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CHESAPEAKE PEDIATRICS INC. NPI 1215157110


NPI Information

NPI: 1215157110
Provider Name: CHESAPEAKE PEDIATRICS INC.
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 51D2151883

Address:
5314 MACCORKLE AVE SE
CHARLESTON, WV
ZIP 25304
Phone: (304) 925-4600
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CHESAPEAKE PEDIATRICS INC. is a pediatrics in Charleston, WV. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. CHESAPEAKE PEDIATRICS INC. NPI is 1215157110. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5314 MACCORKLE AVE SE
CHARLESTON, WV
ZIP 25304
Phone: (304) 925-4600
Fax: (304) 925-4601

The provider's authorized official is Yusr Aboushaar .
The authorized official title is Owner and has the following contact phone number (304) 925-4600.

The CLIA number assigned to this NPI record is 51D2151883 - community clinic with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/26/2007 and was last updated on 5/1/2023.


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
1174400000XSpecialist18109WEST VIRGINIANo
2174400000XSpecialistNo
3208000000XPediatricsYes

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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