Abc Pediatrics, Pllc is a Nurse Practitioner based in Charleston, WV. Abc Pediatrics, Pllc practices in Charleston, WV. The NPI Number for Abc Pediatrics, Pllc is 1154429041 and holds a License No. 731 (West Virginia).
The current practice location address for Abc Pediatrics, Pllc is 830 Pennsylvania Ave, Charleston, WV and can be reached out via phone at 304-343-1863 and via fax at 304-344-1755.
Location: 830 Pennsylvania Ave, Charleston, WV, 25302-3302
Provider Profile Details
NPI Number
1154429041
Provider Name
Abc Pediatrics, Pllc
Credential
Provider Entity Type
Organization
Address
830 Pennsylvania Ave, Charleston, WV, 25302-3302
Phone Number
304-343-1863
Fax Number
304-344-1755
Provider Enumeration Date
09/21/2006
Last Update Date
03/12/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003000000 | 05 | WV | |
| 1295798361 | 01 | WV | NPI # CAROL FRAIL, MD |
| 1922061076 | 01 | WV | SUE ANN UPTON,MD NPI # |
| 0112455000 | 05 | WV | |
| 0167011000 | 05 | WV | |
| 0105170000 | 05 | WV | |
| 1013971761 | 01 | WV | NPI# BRENDA WALKER,CFNP |
| 4000022000 | 05 | WV | |
| 1598744757 | 01 | WV | NPI # PENNY DIVITA,DO |
| 0107822000 | 05 | WV | |
| 1912961343 | 01 | WV | NPI # JOE MATUSIC, MD |
Provider Business Practice Location Address Details
Address
830 Pennsylvania Ave
City
State
Zip
25302-3302
Phone Number
304-343-1863
Fax Number
304-344-1755
Provider Business Mailing Address Details
Address
830 Pennsylvania Ave
City
State
Zip
25302-3302
Phone Number
304-343-1863
Fax Number
304-344-1755
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
License No.
15140 (West Virginia)
Definition
A pediatrician 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.
Provider's Taxonomy Details 2
Type
Laboratories
Classification
Clinical Medical Laboratory
Speciality
-
Taxonomy
License No.
1451 (West Virginia)
Definition
(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.
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
License No.
731 (West Virginia)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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