Organization Active NPI

Glen Dale Medicine & Pediatrics, PLLC

  • Pediatrics Physician
  • Glen Dale, WV
National Provider Identifier
1710974159
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
-001 Issued in WV
Legal business name
GLEN DALE MEDICINE & PEDIATRICS, PLLC
Practice address
407 Wheeling Ave
Glen Dale, WV 26038-1536
Phone
(304) 845-1500
Fax
(304) 845-1552
NPI assigned
Sep 30, 2005
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
David F Hess, M.D.NPI 1477540748
Title
Phys/Owner
Phone
(304) 845-1500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X -001 WV
Pediatrics Physician 208000000X -001 WV Primary

Addresses

Primary practice location

407 Wheeling Ave
Glen Dale, WV 26038-1536

Mailing address

908 Chestnut Dr
Glen Dale, WV 26038-1002
Phone (304) 843-0036

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1710974159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 CHESTNUT DR",
            "city": "GLEN DALE",
            "state": "WV",
            "postal_code": "260381002",
            "telephone_number": "304-843-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 WHEELING AVE",
            "city": "GLEN DALE",
            "state": "WV",
            "postal_code": "260381536",
            "telephone_number": "304-845-1500",
            "fax_number": "304-845-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN DALE MEDICINE & PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HESS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PHYS/OWNER",
        "authorized_official_telephone_number": "304-845-1500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "-001",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WV",
            "license": "-001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Dale, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.