ROLAND F CHALIFOUX JR (NPI# 1710912498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710912498 |
| Entity Type | Individual |
| Full Name | ROLAND F CHALIFOUX JR |
| Credential | DO |
| Practice Address |
1001 W Baltimore St Mcmechen WV 26040-1503 |
| Practice Telephone | 3042424004 |
| Practice Fax Number | 3042428004 |
| Mailing Telephone | 3042424004 |
| Mailing Fax Number | 3042428004 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2014-12-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
2077 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2625001 | 05 | |
| WV | 3810004422 | 05 |
| Street Address |
1001 W BALTIMORE ST |
| City | MCMECHEN |
| State | WV |
| Zip Code | 26040-1503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962706705 | Derek Lewis Kocher | Physical Therapist | 1001 W Baltimore St, Mcmechen, WV 26040-1503 | 2011-01-10 |
| 1427241538 | Roland Chalifoux Jr Do Pllc | Neurological Surgery | 1001 W Baltimore St, Mcmechen, WV 26040-1503 | 2007-08-22 |
| 1598786592 | Roland F Chalifoux Jr Do Pllc | Neurological Surgery | 1001 W Baltimore St, Mcmechen, WV 26040-1503 | 2006-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780680918 | Mcmechen Volunteer Fire Dept., Inc | Ambulance | 811 Marshall Street, Mcmechen, WV 26040 | 2005-06-22 |
| 1043810641 | Monica Robinson | Technician | 28 7th St, Mcmechen, WV 26040-1009 | 2020-11-01 |
| 1508942491 | Robert C. Bennett | Dentist | 506 Marshall St, Mcmechen, WV 26040-1041 | 2006-10-31 |
| 1154832608 | Lisa Ann Minor | Technician | 1411 Marshall St, Mcmechen, WV 26040-1146 | 2017-10-23 |
| 1134653975 | Daniel Barker | Specialist/Technologist | 1014 Garfield St, Mcmechen, WV 26040-1304 | 2017-04-19 |
| 1780707828 | Northwood Health Systems Inc | Intermediate Care Facility, Mentally Retarded | 17 12th St, Mcmechen, WV 26040-1332 | 2007-04-06 |
| 1316405640 | Elizur Corporation | Prosthetic/Orthotic Supplier | 1001 W Baltimore St Ste 3, Mcmechen, WV 26040-1503 | 2019-03-05 |
| 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 |
| 1992927362 | Ohio Valley Pain Management Clinic, Inc, PC | Pain Medicine | 2000 Eoff Street, Suite 506, Wheeling, WV 26003 | 2007-05-03 |
| 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 |
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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.