NPIMap

Organization Active NPI

Jessica Beth Salansky MD PLLC

  • Pediatrics Physician
  • Charleston, WV
National Provider Identifier
1699071993
Registry record updated Feb 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
24142 Issued in WV
Legal business name
JESSICA BETH SALANSKY MD PLLC
Practice address
300 Kenton Dr
Suite 100
Charleston, WV 25311-1263
Phone
(304) 346-5533
Fax
(304) 346-5611
NPI assigned
Feb 3, 2011
Last updated
Feb 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2011

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

Authorized official

Name
Dr. Jessica Beth Salansky, MD
Title
Phyiscian
Phone
(304) 346-5533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 24142 WV Primary

Addresses

Primary practice location

300 Kenton Dr
Suite 100
Charleston, WV 25311-1263

Mailing address

300 Kenton Dr
Suite 100
Charleston, WV 25311-1263
Phone (304) 346-5533

Other identifiers 1

IdentifierTypeStateIssuer
3810019099MedicaidWV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1296691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297382400000",
    "number": "1699071993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 KENTON DR",
            "address_2": "SUITE 100",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253111263",
            "telephone_number": "304-346-5533",
            "fax_number": "304-346-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 KENTON DR",
            "address_2": "SUITE 100",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253111263",
            "telephone_number": "304-346-5533",
            "fax_number": "304-346-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA BETH SALANSKY MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-03",
        "last_updated": "2011-02-11",
        "status": "A",
        "authorized_official_last_name": "SALANSKY",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "PHYISCIAN",
        "authorized_official_telephone_number": "304-346-5533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WV",
            "license": "24142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810019099",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.