Organization
PAIN MANAGEMENT CENTER
Active
Organization
PAIN MANAGEMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY R MATHENY (TREASURER)
(304) 422-3904
Entity
Organization
Contact information
Practice address
600 18TH ST, PARKERSBURG, WV 26101-3231
(304) 422-4040
(304) 424-4022
Mailing address
3211 DUDLEY AVE, PARKERSBURG, WV 26104-1813
(304) 422-3904
(304) 422-3924
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007055000
—
WV
05
—
0830220
—
OH
Enumeration date
03/23/2006
Last updated
11/06/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up