Active NPI
Pediatric Care
- Pediatrics Physician
- Wheeling, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- PEDIATRIC CARE
- Doing business as
- Pediatric Care
- Practice address
- 30 Medical Park
Ste 202
Wheeling, WV 26003-6391 - Phone
- (304) 243-1250
- Fax
- (304) 243-1518
- NPI assigned
- Sep 22, 2006
- Last updated
- Aug 22, 2020
- 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. Laura R Blosser, M.D.
- Title
- Physician
- Phone
- (304) 243-1250
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
30 Medical Park
Ste 202
Wheeling, WV 26003-6391
Mailing address
30 Medical Park Ste 202
Wheeling, WV 26003-6391
Phone (304) 243-1250
Other names 1
- PEDIATRIC CARE
National Provider Directory
National Provider Directory- Tax ID family
- Pediatric Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- Wheeling, WV
- NPI 1821287640
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatric Adolescent Medicine Physician
- Wheeling, WV
- NPI 1689669392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1205936291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 MEDICAL PARK STE 202",
"city": "WHEELING",
"state": "WV",
"postal_code": "260036391",
"telephone_number": "304-243-1250",
"fax_number": "304-243-1518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 MEDICAL PARK",
"address_2": "STE 202",
"city": "WHEELING",
"state": "WV",
"postal_code": "260036391",
"telephone_number": "304-243-1250",
"fax_number": "304-243-1518"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRIC CARE",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BLOSSER",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "304-243-1250",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PEDIATRIC CARE",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Wheeling, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.