Active NPI
Laura R Blosser, M.D.
- Pediatric Adolescent Medicine Physician
- Wheeling, WV
National Provider Identifier
1689669392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 16880
- Practice address
- 30 Medical Park
Wheeling, WV 26003-6391 - Phone
- (304) 243-1250
- Fax
- (304) 243-1518
- NPI assigned
- Sep 19, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 16880 | WV | Primary |
Addresses
Primary practice location
30 Medical Park
Wheeling, WV 26003-6391
Mailing address
30 Medical Park
Wheeling, WV 26003-6391
Phone (304) 243-1250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090415000039 | WV | Practitioner - Pediatric Medicine | 2264589902 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16880 | WV | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wheeling Hospital Inc | Current | Accepting new patients | |
| Wheeling Hospital Inc | Past | Accepting new patients |
Locations
1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124
30 Medical Park
Ste 202
Wheeling, WV 26003
Phone (304) 243-1250
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Wheeling, WV
- NPI 1548923923
-
- General Acute Care Hospital
- Wheeling, WV
- NPI 1104821305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1689669392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 MEDICAL PARK",
"city": "WHEELING",
"state": "WV",
"postal_code": "260036391",
"telephone_number": "304-243-1250",
"fax_number": "304-243-1518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 MEDICAL PARK",
"city": "WHEELING",
"state": "WV",
"postal_code": "260036391",
"telephone_number": "304-243-1250",
"fax_number": "304-243-1518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOSSER",
"first_name": "LAURA",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-19",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "WV",
"license": "16880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wheeling, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.