ABC PEDIATRICS, PLLC – NPI #1154429041
Pediatrics

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.

ABC PEDIATRICS, PLLC is a provider located in CHARLESTON, WV. NPPES has assigned the NPI number 1154429041 to ABC PEDIATRICS, PLLC on September 21, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 15 years ago on Jun 23, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ABC PEDIATRICS, PLLC below.

NPI Profile for
ABC PEDIATRICS, PLLC

NPI Number
1154429041
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ABC PEDIATRICS, PLLC
Primary location
830 PENNSYLVANIA AVE
SUITE 200
CHARLESTON, WV 25302-3302
Phone: (304) 343-1863 Fax: (304) 344-1755
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOSEPH MATUSIC
PHYSICIAN
Phone: (304) 343-1863
Updated
Identifiers

Identifiers for ABC PEDIATRICS, PLLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERNPI # CAROL FRAIL, MDWV1295798361
OTHERNPI # JOE MATUSIC, MDWV1912961343
OTHERNPI # PENNY DIVITA,DOWV1598744757
OTHERNPI# BRENDA WALKER,CFNPWV1013971761
OTHERSUE ANN UPTON,MD NPI #WV1922061076
MEDICAIDWV4000022000
MEDICAIDWV0107822000
MEDICAIDWV0167011000
MEDICAIDWV1003000000
MEDICAIDWV0112455000
MEDICAIDWV0105170000
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
WV 1451
363L00000X
- Nurse Practitioner
WV 18804
291U00000X
- Clinical Medical Laboratory
WV 51D0910134

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.