Abc Pediatrics, PLLC
Organization Active NPI Pediatric Adolescent Medicine Physician · Charleston, WV
NPI 1821338047 · NPPES record last updated Feb 25, 2013
Key facts
- NPI
- 1821338047
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Adolescent Medicine Physician 2080A0000X
- License
- 2474 (WV)
- Legal business name
- ABC PEDIATRICS, PLLC
- Practice address
- 830 Pennsylvania Ave
Ste. 200
Charleston, WV 25302-3302 - Phone
- (304) 388-2709
- Fax
- (304) 344-1755
- NPI assigned
- Feb 25, 2013
- Organization subpart
- No
Authorized official
- Name
- Melissa Day
- Title
- Office Manager
- Phone
- (304) 388-2709
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Abc Pediatrics
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician |
2080A0000X | 2474 | WV | Yes |
Addresses
Primary practice location
830 Pennsylvania Ave
Ste. 200
Charleston, WV 25302-3302
Mailing address
830 Pennsylvania Ave
Ste. 200
Charleston, WV 25302-3302
Phone (304) 388-2709
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810023323 | Medicaid | WV |
Other providers in Charleston, WV
- 7 Summit Pathways
- Brenda Abati
- Cassie L Abbott
- Jennifer L Abbott
- Abc Pediatrics, PLLC
- Abdallah Dalabih
- Ra'Ed 'Ed' Joseph Abdel-Hadi
- Ibrahem F Abdou
- Keona Abdul-Alim
- Sam Abdul
All providers in Charleston, WV · Pediatric Adolescent Medicine Physician in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.