Media Pediatrics

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MD-071892-L Issued in PA

Legal business name

MEDIA PEDIATRICS

Practice address

401 Moore Rd
Wallingford, PA 19086-7049

Phone

(610) 565-3336

Fax

(484) 367-5938

NPI assigned

Feb 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. June E. Elcock-Messam, M.D.NPI 1679506950

Title

Pediatrician

Phone

(610) 565-3336

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• June E. Elcock-Messam, M.D.

  • Primary Care Clinic/Center
  • Wallingford, PA
  • NPI 1679506950

  Primary Care

  NPD (past) Authorized official

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

{
    "created_epoch": "1139702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452470400000",
    "number": "1720051444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MOORE RD",
            "city": "WALLINGFORD",
            "state": "PA",
            "postal_code": "190867049",
            "telephone_number": "610-565-3336",
            "fax_number": "484-361-5938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MOORE RD",
            "city": "WALLINGFORD",
            "state": "PA",
            "postal_code": "190867049",
            "telephone_number": "610-565-3336",
            "fax_number": "484-367-5938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIA PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-12",
        "last_updated": "2016-01-11",
        "status": "A",
        "authorized_official_last_name": "ELCOCK-MESSAM",
        "authorized_official_first_name": "JUNE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "610-565-3336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PA",
            "license": "MD-071892-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Luty, ATC
• Carolyn Maguire
• Katelyn Murphy McCaw
• Benjamin McFetridge
• Janice Lynn McGough, COTA
• Noel L Melhorn, D.O.
• Katherine Miller, SLP
• Janice M. Moore, PH.D., LCSW, BCD
• Ashley Ann Morgan-Johnson, SLP
• Melinda Moskal, LCSW

• All providers in Wallingford, PA
• Primary Care Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.