South Charleston Pediatrics
Pediatrics
South Charleston Pediatrics is a Charleston, West Virginia based Pediatric center with medical specialization in
General Pediatrics.
It is located at
830 Pennsylvania Avenue, Suite 110, Charleston, West Virginia - 25302. They can be contacted on phone at
304-982-7031 and fax number 304-766-9450.
NPI number (Unique professional ID) for South Charleston Pediatrics is
1639251036 which was assigned by NPPES on 19 Oct, 2006 and it was last updated on 21 Jul, 2022.
South Charleston Pediatrics 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:
South Charleston Pediatrics basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | South Charleston Pediatrics |
|---|
Business Address:
South Charleston Pediatrics 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 Avenue, Suite 110
Charleston, WV, 25302
United States |
|---|
| Phone Number : | 304-982-7031 |
|---|
| Fax Number : | 304-766-9450 |
|---|
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 : | 1639251036 |
|---|
| NPI Entity Type : | Organization |
|---|
| First Enrolment Date : | 19 Oct, 2006 |
|---|
| Last Updated On : | 21 Jul, 2022 |
|---|
Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Jennifer Fisher |
|---|
| Official Title or Position : | OFFICE MANAGER |
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| Phone Number : | 304-982-7334 |
|---|
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 South Charleston Pediatrics are as mentioned. Primary taxonomy code for South Charleston Pediatrics is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of South Charleston Pediatrics such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 4005199000 | MEDICAID | WV | |
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 Avenue, Suite 110
Charleston, WV, 25302
United States |
|---|
| Phone Number : | 304-982-7031 |
|---|
| Fax Number : | 304-766-9450 |
|---|
Business Location:
Patients can refer following map for directions to
South Charleston Pediatrics practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.