Pediatrics Urgent Care PLLC

Primary specialty

Pediatric Emergency Medicine (Pediatrics) PhysicianTaxonomy code 2080P0204X

License

2257-1472 Issued in WV

Legal business name

PEDIATRICS URGENT CARE PLLC

Doing business as

NONE

Practice address

128 Health Care LN
Martinsburg, WV 25401-4009

Phone

(304) 596-2345

Fax

(304) 264-9128

NPI assigned

Oct 21, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Caroline E Joe, M.D.,

Title

Medical Director

Phone

(304) 596-2345

Specialties & licenses 1

Addresses

Other names 1

• NONE Doing business as

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

{
    "created_epoch": "1319155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319155200000",
    "number": "1497030498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 HEALTH CARE LN",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254014009",
            "telephone_number": "304-596-2345",
            "fax_number": "304-264-9128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 HEALTH CARE LN",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254014009",
            "telephone_number": "304-596-2345",
            "fax_number": "304-264-9128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRICS URGENT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-21",
        "last_updated": "2011-10-21",
        "status": "A",
        "authorized_official_last_name": "JOE",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "304-596-2345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "2080P0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "WV",
            "license": "2257-1472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NONE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pdi Health WV LLC
• Pdi Health WV LLC
• Laura Pearrell, RRT
• Jenica Pearson, APRN
• Ciera Peck, NP
• Delores Pegg
• Amy Pelfrey, PPCNP-BC
• Lisa Mentzer Peltier, LGSW
• Ana Pena
• Pendleton County Board of Education

• Pediatric Emergency Medicine (Pediatrics) Physician in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Pediatric Emergency Medicine (Pediatrics) Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.