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 SpecialityPrimaryLicense No.State
207P00000XEmergency MedicineNo1461WV
208000000XPediatricsYes1451WV
Legacy Identifiers:
Other legacy medical identifiers of Penny S Divita such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
0046618000MEDICAIDWV
001718046OtherWVBLUE CROSS BLUE SHIELD
1040493OtherWVDWC
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.