CHESAPEAKE PEDIATRICS, INC (NPI# 1215157110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215157110 |
| Entity Type | Organization |
| Organization Name | CHESAPEAKE PEDIATRICS, INC |
| Practice Address |
11950 Maccorkle Ave Charleston WV 25315-1131 |
| Practice Telephone | 3049494600 |
| Practice Fax Number | 3049494601 |
| Mailing Telephone | 3049494600 |
| Mailing Fax Number | 3049494601 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. YUSR ABOUSHAAR (OWNER) |
| Authorized Official Telephone | 3049494600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 18109 | WV | Other Service Providers |
| Street Address |
11950 MACCORKLE AVE |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25315-1131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073737714 | Laurie R Jones | Nurse Practitioner | 11950 Maccorkle Ave, Suite B, Charleston, WV 25315-1131 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326699703 | Mountaineer Drug Inc. | Pharmacy | 9709 Maccorkle Ave Se, Ste A, Marmet, WV 25315 | 2019-09-26 |
| 1306344411 | Wyonna June Alderman | Technician | 124 132nd Street, Chesapeake, WV 25315 | 2018-01-24 |
| 1548386295 | Karl David Gent | Physical Therapist | 1 Supthin Drive, Marmet, WV 25315 | 2007-03-22 |
| 1154438307 | Kirit K Pujara | Dentist | 10009 Maccorkle Ave Se, Marmet, WV 25315 | 2006-08-24 |
| 1366744864 | Daniel Bradford Harkins | Pharmacist | 10635 Maccorkle Ave, Kroger Pharmacy 754, Marmet, WV 25315 | 2010-12-03 |
| 1396255261 | Go Journey Journal, Inc. | Day Training, Developmentally Disabled Services | 11738 Maccorkle Ave, Charleston, WV 25315-1035 | 2017-10-05 |
| 1093327207 | Synthia Nicole Miller | Technician | 118 136th St, Chesapeake, WV 25315-1508 | 2020-08-19 |
| 1467966200 | Brittany Fisher | Speech-Language Pathologist | 302 87th St, Marmet, WV 25315-1704 | 2017-11-30 |
| 1225127939 | Ravin & Nilima Bhirud Mds | Internal Medicine | 8618 Maccorkle Ave, Marmet, WV 25315-1724 | 2006-10-12 |
| 1801955232 | Nilima Ravin Bhirud | Internal Medicine | 8618 Maccorkle Ave, Marmet, WV 25315-1724 | 2006-12-08 |
| Find all providers in zip 25315 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992262257 | Marnie Rustemeyer | Specialist | 1306 Kanawha Blvd E Ste 1001306, Charleston, WV 25301-3000 | 2019-02-22 |
| 1801307483 | Stacy Phillips | Specialist | 3015 Scuba Dr, Charleston, SC 29414-5696 | 2017-10-23 |
| 1437535705 | Dr Elizabeth Eliza Castle | Specialist | 1527 Sam Rittenberg Blvd Ste 202, Charleston, SC 29407-4189 | 2015-08-10 |
| 1699170084 | Emma Chambers | Specialist | 2059 Wild Flower Ln, Charleston, SC 29414-6471 | 2014-10-28 |
| 1295156404 | Equilibrium Diabetes Center, LLC | Specialist | 1342 Ellison Run, Charleston, SC 29412-8285 | 2013-12-16 |
| 1255689659 | Lindsay Cameron | Specialist | 1804 Huntington Dr, Charleston, SC 29407-3121 | 2012-08-16 |
| 1225304314 | R L Stephens Md Inc | Specialist | 331 Laidley St Ste 204, Charleston, WV 25301-1605 | 2012-03-22 |
| 1720313919 | Norman Frank Kinsey | Specialist | 1 Carriage Ln Ste B201, Charleston, SC 29407-6078 | 2009-10-06 |
| 1952540296 | Kenneth M Stabile | Specialist | 2065 Savannah Hwy, Suite C, Charleston, SC 29407-2225 | 2009-02-10 |
| 1356513550 | Claudia Vivot Welber | Specialist | 217 Calhoun St, Charleston, SC 29401-1313 | 2008-03-27 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 25315 |
Please comment or provide details below to improve the information on CHESAPEAKE PEDIATRICS, INC.
| 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.