 | Wellco Dme LLC | Durable Medical Equipment & Medical Supplies | 107 Tavern Rd, Martinsburg, WV 25401 | 2015-06-18 |
| 1457731960 | Patrick Hamilton Noland | Dentist | 1003 Sushruta Dr., Martinsburg, WV 25401 | 2015-06-01 |
| 1801296330 | Terry Harden | Massage Therapist | 601 South Raliegh St., Martinsburg, WV 25401 | 2014-09-03 |
| Find all providers in zip 25401 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205224300 | Physical Medicine Associates, Ltd | Physical Medicine & Rehabilitation | 1741 Williamsport Pike, Martinsburg, WV 25404-4341 | 2014-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366427445 | Physical Medicine & Rehabilitation Associates Inc. | Physical Medicine & Rehabilitation | 400 Court Street, Suite 203, Charleston, WV 25301-1654 | 2005-12-12 |
| 1154832392 | Mid-atlantic Pain Specialists LLC | Physical Medicine & Rehabilitation | 200 Orthopedic Way, Morgantown, WV 26505-1240 | 2017-10-16 |
| 1114151347 | Rudy Mathew Malayil | Physical Medicine & Rehabilitation | 2900 1st Ave, Opc Suite 210, Huntington, WV 25702-1454 | 2009-05-01 |
| 1568513935 | Jimmy Wayne Adams | Physical Medicine & Rehabilitation | 6007 Us Route 60 E, Suite 304, Barboursville, WV 25504-1042 | 2007-01-14 |
| 1326128083 | Jimmy Wayne Adams | Physical Medicine & Rehabilitation | 6007 Us Route 60 E, Suite 304, Barboursville, WV 25504-1042 | 2006-10-17 |
| 1700810603 | Richard G Bowman II | Physical Medicine & Rehabilitation | 200 Orthopedic Way, Morgantown, WV 26505-1240 | 2006-07-10 |
| City | MARTINSBURG |
| Zip Code | 25401 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.