Active NPI
Pediatric Partners, PLLC
- Pediatrics Physician
- Fairmont, WV
National Provider Identifier
1013096213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 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
National Provider Directory
National Provider Directory- Tax ID family
- B R Devabhakthuni S Pmulpuru PTR
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Pediatric Partners Lab
- Clinical Medical Laboratory
- Fairmont, WV
- NPI 1255495065
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.