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PEDIATRIX MEDICAL GROUP PC NPI 1992728117


NPI Information

NPI: 1992728117
Provider Name: PEDIATRIX MEDICAL GROUP PC
Classification: Pediatrics - 2080N0001X
Entity Type: Organization

Specialization: Neonatal-Perinatal Medicine

Address:
800 PENNSYLVANIA AVE
CHARLESTON, WV
ZIP 25302
Phone: (304) 388-2252
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PEDIATRIX MEDICAL GROUP PC is a neonatal-perinatal medicine pediatrics in Charleston, WV. The provider is a pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. PEDIATRIX MEDICAL GROUP PC NPI is 1992728117. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

800 PENNSYLVANIA AVE
CHARLESTON, WV
ZIP 25302-351
Phone: (304) 388-2252

The provider's authorized official is Debra Kaspar .
The authorized official title is Assistant Secretary and has the following contact phone number (800) 243-3839.

The enumeration date for this NPI number is 7/26/2006 and was last updated on 7/7/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080N0001XPediatricsNeonatal-Perinatal MedicineYes
22080P0203XPediatricsPediatric Critical Care MedicineNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10007020000MEDICAIDWEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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