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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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