NPIMap

Organization Active NPI

Eastern Panhandle Pediatrics, PLLC

  • Pediatrics Physician
  • Martinsburg, WV
National Provider Identifier
1366475295
Registry record updated Apr 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
EASTERN PANHANDLE PEDIATRICS, PLLC
Practice address
2000 Professional CT
Martinsburg, WV 25401-8758
Phone
(304) 263-8853
Fax
(304) 263-6178
NPI assigned
Jul 7, 2006
Last updated
Apr 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2011

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

Authorized official

Name
Dr. Edward Fike Arnett, M.D.
Title
Partner
Phone
(304) 263-8853

Specialties & licenses 1

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

Addresses

Primary practice location

2000 Professional CT
Martinsburg, WV 25401-8758

Mailing address

2000 Professional CT
Martinsburg, WV 25401-8758
Phone (304) 263-8853

National Provider Directory

National Provider Directory
Tax ID family
Eastern Panhandle Pediatrics PLLC2 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

2000 Professional Ct
Martinsburg, WV 25401
Phone (304) 263-8853

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302134400000",
    "number": "1366475295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PROFESSIONAL CT",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254018758",
            "telephone_number": "304-263-8853",
            "fax_number": "304-263-6178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 PROFESSIONAL CT",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254018758",
            "telephone_number": "304-263-8853",
            "fax_number": "304-263-6178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN PANHANDLE PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2011-04-07",
        "status": "A",
        "authorized_official_last_name": "ARNETT",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "FIKE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "304-263-8853",
        "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": []
}

Other providers in Martinsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; 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.