APPLACHAIN PAIN THERAPY INSTITUTE
NPI 1144340787
Pain Medicine - Interventional Pain Medicine in Charleston, WV
- Organization
- Pain Medicine
- Interventional Pain Medicine
About APPLACHAIN PAIN THERAPY INSTITUTE
This page provides the complete NPI Profile along with additional information for Applachain Pain Therapy Institute, a provider established in Charleston, West Virginia operating as a Pain Medicine, focusing in interventional pain medicine . The healthcare provider is registered in the NPI registry with number 1144340787 assigned on March 2007. The practitioner's primary taxonomy code is 208VP0014X with license number 11322 (WV). The provider is registered as an organization and their NPI record was last updated 19 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Josiah Kelley Lilly Md (Owner)
- NPI
- 1144340787 Verify this NPI
- Provider Name
- APPLACHAIN PAIN THERAPY INSTITUTE
- Entity Type
- Organization
- Location Address
- 4407 MACCORKLE AVE SE CHARLESTON, WV 25304
- Location Phone
- (304) 925-2922
- Location Fax
- (304) 926-8009
- Mailing Address
- 4407 MACCORKLE AVE SE CHARLESTON, WV 25304
- Mailing Phone
- (304) 925-2922
- Mailing Fax
- (304) 926-8009
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-29-2007
- Last Update Date
- 10-24-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pain Medicine Interventional Pain Medicine
- Taxonomy Code
- 208VP0014X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 11322
- License State
- WV
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| A71978 | MEDICARE UPIN (02) | WV | |
| 0201994000 | MEDICAID (05) | WV | |
| 9339481 | MEDICARE ID-TYPE UNSPECIFIED (04) | WV |
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Other Providers at the Same Location
The following 10 providers are registered at the same or a nearby location.
CHARLESTON, WV 25304
CHARLESTON, WV 25304
CHARLESTON, WV 25304
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144340787, enumerated as an "organization" on March 29, 2007.
The provider is located at 4407 MACCORKLE AVE SE CHARLESTON, WV 25304 and the phone number is (304) 925-2922.
Pain Medicine with taxonomy code 208VP0014X and a focus in Interventional Pain Medicine.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
