PEDIATRIC CARE (NPI# 1821287640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821287640 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC CARE |
| Practice Address |
30 Medical Park Ste 202 Wheeling WV 26003-6391 |
| Practice Telephone | 3042431250 |
| Practice Fax Number | 3042431518 |
| Mailing Telephone | 3042431250 |
| Mailing Fax Number | 3042431518 |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2007-10-17 |
| Authorized Official Name | DR. LAURA R BLOSSER (PARTNER) |
| Authorized Official Telephone | 3042431250 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810001840 | 05 | |
| WV | TAXONOMY CODE | 291U00000X | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831507847 | Pediatric Care | Pediatrics | 7505 New Hampshire Ave Ste 302, Takoma Park, MD 20912-6972 | 2014-07-23 |
| 1205936291 | Pediatric Care | Pediatrics | 30 Medical Park, Ste 202, Wheeling, WV 26003-6391 | 2006-09-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | PEDIATRIC CARE MEDICAL P.C. | 316 West 105th Street, Suite 3a, New York, New York 10025 |
| Colorado Business Entities | Pediatric Care Network, Children's Hospital Colorado LLC | 13123 East 16th Avenue, Aurora, CO 80045 |
| Colorado Business Entities | Pediatric Care Network, LLC | 13123 East 16th Avenue, Aurora, CO 80045 |
| Vermont Business Registrations | PEDIATRIC CARE PARTNERS - VERMONT, LLC | 600 Blair Road, Suite 190, Williston, VT 05495 |
| New York State Corporations | PEDIATRIC CARE PLLC | 741 Merrick Avenue, Westbury, New York 11590 |
| Street Address |
30 MEDICAL PARK STE 202 |
| City | WHEELING |
| State | WV |
| Zip Code | 26003-6391 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760487995 | Catherine Carey Coleman | Obstetrics & Gynecology | 30 Medical Park, Ste 230, Wheeling, WV 26003-6391 | 2005-06-15 |
| 1649647975 | Hilary Linn Miller | Registered Nurse | 30 Medical Park, Tower 3 Suite 223, Wheeling, WV 26003 | 2015-08-21 |
| 1144609561 | Claire E Paxton | Pediatrics | 30 Medical Park, Suite 200, Wheeling, WV 26003 | 2015-05-19 |
| 1710380555 | Kristi Bolen | Nurse Practitioner | 30 Medical Park, Suite 200, Wheeling, WV 26003-6391 | 2014-10-08 |
| 1336550748 | Loren R Kaiser | Pediatrics | 30 Medical Park, Suite 221, Wheeling, WV 26003 | 2014-05-20 |
| 1679919278 | Sara M Miller | Obstetrics & Gynecology | 30 Medical Park, Suite 230, Wheeling, WV 26003 | 2013-05-22 |
| 1174876387 | Katie M Smith | Physician Assistant | 30 Medical Park, Suite 211, Wheeling, WV 26003-6391 | 2012-10-25 |
| 1457612608 | Raymond A. Hinerman Md Pllc | Otolaryngology | 30 Medical Park, Ste 223, Wheeling, WV 26003-6391 | 2012-06-05 |
| 1235443318 | Maria Kimmel Marquette | Physician Assistant | 30 Medical Park, Suite 200, Wheeling, WV 26003-6391 | 2010-08-02 |
| 1073846507 | Natallie Lynn Mccardle | Nurse Practitioner | 30 Medical Park, Suite 211, Wheeling, WV 26003 | 2009-09-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669070538 | Ashley Lynn Fleming | Case Manager/Care Coordinator | 442 Woodland Acres Rd, Wheeling, WV 26003 | 2020-10-13 |
| 1982202057 | Tiffany Renee Beck | Behavioral Analyst | 1007 Market Street, Wheeling, WV 26003 | 2020-10-12 |
| 1922620426 | Abbey Lynne Griffith | Speech-Language Pathologist | 199 Co Rd 7/7, Jane Lew, WV 26003 | 2020-05-07 |
| 1801309414 | Amy Wade | Counselor | 2204 Eoff Street, Wheeling, WV 26003 | 2017-11-06 |
| 1053840157 | Syl Solution Marketing | Durable Medical Equipment & Medical Supplies | 800 Hazlett Ave, Wheeling, WV 26003 | 2017-06-12 |
| 1568917334 | Hamed M Motlagh | Dentist | 53 14th St Ste 208, Wheeling, WV 26003 | 2016-08-22 |
| 1922454446 | Carrie Ann Warman | Pharmacist | 200 Mt.dechantal Road, Wheeling, WV 26003 | 2016-05-13 |
| 1447636691 | Ashley M Zando | Nurse Anesthetist, Certified Registered | 109 Mt Wood Road, Wheeling, WV 26003 | 2015-08-10 |
| 1194126441 | John Greaves | Specialist/Technologist | 135 Springdale Ave, Wheeling, WV 26003 | 2014-09-05 |
| 1154747210 | Donald Lee Rebich | Pharmacist | 61-29th Street, Wheeling, WV 26003 | 2014-03-13 |
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| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760904361 | Acgt, Inc. | Clinical Medical Laboratory | 35 W Waltz Dr, Wheeling, IL 60090-6052 | 2017-07-14 |
| 1619016151 | Wheeling Hospital Inc | Clinical Medical Laboratory | 20 Medical Park Ste 306, Wheeling, WV 26003-6390 | 2007-02-05 |
| 1801940960 | Wheeling Hospital Inc | Clinical Medical Laboratory | 30 Medical Park Ste 230, Wheeling, WV 26003-6391 | 2007-01-23 |
| 1407077795 | Wheeling Hospital, Inc. | Clinical Medical Laboratory | 1 Medical Park, Wheeling, WV 26003-6379 | 2007-05-02 |
| 1518011691 | Wheeling Hospital, Inc. | Clinical Medical Laboratory | 40 Medical Park Ste 401, Wheeling, WV 26003-6392 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235784745 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1345 Mercer St, Princeton, WV 24740-3033 | 2019-08-02 |
| 1346892650 | West Virginia Laboratories | Clinical Medical Laboratory | 1740 Union Carbide Dr Bldg 740, South Charleston, WV 25303-2732 | 2019-07-16 |
| 1831674084 | Appalachian Labs of Wv LLC | Clinical Medical Laboratory | 708 Bigley Ave., Ste. A, Charleston, WV 25302-3357 | 2018-10-03 |
| 1720567241 | Tug River Health Association, Inc. | Clinical Medical Laboratory | 512 Mountaineeer Highway, Room 1344, Bradshaw, WV 24874-2487 | 2018-08-07 |
| 1245765684 | Bds Healthcare LLC | Clinical Medical Laboratory | 1451 Earl L Core Rd, Morgantown, WV 26505-0314 | 2017-04-24 |
| 1538608757 | Vitas Laboratory LLC | Clinical Medical Laboratory | 5487 Country Club Rd, Grafton, WV 26354-8762 | 2017-02-21 |
| 1376081612 | Mountaineer Laboratories LLC | Clinical Medical Laboratory | 1337 Virginia St E, Charleston, WV 25301-3011 | 2017-02-07 |
| 1629520853 | Mountaineer Laboratories LLC | Clinical Medical Laboratory | 1410 Jefferson Blvd # B, Point Pleasant, WV 25550-1344 | 2016-11-04 |
| 1831647403 | West Virginia Drug Testing Laboratories | Clinical Medical Laboratory | 108 S Walker St, Princeton, WV 24740-2745 | 2016-09-13 |
| 1811443302 | Reality Check Drug Testing | Clinical Medical Laboratory | 550 N Eisenhower Dr, Beckley, WV 25801-3109 | 2016-08-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.