MID-ATLANTIC PAIN SPECIALISTS LLC (NPI# 1154832392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154832392 |
| Entity Type | Organization |
| Organization Name | MID-ATLANTIC PAIN SPECIALISTS LLC |
| Other Organization Name | MID-ATLANTIC INTERVENTIONAL PAIN SPECIALIST |
| Practice Address |
200 Orthopedic Way Morgantown WV 26505-1240 |
| Mailing Address |
100 Peyton Way Ste 200 Charleston WV 25309-8545 |
| Practice Telephone | 6812145399 |
| Practice Fax Number | 3042415167 |
| Mailing Telephone | 9046386147 |
| Mailing Fax Number | 9046386147 |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2019-01-30 |
| Authorized Official Name | RICHARD G BOWMAN II (MANAGING MEMBER) |
| Authorized Official Telephone | 6812145399 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Mid-Atlantic Interventional Pain Specialist | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417301698 | Mid-atlantic Pain Specialists LLC | Specialist | 333 N Oxford Valley Rd, Suite 104, Fairless Hills, PA 19030-2624 | 2016-04-14 |
| 1023415023 | Mid-atlantic Pain Specialists LLC | Pain Medicine | 390 N Broadway, Suite 500, Pennsville, NJ 08070-1253 | 2014-11-20 |
| Street Address |
200 ORTHOPEDIC WAY |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26505-1240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659378081 | Chris Vasilakis | Orthopaedic Surgery | 200 Orthopedic Way, Morgantown, WV 26505-1240 | 2005-06-30 |
| 1336408590 | Matthew J. Schessler | Orthopaedic Surgery | 200 Orthopedic Way, Morgantown, WV 26505-1240 | 2012-05-09 |
| 1942509518 | Jacob M Conjeski | Orthopaedic Surgery | 200 Orthopedic Way, Morgantown, WV 26505-1240 | 2011-03-22 |
| 1386899664 | Chad Joseph Micucci | Orthopaedic Surgery | 200 Orthopedic Way, Morgantown, WV 26505-1240 | 2008-11-30 |
| 1801816574 | Tonya K Miller | Nurse Practitioner | 200 Orthopedic Way, Morgantown, WV 26505-1240 | 2006-07-19 |
| 1700810603 | Richard G Bowman II | Physical Medicine & Rehabilitation | 200 Orthopedic Way, Morgantown, WV 26505-1240 | 2006-07-10 |
| 1053388926 | Nick L Zervos | Orthopaedic Surgery | 200 Orthopedic Way, Morgantown, WV 26505-1240 | 2006-03-01 |
| 1053387076 | David Allen Stoll | Orthopaedic Surgery | 200 Orthopedic Way, Morgantown, WV 26505-1240 | 2006-02-28 |
| 1861468704 | Lloyd A Kurth | Orthopaedic Surgery | 200 Orthopedic Way, Morgantown, WV 26505-1240 | 2006-02-28 |
| 1467428342 | Larry Jack Stemple | Orthopaedic Surgery | 200 Orthopedic Way, Morgantown, WV 26505-1240 | 2006-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535208 | Robert Howard Taylor | Pharmacist | 1608 Earl Core Rd, Morgantown, WV 26505 | 2020-10-13 |
| 1194366757 | Grace Catherine Clonch | Student in an Organized Health Care Education/Training Program | 3450 Monogahela Blvd, Morgantown, WV 26505 | 2019-10-04 |
| 1538629852 | Alexander Gross | Student in an Organized Health Care Education/Training Program | : 64 Medical Center Drive, Room 4601, Morgantown, WV 26505 | 2019-03-22 |
| 1194284018 | Ana Isabel Gomez Velazquez | Student in an Organized Health Care Education/Training Program | 64 Medical Center Dr., Room 4601, Morgantown, WV 26505 | 2019-03-19 |
| 1922584242 | Lisa Kate Hostutler | Pharmacist | 1851 Earl L. Core Rd, Morgantown, WV 26505 | 2018-07-19 |
| 1760983779 | Ashley Garner | Social Worker | 3602 Collins Ferry Road, Morgantown, WV 26505 | 2018-02-24 |
| 1861992174 | Usa Vein Clinics of West Virginia Pllc | Surgery | 1010 Suncrest Towne Centre, Morgantown, WV 26505 | 2018-02-14 |
| 1396272092 | Essential Foundations, Pllc | Community/Behavioral Health | 1287 Suncrest Towne Centre, Morgantown, WV 26505 | 2017-05-12 |
| 1689111452 | Good Heart Therapy Services, Pllc | Public Health or Welfare | 235 Hgh Street, Suite 311, Morgantown, WV 26505 | 2017-01-31 |
| 1982141776 | Heidi Otoole | Counselor | 235 High Street, Suite 720, Morgantown, WV 26505 | 2017-01-31 |
| Find all providers in zip 26505 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942680194 | Interventional Pain Institute | Pain Medicine | 1288 Suncrest Town Centre Dr, Morgantown, WV 26505-1828 | 2015-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992927362 | Ohio Valley Pain Management Clinic, Inc, PC | Pain Medicine | 2000 Eoff Street, Suite 506, Wheeling, WV 26003 | 2007-05-03 |
| 1710912498 | Roland F Chalifoux Jr | Pain Medicine | 1001 W Baltimore St, Mcmechen, WV 26040-1503 | 2006-07-11 |
| 1467417469 | George K Van Osten | Pain Medicine | 1741 Williamsport Pike, Martinsburg, WV 25404-4341 | 2006-04-20 |
| 1326023888 | Stephanie Hanh Le | Pain Medicine | 249 Three Springs Dr, Weirton, WV 26062 | 2005-12-07 |
| 1508487083 | Center for Pain Management, LLC | Pain Medicine | 1741 Williamsport Pike, Martinsburg, WV 25404-4341 | 2020-05-06 |
| 1124406350 | West Virginia Pain Institute Inc | Pain Medicine | 1717 Harper Rd, Second Floor, Suite D, Beckley, WV 25801-3373 | 2015-05-07 |
| 1831529379 | Three Rivers Spine & Pain Medicine | Pain Medicine | 249 Three Springs Dr, Weirton, WV 26062-3814 | 2013-11-20 |
| 1376885095 | Advanced Pain Relief Centers Inc | Pain Medicine | 1008 Tavern Rd, Ste 301, Martinsburg, WV 25401 | 2013-03-20 |
| 1659644805 | Advanced Pain Relief Centers Inc | Pain Medicine | 1008 Tavern Rd, Ste 301, Martinsburg, WV 25401-2801 | 2012-02-20 |
| 1902108863 | Raleigh General Hospital LLC | Pain Medicine | 1717 Harper Rd, Second Floor, Suite D, Beckley, WV 25801-3373 | 2010-11-29 |
| Find all providers with the same taxonomy | ||||
| City | MORGANTOWN |
| Zip Code | 26505 |
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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.