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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us