Martinsburg Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MARTINSBURG PEDIATRICS

Practice address

128 Health Care LN
Martinsburg, WV 25401-4009

Phone

(304) 264-9121

Fax

(304) 264-9128

NPI assigned

Oct 21, 2009

Last updated

Jan 24, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Caroline E. Joe, MDNPI 1487752754

Title

Owner/Doctor

Phone

(304) 264-9121

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Caroline E. Joe Other name

Locations

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.

• Caroline E Joe, MD

  • Pediatrics Physician
  • Martinsburg, WV
  • NPI 1487752754
  NPD (past) Authorized official

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

{
    "created_epoch": "1256083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1831425198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 HEALTH CARE LN",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254014009",
            "telephone_number": "304-264-9121",
            "fax_number": "304-264-9128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 HEALTH CARE LN",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254014009",
            "telephone_number": "304-264-9121",
            "fax_number": "304-264-9128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTINSBURG PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-21",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "JOE",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "304-264-9121",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3003924000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810000415",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caroline E. Joe",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Martinsburg Family Eye Care, PLLC (Martinsburg Family Eye Care)
• Martinsburg Institute Inc
• Martinsburg Internal Medicine Assoc Inc
• Martinsburg Internal Medicine Assoc Inc (Martinsburg Internal Medicine Lab)
• Martinsburg Optical Inc
• Martinsburg Pharmacy LLC
• Martinsburg Radiology Assoc Inc
• Martinsburg SNF LLC (Martinsburg Rehabilitation & Healthcare Center)
• Martinsburg Urgent Care Inc
• Martinsburg Vamc

• Pediatrics Physician in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Pediatrics Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; 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.