Provider Demographics
NPI:1245284421
Name:BESTPRACTICES OF WEST VIRGINIA, INC.
Entity type:Organization
Organization Name:BESTPRACTICES OF WEST VIRGINIA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNR
Authorized Official - Prefix:
Authorized Official - First Name:THOM
Authorized Official - Middle Name:
Authorized Official - Last Name:MAYER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-776-2690
Mailing Address - Street 1:PO BOX 75113
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21275-5113
Mailing Address - Country:US
Mailing Address - Phone:703-205-9790
Mailing Address - Fax:904-346-0113
Practice Address - Street 1:800 GARFIELD AVE
Practice Address - Street 2:EMERGENCY DEPARTMENT
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26101-5340
Practice Address - Country:US
Practice Address - Phone:304-424-2111
Practice Address - Fax:904-346-0113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVDC9515OtherRR MCR
WV1066539OtherWORKERS COMP
WV3810001581Medicaid
WVBE9350751Medicare ID - Type UnspecifiedMEDICARE