Beckley Pediatric Associates

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

BECKLEY PEDIATRIC ASSOCIATES

Practice address

250 Stanaford Rd
Beckley, WV 25801-3140

Phone

(304) 255-0800

Fax

(304) 255-1040

NPI assigned

Aug 30, 2007

Last updated

Oct 27, 2007By 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

Robin Y Drummond

Title

Ar Director

Phone

(304) 536-5030

Specialties & licenses 2

Addresses

Other identifiers 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 LTD

  • Pediatrics Physician
  • Beckley, WV
  • NPI 1487699542
  NPD tax ID

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.

• John H Johnson, MD

  • Pediatrics Physician
  • Beckley, WV
  • NPI 1922003318
  NPD

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193443200000",
    "number": "1679767818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 STANAFORD RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013140",
            "telephone_number": "304-255-0800",
            "fax_number": "304-255-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 STANAFORD RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013140",
            "telephone_number": "304-255-0800",
            "fax_number": "304-255-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BECKLEY PEDIATRIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2007-10-27",
        "status": "A",
        "authorized_official_last_name": "DRUMMOND",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "AR DIRECTOR",
        "authorized_official_telephone_number": "304-536-5030"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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 (Raleigh Regional Cancer Center)
• Beckley Oncology Associates, Inc.
• Beckley Orthotics and Prosthetics LLC
• Beckley Pain Clinic
• Beckley Pain Clinic LLC
• Beckley Pediatric Associates LTD
• Beckley Pharmacy
• Beckley Pharmacy (Beckley Pharmacy, DME)
• Beckley Pharmacy Inc. (Beckley Pharmacy)
• Beckley Pharmacy, Inc. (Beckley Pharmacy Infusion Services)

• 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 Oct 27, 2007; 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.