Med-Peds Management LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101051200 Issued in VA

Legal business name

MED-PEDS MANAGEMENT LLC

Practice address

191 Johnson St NE
Abingdon, VA 24210-2934

Phone

(276) 623-8105

Fax

(276) 623-8109

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Susan Janet Mole

Title

Practice MGR Corp. Secretary

Phone

(276) 623-8105

Specialties & licenses 8

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William John Baker, MD

  • Internal Medicine Physician
  • Abingdon, VA
  • NPI 1124196787
  NPD (past)

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288569600000",
    "number": "1053450296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 570",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242120570",
            "telephone_number": "276-623-8105",
            "fax_number": "276-623-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 JOHNSON ST NE",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102934",
            "telephone_number": "276-623-8105",
            "fax_number": "276-623-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-PEDS MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2010-11-01",
        "status": "A",
        "authorized_official_last_name": "MOLE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "JANET",
        "authorized_official_title_or_position": "PRACTICE MGR CORP. SECRETARY",
        "authorized_official_telephone_number": "276-623-8105",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101051200",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101225410",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101051074",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101059370",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101050628",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101028204",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024059099",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024166814",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen McPherson
• Molly McPike-Copenhaver
• Casey Dillon McReynolds, MD
• Ella Farida Meade, D.O.
• Morgan Elijah Meade, PA-C
• Keith A Medeiros, LPC
• Tracy Lyn Meek, LCSW
• Margaret Merrick
• Ashton N Merriman, LPC
• Sana Omer Mian, MD, MPH

• Internal Medicine Physician in Abingdon, VA
• Providers in Abingdon, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; 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.