MOUNTAINEER PEDIATRICS NPI 1245819390

NPI Information

  • NPI: 1245819390
  • Provider Name: MOUNTAINEER PEDIATRICS
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • CLIA Number: 51D2269576
  • Address: 100 NEW HOPE ROAD
    PRINCETON, WV
    ZIP 24740
  • Phone: (304) 207-6531

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NPI Details

MOUNTAINEER PEDIATRICS is a pediatrics in Princeton, 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. MOUNTAINEER PEDIATRICS NPI is 1245819390. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

100 NEW HOPE ROAD
PRINCETON, WV
ZIP 24740
Phone: (304) 207-6531

The provider's authorized official is Heather M Miller .
The authorized official title is Administrator and has the following contact phone number (681) 207-3653.

The CLIA number assigned to this NPI record is 51D2269576 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/6/2021 and was last updated on 4/13/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsYes

What is NPI?

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This page was last updated on: 11/21/2025

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