Abc Pediatrics, Pllc

LBN: Abc Pediatrics, Pllc
Abc Pediatrics, Pllc is an health care organization with primary practice located at 830 Pennsylvania Ave Suite 200, Charleston WV 25302-3302. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Laboratories / Clinical Medical Laboratory, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Abc Pediatrics, Pllc can be contacted via phone (304) 343-1863, or through Matusic, Joseph via phone (304) 343-1863.

Contact Information

Primary practice address
830 Pennsylvania Ave Suite 200 Charleston WV 25302-3302
Phone: (304) 343-1863
Fax: (304) 344-1755
Website:
Map and Directions
Authorized official contact:
Name: Matusic, Joseph Doctor of Medicine (MD)
Phone: (304) 343-1863

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 731 West Virginia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 1451 West Virginia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 15140 West Virginia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 18217 West Virginia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 16381 West Virginia
Laboratories / Clinical Medical Laboratory 291U00000X 51D0910134 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 18804 West Virginia

Profile Details

NPI number 1154429041
LBN Legal business name Abc Pediatrics, Pllc
DBA Doing business as
Authorized official Matusic, Joseph Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2006
Last updated Jun 23rd, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154429041 NPPES
West Virginia MEDICAID 1003000000
West Virginia Other 1295798361
West Virginia Other 1922061076
West Virginia MEDICAID 0112455000
West Virginia MEDICAID 0167011000
West Virginia MEDICAID 0105170000
West Virginia Other 1013971761
West Virginia MEDICAID 4000022000
West Virginia Other 1598744757
West Virginia MEDICAID 0107822000
West Virginia Other 1912961343

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