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BECKLEY PAIN CLINIC LLC
NPI 1114236247
Specialist in Beckley, WV

Active since October 07, 2010
1902 HARPER RD, SUITE D, BECKLEY, WV 25801(304) 894-8817 Get Directions Write a Review

NPPES record last updated: February 21, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Beckley Pain Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BECKLEY PAIN CLINIC LLC (NPI 1114236247) is a healthcare organization registered as a specialist in Beckley, West Virginia and active in the NPI registry since October 2010. The organization lists Prakash Puranik, President, as its authorized official.

NPPES Registry Identity

NPI1114236247
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameBECKLEY PAIN CLINIC LLC
Location Address1902 HARPER RD, SUITE DBeckley, WV 25801-2642
Mailing Address1902 Harper Rd, Suite DBeckley, WV 25801-2642 · (304) 894-8817 · Fax (304) 894-8924
Phone(304) 894-8817
Organization SubpartNo
Authorized OfficialPrakash PuranikPresident · (304) 237-2063
Enumeration DateOctober 7, 2010
Last NPPES UpdateFebruary 21, 2012
✔ NPI 1114236247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1902 HARPER RD, Beckley, WV 25801
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Other Identifiers 1

Medicare PIN9393411WV

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BECKLEY PAIN CLINIC
Clinic/Center (Pain)
1902 HARPER RD
BECKLEY, WV 25801
Raleigh County (304) 894-8817
ANGELINE FAITH POORE
Behavior Technician
1902 HARPER RD
BECKLEY, WV 25801
Raleigh County (304) 720-3383
MR. SHAWN ALEXANDER TONEY PA-C
Physician Assistant
1902 HARPER RD, SUITE C
BECKLEY, WV 25801
Raleigh County (304) 252-2100
JONATHAN COLEMAN
Behavior Technician
1902 HARPER RD
BECKLEY, WV 25801
Raleigh County (304) 254-9711

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beckley Pain Clinic LLC's NPI number?

The NPI number for Beckley Pain Clinic LLC is 1114236247. It was assigned to this organization in the NPPES registry on October 7, 2010.

Where is Beckley Pain Clinic LLC located?

Beckley Pain Clinic LLC is located at 1902 Harper Rd Suite D, Beckley, WV 25801. The listed phone number is (304) 894-8817.

What is Beckley Pain Clinic LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Beckley Pain Clinic LLC was last updated on February 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.