Eastern Panhandle Pediatrics, PLLC Lab

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

09975 Issued in WV

Legal business name

EASTERN PANHANDLE PEDIATRICS, PLLC LAB

Practice address

2000 Professional CT
Suite C
Martinsburg, WV 25401-8758

Phone

(304) 263-8853

Fax

(304) 263-6178

NPI assigned

Oct 5, 2006

Last updated

Aug 22, 2020By 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

Dr. Edward Fike Arnett, M.D.

Title

Partner

Phone

(304) 263-8853

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Eastern Panhandle Pediatrics PLLC2 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.

• Eastern Panhandle Pediatrics, PLLC

  • Pediatrics Physician
  • Martinsburg, WV
  • NPI 1366475295
  NPD tax ID

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.

• William Edward Wear, M.D.

  • Pediatrics Physician
  • Tazewell, VA
  • NPI 1861424392
  NPD

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942396742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PROFESSIONAL CT",
            "address_2": "SUITE C",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254018758",
            "telephone_number": "304-263-8853",
            "fax_number": "304-263-6178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 PROFESSIONAL CT",
            "address_2": "SUITE C",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254018758",
            "telephone_number": "304-263-8853",
            "fax_number": "304-263-6178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN PANHANDLE PEDIATRICS, PLLC LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ARNETT",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "FIKE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "304-263-8853",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WV",
            "license": "09975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810005493",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eastern Panhandle Mental Health Center (Tbi) (EastRidge Health Systems)
• Eastern Panhandle Mental Health Center (Waiver) (EastRidge Health Systems)
• Eastern Panhandle Mental Health Inc. (Csedw) (EastRidge Health Systems)
• Eastern Panhandle Mental Health, Inc. (EastRidge Health Systems)
• Eastern Panhandle Pediatrics, PLLC
• Eastern Panhandle Psychiatry, Inc
• Eastridge
• Eastridge Health Systems
• Charles Milton Eastwood
• Gail Diane Ebrahimi

• Clinical Medical Laboratory in Martinsburg, WV
• Providers in Martinsburg, 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.