Active NPI
Pediatric Care
- Clinical Medical Laboratory
- Wheeling, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- PEDIATRIC CARE
- Practice address
- 30 Medical Park
Ste 202
Wheeling, WV 26003-6391 - Phone
- (304) 243-1250
- Fax
- (304) 243-1518
- NPI assigned
- Oct 17, 2007
- Last updated
- Oct 17, 2007
- 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. Laura R Blosser, M.D.
- Title
- Partner
- Phone
- (304) 243-1250
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
30 Medical Park
Ste 202
Wheeling, WV 26003-6391
Mailing address
30 Medical Park
Ste 202
Wheeling, WV 26003-6391
Phone (304) 243-1250
National Provider Directory
National Provider Directory- Tax ID family
- Pediatric Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatrics Physician
- Wheeling, WV
- NPI 1205936291
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Pediatric Adolescent Medicine Physician
- Wheeling, WV
- NPI 1689669392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192579200000",
"number": "1821287640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 MEDICAL PARK",
"address_2": "STE 202",
"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",
"address_2": "STE 202",
"city": "WHEELING",
"state": "WV",
"postal_code": "260036391",
"telephone_number": "304-243-1250",
"fax_number": "304-243-1518"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRIC CARE",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-17",
"last_updated": "2007-10-17",
"status": "A",
"authorized_official_last_name": "BLOSSER",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "304-243-1250",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"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 Oct 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.