INSHAPEWV
NPI 1679917553
Clinic/Center in Beckley, WV

NPI Status: Active since April 23, 2013

Contact Information

956 N EISENHOWER DR
BECKLEY, WV
ZIP 25801
Phone: (681) 238-5258
Fax: (681) 238-5700

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  • Organization
  • Clinic/Center
  • CLIA Number: 51D2047634
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-27-2026

About INSHAPEWV

This page provides the complete NPI Profile along with additional information for Inshapewv, a provider established in Beckley, West Virginia operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1679917553 assigned on April 2013. The practitioner's primary taxonomy code is 261Q00000X with license number 50904 (WV). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Inshapewv. The authorized official of this NPI record is Mr. James R Ellis Anp-bc (Nurse Practitioner/owner)

NPI
1679917553
Provider Legal Name
GE BARIATRIC & ANTI-AGING SOLUTIONS, LLC
Other Organization Name
INSHAPEWV
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
956 N EISENHOWER DR BECKLEY, WV 25801
Location Phone
(681) 238-5258
Location Fax
(681) 238-5700
Mailing Address
956 N EISENHOWER DR BECKLEY, WV 25801
Mailing Phone
(681) 238-5258
Mailing Fax
(681) 238-5700
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-23-2013
Last Update Date
05-15-2019
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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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
50904
License State
WV
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JAMES R ELLIS ANP-BC

Authorized Official Title
NURSE PRACTITIONER/OWNER
Authorized Official Phone
(681) 238-5258

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
1336604750OTHER (01)NPI-DANA FROBLE
1679917553OTHER (01)NPI-MERCEDES WEIKLE
1447237458OTHER (01)NPI-DR. ROGER EDWARDS
1346599313OTHER (01)NPI-PAULA BRAMMER

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
51D2047634
Facility Type
Physician Office
Certificate Effective Date
September 28, 2024
Certificate Expiration Date
September 27, 2026
Laboratory Director
JAMES ELLIS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Inshapewv to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1679917553
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2614918114510
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 4 + 9 + 1 + 8 + 1 + 1 + 4 + 5 + 1 + 0 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1679917553 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1821341132 ASHLEY D JARRELL FNP-BC
Individual
Nurse Practitioner956 N EISENHOWER DR
BECKLEY, WV 25801
(681) 238-5258
1336604750 DANA SHAE FROBLE FNP-BC
Individual
Nurse Practitioner (Family)956 N EISENHOWER DR
BECKLEY, WV 25801
(681) 238-5258
1447237458DR. ROGER EDWARDS DO
Individual
Emergency Medicine956 N EISENHOWER DR
BECKLEY, WV 25801
(681) 238-5258
1598409666 KRISTEN DANA CALES FNP-C
Individual
Nurse Practitioner (Family)956 N EISENHOWER DR
BECKLEY, WV 25801
(681) 238-5258

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679917553, enumerated in the NPI registry as an "organization" on April 23, 2013

The provider is located at 956 N Eisenhower Dr Beckley, Wv 25801 and the phone number is (681) 238-5258

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 51D2047634 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on April 23, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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