Active NPI
Sunshine Pediatrics
- Pediatrics Physician
- Princeton, WV
National Provider Identifier
1649844895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- SUNSHINE PEDIATRICS
- Practice address
- 100 New Hope Road
Princeton, WV 24740 - Phone
- (304) 207-6531
- Fax
- (681) 238-6005
- NPI assigned
- May 13, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Heather M Miller
- Title
- Office Manager
- Phone
- (681) 238-3344
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
100 New Hope Road
Princeton, WV 24740
Mailing address
100 New Hope Road
Princeton, WV 24740
Phone (304) 207-6531
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620864000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620864000000",
"number": "1649844895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 NEW HOPE ROAD",
"city": "PRINCETON",
"state": "WV",
"postal_code": "24740",
"telephone_number": "304-207-6531",
"fax_number": "681-238-6005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 NEW HOPE ROAD",
"city": "PRINCETON",
"state": "WV",
"postal_code": "24740",
"telephone_number": "304-207-6531",
"fax_number": "681-238-6005"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNSHINE PEDIATRICS",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-13",
"last_updated": "2021-05-13",
"certification_date": "2021-04-16",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "HEATHER",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "681-238-3344"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Princeton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.