BECKLEY SURGERY CENTER, INC (NPI# 1760473425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760473425 |
| Entity Type | Organization |
| Organization Name | BECKLEY SURGERY CENTER, INC |
| Practice Address |
84 Brookshire Ln Beckley WV 25801-6765 |
| Practice Telephone | 3042552724 |
| Practice Fax Number | 3042553691 |
| Mailing Telephone | 3042552724 |
| Mailing Fax Number | 3042553691 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2015-07-23 |
| Authorized Official Name | MR. ALBERT J PAINE JR. (PRESIDENT) |
| Authorized Official Telephone | 3042552724 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
1351 | WV | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | RAILROAD MEDICARE NUMBER | 490004321 | 01 |
| WV | WORKERS COMP PROV # | 1047629 | 01 |
| WV | 5080008000 | 05 | |
| WV | BCBS PAY TO ID | 000394182 | 01 |
| Street Address |
84 BROOKSHIRE LN |
| City | BECKLEY |
| State | WV |
| Zip Code | 25801-6765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679771786 | Beth Ann Hill | Specialist/Technologist | 84 Brookshire Ln, Beckley, WV 25801-6765 | 2007-07-10 |
| 1912968744 | David Allen Blaine | Otolaryngology | 84 Brookshire Ln, Beckley, WV 25801-6765 | 2006-03-31 |
| 1225099633 | Lauren Ashley Dillon | Physician Assistant | 84 Brookshire Ln, Beckley, WV 25801-6765 | 2006-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144835190 | Misty Dawn Chambers | Psychologist | 154 Lagoon Way, Beckley, USA 25801 | 2020-09-15 |
| 1912511437 | Katherine Lynne Mcghee | Technician | 120 Schlager Dr., Beckley, WV 25801 | 2020-09-02 |
| 1255942421 | Tyesha Burger | Technician | 442 Industrial Dr, Beckley, WV 25801 | 2020-08-12 |
| 1053920553 | Angela Sanches | Case Manager/Care Coordinator | 134 Gooseberry Ln, Beckley, WV 25801 | 2020-07-30 |
| 1871119933 | Tiffani Michelle Dale | Counselor | 111 Coral Court, Apt 5, Beckley, WV 25801 | 2020-06-24 |
| 1679046049 | Liberty Dental Centers | Dentist | 102 Galleria Plaza, Beckley, WV 25801 | 2019-01-08 |
| 1952884942 | Susan Rae Rash | Nurse Practitioner | 250 Stanaford Rd Ste 203, Beckley, WV 25801 | 2018-09-14 |
| 1689169039 | Megan Rae Walker | Dentist | 3153 Robert C. Byrd Drive, Beckley, WV 25801 | 2018-06-28 |
| 1104318625 | Mountain State Vascular, Inc. | Surgery | 121 George Street, Beckley, WV 25801 | 2018-05-31 |
| 1356841100 | Harper Road Treatment Center LLC | Family Medicine | 1802 Harper Rd Ste 202, Beckley, WV 25801 | 2018-02-19 |
| Find all providers in zip 25801 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295853885 | Day Surgery Limited Liability | Clinic/Center | 2335 Chesterfield Avenue, Suite 400, Charleston, WV 25304 | 2007-03-26 |
| 1205998648 | Regional Eye Associates, Inc | Clinic/Center | 1299 Pineview Dr, Morgantown, WV 26505 | 2006-12-14 |
| 1124099635 | Huntington Surgery Center Limited Partnership | Clinic/Center | 1201 Hal Greer Blvd, Huntington, WV 25701-3801 | 2006-02-01 |
| 1831545904 | Mgh Surgery LLC | Clinic/Center | 2000 Mon Health Medical Park Drive, Suite 2200, Morgantown, WV 26505-3494 | 2016-05-09 |
| 1023449055 | Chh Center for Surgical Weight Control | Clinic/Center | 1115 20th St Ste 101, Huntington, WV 25703-2071 | 2013-12-02 |
| 1174713382 | Greenbrier Clinic Surgery Center | Clinic/Center | 320 W Main St, White Sulphur Springs, WV 24986-2414 | 2007-07-25 |
| 1962605451 | Ultimate Health Services, Inc. | Clinic/Center | 5170 Us Rt 60 East, Huntington, WV 25705-0000 | 2007-06-11 |
| 1235288101 | West Virginia University Hospitals, Inc | Clinic/Center | 1 Medical Center Drive, Morgantown, WV 26506 | 2007-01-09 |
| 1316025760 | Tri-state Surgical Center, LLC | Clinic/Center | 1006 Tavern Rd, Martinsburg, WV 25401-2864 | 2006-11-02 |
| 1730296997 | Day Surgery Limited Liability | Clinic/Center | 2335 Chesterfield Ave, Suite 400, Charleston, WV 25304-1066 | 2006-08-24 |
| Find all providers with the same taxonomy | ||||
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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.