Pozega Wellness Center Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

1512 Issued in WV

Legal business name

POZEGA WELLNESS CENTER INC

Practice address

5324 Maccorkle Ave SE
Charleston, WV 25304-2222

Phone

(304) 925-7001

Fax

(304) 925-7234

NPI assigned

Oct 2, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Mary C Pozega, DONPI 1124072905

Title

Owner

Phone

(304) 925-7001

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Mary C Pozega, D.O.

  • Pediatrics Physician
  • Charleston, WV
  • NPI 1124072905
  Authorized official Same address or phone

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1649467846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5324 MACCORKLE AVE SE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042222",
            "telephone_number": "304-925-7001",
            "fax_number": "304-925-7234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5324 MACCORKLE AVE SE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042222",
            "telephone_number": "304-925-7001",
            "fax_number": "304-925-7234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POZEGA WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "POZEGA",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-925-7001",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "WV",
            "license": "1512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0111573001",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melody Powell
• Rachael Elizabeth Powell, DO
• Jaqueline Power
• Sharon Powers
• Tanya Lynette Powers, AGNP-BC
• Mary C Pozega, D.O.
• Christina Pozzie
• Sierra Prater
• April Pratt
• Katisha Pratt

• Pediatrics Physician in Charleston, WV
• Providers in Charleston, 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 Oct 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.