Organization Active NPI

Premier Pediatrics PLLC

  • Pediatrics Physician
  • Bridgeport, WV
National Provider Identifier
1881053650
Registry record updated Feb 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
14817 Issued in WV
Legal business name
PREMIER PEDIATRICS PLLC
Practice address
900 Lodgeville Rd
Bridgeport, WV 26330-1488
Phone
(304) 842-3311
NPI assigned
Feb 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2016

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

Authorized official

Name
Janet E Cogar, MD
Title
Member
Phone
(304) 842-3311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 14817 WV Primary

Addresses

Primary practice location

900 Lodgeville Rd
Bridgeport, WV 26330-1488

Mailing address

900 Lodgeville Rd
Bridgeport, WV 26330-1488
Phone (304) 842-3311

National Provider Directory

National Provider Directory

Locations

900 Lodgeville Rd
Bridgeport, WV 26330
Phone (304) 842-3311

NPI Registry JSON

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456099200000",
    "number": "1881053650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 LODGEVILLE RD",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301488",
            "telephone_number": "304-842-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 LODGEVILLE RD",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301488",
            "telephone_number": "304-842-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-22",
        "last_updated": "2016-02-22",
        "status": "A",
        "authorized_official_last_name": "COGAR",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "304-842-3311",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "WV",
            "license": "14817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; 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.