Organization Active NPI

Pediatric Partners, PLLC

  • Pediatrics Physician
  • Fairmont, WV
National Provider Identifier
1013096213
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PEDIATRIC PARTNERS, PLLC
Practice address
312 10TH St
Fairmont, WV 26554-3611
Phone
(304) 366-2818
Fax
(304) 366-7614
NPI assigned
Nov 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Thomas Wesley Steele, MD
Title
Partner
Phone
(304) 366-2818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

312 10TH St
Fairmont, WV 26554-3611

Mailing address

312 10TH St
Fairmont, WV 26554-3611
Phone (304) 366-2818

Other names 1

  • Fairmont Pediatrics dba Pediatric Partners, PLLC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
B R Devabhakthuni S Pmulpuru PTR2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

312 10th St
Fairmont, WV 26554
Phone (304) 366-2818

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462924800000",
    "number": "1013096213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 10TH ST",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265543611",
            "telephone_number": "304-366-2818",
            "fax_number": "304-366-7614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 10TH ST",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265543611",
            "telephone_number": "304-366-2818",
            "fax_number": "304-366-7614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC PARTNERS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2016-05-11",
        "status": "A",
        "authorized_official_last_name": "STEELE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "304-366-2818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairmont Pediatrics dba Pediatric Partners, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fairmont, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.