Organization Active NPI

Wee Care Pediatrics Group PLLC

  • Pediatrics Physician
  • Huntington, WV
National Provider Identifier
1427157015
Registry record updated Jul 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2101 Issued in WV
Legal business name
WEE CARE PEDIATRICS GROUP PLLC
Practice address
2860 3Rd Ave
Suite 30
Huntington, WV 25702-1454
Phone
(304) 399-5437
Fax
(304) 399-1104
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2010

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

Authorized official

Name
Sharon M Dicristofaro, MD
Title
President
Phone
(304) 399-5437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 2101 WV Primary

Addresses

Primary practice location

2860 3Rd Ave
Suite 30
Huntington, WV 25702-1454

Mailing address

2860 3Rd Ave
Suite 30
Huntington, WV 25702-1454
Phone (304) 399-5437

Other identifiers 1

IdentifierTypeStateIssuer
3810000165MedicaidWV

National Provider Directory

National Provider Directory

Locations

2860 3rd Ave
Ste 30
Huntington, WV 25702
Phone (304) 399-5437

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279497600000",
    "number": "1427157015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 3RD AVE",
            "address_2": "SUITE 30",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257021454",
            "telephone_number": "304-399-5437",
            "fax_number": "304-399-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 3RD AVE",
            "address_2": "SUITE 30",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257021454",
            "telephone_number": "304-399-5437",
            "fax_number": "304-399-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEE CARE PEDIATRICS GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2010-07-19",
        "status": "A",
        "authorized_official_last_name": "DICRISTOFARO",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-399-5437",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "WV",
            "license": "2101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810000165",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.