Active NPI
Pediatric Lung & Asthma Center, PLLC
- Specialist
- Morgantown, WV
National Provider Identifier
1740685932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- PEDIATRIC LUNG & ASTHMA CENTER, PLLC
- Practice address
- 1284 Suncrest Town Centre Dr
Morgantown, WV 26505-1828 - Phone
- (304) 284-8999
- Fax
- (304) 284-9777
- NPI assigned
- Oct 30, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Talia B Sotomayor Valenzuela, M.D.
- Title
- Pediatric Pulmonologist/Owner
- Phone
- (304) 284-8999
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 22524 | WV | |
| Specialist | 174400000X | Primary | ||
| Pediatric Pulmonology Physician | 2080P0214X | |||
| Mental Illness Community Based Residential Treatment Facility | 320800000X |
Addresses
Primary practice location
1284 Suncrest Town Centre Dr
Morgantown, WV 26505-1828
Mailing address
1284 Suncrest Towne Centre Dr.
Morgantown, WV 26505-1828
Phone (304) 284-8999
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 162849 | Other | WV | UPIN |
| 3910006278 | Medicaid | WY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Pulmonology Physician
- Morgantown, WV
- NPI 1194894477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1740685932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1284 SUNCREST TOWNE CENTRE DR.",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265051828",
"telephone_number": "304-284-8999",
"fax_number": "304-284-9777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1284 SUNCREST TOWN CENTRE DR",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265051828",
"telephone_number": "304-284-8999",
"fax_number": "304-284-9777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRIC LUNG & ASTHMA CENTER, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-30",
"last_updated": "2023-03-07",
"certification_date": "2021-06-16",
"status": "A",
"authorized_official_last_name": "SOTOMAYOR VALENZUELA",
"authorized_official_first_name": "TALIA",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PEDIATRIC PULMONOLOGIST/OWNER",
"authorized_official_telephone_number": "304-284-8999",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "WV",
"license": "22524",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
},
{
"code": "2080P0214X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": null,
"license": null,
"primary": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN",
"identifier": "162849",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3910006278",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.