Penny S Divita
DO | Pediatrics | Female
Penny S Divita, DO is a Charleston, West Virginia based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Penny S Divita is
830 Pennsylvania Ave, Ste 200, Charleston, West Virginia - 25302-3302. She can be contacted on phone at
304-388-2709.
Penny S Divita is a sole proprietor of her business.
NPI number (Unique professional ID) for Penny S Divita is
1598744757 which was assigned by NPPES on 16 Jan, 2006 and it was last updated on 23 Jun, 2011.
Penny S Divita license number is
1451 for Pediatrics (208000000X) in West Virginia.
Penny S Divita is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Penny S Divita basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Penny S Divita |
|---|
| Credential : | DO |
|---|
| Gender : | Female |
|---|
Business Address:
Penny S Divita address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 830 Pennsylvania Ave, Ste 200
Charleston, WV, 25302-3302
United States |
|---|
| Phone Number : | 304-388-2709 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1598744757 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 16 Jan, 2006 |
|---|
| Last Updated On : | 23 Jun, 2011 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Penny S Divita are as mentioned. Primary taxonomy code for Penny S Divita, DO is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207P00000X | Emergency Medicine | No | 1461 | WV |
| 208000000X | Pediatrics | Yes | 1451 | WV |
Legacy Identifiers:
Other legacy medical identifiers of Penny S Divita such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 0046618000 | MEDICAID | WV | |
| 001718046 | Other | WV | BLUE CROSS BLUE SHIELD |
| 1040493 | Other | WV | DWC |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 830 Pennsylvania Ave, Ste 200
Charleston, WV, 25302-3302
United States |
|---|
| Phone Number : | 304-388-2709 |
|---|
Business Location:
Patients can refer following map for directions to
Penny S Divita practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.