Pediatric Care

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

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

Organization subpart

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Pediatric Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pediatric Care

  • Pediatrics Physician
  • Wheeling, WV
  • NPI 1205936291
  NPD tax ID

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY CODE",
            "identifier": "291U00000X",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810001840",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claire E Paxton, MD
• David Matthew Paxton, MD
• Evelyn Angela Pearl
• Lisa Diane Pearl
• Pediatric Care
• Douglas M Pell, CRNA
• Lora Peluchette
• Meghan Emily Peluchette, PT, DPT, ATC
• Lavina J Pennell
• Edde Vaness Pennington

• Clinical Medical Laboratory in Wheeling, WV
• Providers in Wheeling, WV by specialty
• Clinical Medical Laboratory in West Virginia

• 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.

Verify at the official NPI Registry.