PEDIATRIX MEDICAL GROUP PC


Address: 800 Pennsylvania Ave, Charleston, WV 25302-3351
Phone: 3043882252

PEDIATRIX MEDICAL GROUP PC (NPI# 1992728117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992728117
Entity Type Organization
Organization Name PEDIATRIX MEDICAL GROUP PC
Practice Address 800 Pennsylvania Ave
Charleston
WV 25302-3351
Mailing Address 4991 Lake Brook Dr
Suite 300
Glen Allen
VA 23060-9293
Practice Telephone 3043882252
Mailing Telephone 8043463535
Mailing Fax Number 8042530408
Enumeration Date 2006-07-26
Last Update Date 2018-01-24
Authorized Official Name ARNOLD M. POOLE (AUTHORIZED SIGNATOR)
Authorized Official Telephone 8886274702
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2080P0203X Pediatrics
Specialization: Pediatric Critical Care Medicine
Allopathic & Osteopathic Physicians
Y 2080N0001X Pediatrics
Specialization: Neonatal-Perinatal Medicine
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WV 0007020000 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1205928587 Pediatrix Medical Group PC Pediatrics 1301 Concord Ter, Sunrise, FL 33323-2843 2006-09-28

Office Location

Street Address 800 PENNSYLVANIA AVE
City CHARLESTON
State WV
Zip Code 25302-3351

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265435556 Tina Nannette Caldwell Nurse Anesthetist, Certified Registered 800 Pennsylvania Ave, Charleston, WV 25302-3351 2005-05-31
1871107565 Katherine Rose Laishley Counselor 800 Pennsylvania Ave, Charleston, WV 25302-3351 2020-09-01
1871116327 Jared Daniel Simpson Nurse Anesthetist, Certified Registered 800 Pennsylvania Ave, Charleston, WV 25302-3351 2020-05-19
1306469861 Allison Ferrell Nurse Anesthetist, Certified Registered 800 Pennsylvania Ave, Charleston, WV 25302-3351 2020-05-19
1619598315 Shikha Sharma Student in an Organized Health Care Education/Training Program 800 Pennsylvania Ave, Charleston, WV 25302-3351 2020-05-04
1861021859 Taylor Pollock Student in an Organized Health Care Education/Training Program 800 Pennsylvania Ave, Charleston, WV 25302-3351 2020-04-02
1437786472 Lyndsey Weatherly Student in an Organized Health Care Education/Training Program 800 Pennsylvania Ave, Charleston, WV 25302-3351 2020-03-26
1164059366 Lindsey Kent Student in an Organized Health Care Education/Training Program 800 Pennsylvania Ave, Charleston, WV 25302-3351 2020-03-26
1154958502 Rutvi Shah Student in an Organized Health Care Education/Training Program 800 Pennsylvania Ave, Charleston, WV 25302-3351 2020-03-25
1093342545 Kelly Elizabeth Humphreys Simmons Student in an Organized Health Care Education/Training Program 800 Pennsylvania Ave, Charleston, WV 25302-3351 2020-03-25
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649871963 Sha'la Wright Technician 713 Orchard Street Apt. G, Charleston, WV 25302 2020-11-03
1154929446 Christine Balser Technician 3324 Pennsylvania Avenue, Charleston, WV 25302 2020-10-09
1629698865 Umer Muhammad Student in an Organized Health Care Education/Training Program Childrens Medicine Center, 800 Pennsylvania Ave, Charleston, WV 25302 2020-04-17
1689209660 Annedie Beauty Equipment Wholesale Prosthetic/Orthotic Supplier 3406 Pennsylvania Avenue, Charleston, WV 25302 2020-03-10
1932753530 Northwest Pharmacy, LLC Pharmacy 708 Bigley Ave, Ste A, Charleston, WV 25302 2019-07-31
1831753185 Philip Rhoney Fending Student in an Organized Health Care Education/Training Program Camc Ob/gyn Center, 800 Pennsylvania Ave, Charleston, WV 25302 2019-04-23
1851854491 Amee Atulkumar Amin Student in an Organized Health Care Education/Training Program Familycare/ Children's Medicine Center, 800 Pennsylvania Ave, Charleston, WV 25302 2019-04-10
1790276525 Womencare Inc Clinic/Center 812 Park Ave # 35, Charleston, WV 25302 2018-05-29
1245729771 Zunaira Mahmood Student in an Organized Health Care Education/Training Program 800 Pennsylvania Ave., Familycare/children's Medicine C, Charleston, WV 25302 2018-05-10
1093212383 Rahiya Binte Rehman Student in an Organized Health Care Education/Training Program 800 Pennsylvania Ave Family Care / Children's Medicine, Charleston, WV 25302 2018-04-12
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Taxonomy Information

Taxonomy Code 2080N0001X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Neonatal-Perinatal Medicine

Taxonomy Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366886715 Katherine Elizabeth Chetta Pediatrics 10 Mcclennan Banks Drive Msc915, Charleston, SC 29425-3411 2013-04-28
1063605905 William B. Pittard IIi Pediatrics 135 Rutledge Ave Rm 286, Charleston, SC 29425 2007-08-23
1598708232 Catherine Partyka Pediatrics 9330 Medical Plaza Dr., Trident Medical Center, Charleston, SC 29406 2006-06-13
1649624826 Raechel Elizabeth Irons Pediatrics 165 Ashley Ave, Charleston, SC 29425-0296 2016-04-14
1346583960 Stephanie Glenn Korff Pediatrics 165 Ashley Ave, Msc 917, Charleston, SC 29425-8905 2013-04-02
1184976524 Sheridan Children's Healthcare Services of South Carolina, P.a. Pediatrics 9330 Medical Plaza Dr, Charleston, SC 29406-9104 2012-10-10
1659660496 Heidi Jo Murphy Pediatrics 171 Ashley Ave, Charleston, SC 29425 2011-04-01
1275786188 University Medical Associates Pediatrics 171 Ashley Ave, Charleston, SC 29425-8908 2008-10-23
1184801664 Alison Kristen Chapman Pediatrics 171 Ashley Ave, Charleston, SC 29425-8908 2008-01-27
1881741692 Julie Ross Pediatrics 171 Ashley Ave, Charleston, SC 29425-8908 2007-01-04
Find all providers in CHARLESTON

Competitor

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City CHARLESTON
Zip Code 25302

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Dataset Information

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.

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