Beckley Pediatric Associates LTD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

BECKLEY PEDIATRIC ASSOCIATES LTD

Practice address

30 Mallard CT
Beckley, WV 25801-3664

Phone

(304) 255-0800

Fax

(304) 255-1040

NPI assigned

Jun 20, 2006

Last updated

Jan 12, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John H Johnson III, MD

Title

Owner/Physician

Phone

(304) 255-0800

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Tax ID family

Beckley Pediatric Associates2 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.

• Beckley Pediatric Associates

  • Pediatrics Physician
  • Beckley, WV
  • NPI 1679767818
  NPD tax ID

Practitioners 2

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.

• John H Johnson, MD

  • Pediatrics Physician
  • Beckley, WV
  • NPI 1922003318
  Medicare reassignment NPD
• Shazia Akbar, MD

  • Pediatrics Physician
  • Murphy, TX
  • NPI 1295704690
  NPD (past)

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1487699542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 460",
            "city": "WHITE SULPHUR SPRINGS",
            "state": "WV",
            "postal_code": "249860460",
            "telephone_number": "304-536-5030",
            "fax_number": "304-536-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MALLARD CT",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013664",
            "telephone_number": "304-255-0800",
            "fax_number": "304-255-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BECKLEY PEDIATRIC ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "JOHNSON III",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "304-255-0800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810004859",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beckley Oncology Associates, Inc.
• Beckley Orthotics and Prosthetics LLC
• Beckley Pain Clinic
• Beckley Pain Clinic LLC
• Beckley Pediatric Associates
• Beckley Pharmacy
• Beckley Pharmacy (Beckley Pharmacy, DME)
• Beckley Pharmacy Inc. (Beckley Pharmacy)
• Beckley Pharmacy, Inc. (Beckley Pharmacy Infusion Services)
• Beckley Physical Medicine

• Pediatrics Physician in Beckley, WV
• Providers in Beckley, WV by specialty
• Pediatrics Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.