JOSEPH HENRY MATUSIC (NPI# 1912961343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912961343 |
| Entity Type | Individual |
| Full Name | JOSEPH HENRY MATUSIC |
| Credential | M.D. |
| Practice Address |
830 Pennsylvania Ave Suite 200 Charleston WV 25302-3302 |
| Mailing Address |
57 Stone Ridge Drive Hurricane WV 25526 |
| Practice Telephone | 3043431863 |
| Practice Fax Number | 3043441755 |
| Mailing Telephone | 3043431863 |
| Mailing Fax Number | 3043441755 |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2011-08-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
16381 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0107822000 | 05 |
| Street Address |
830 PENNSYLVANIA AVE SUITE 200 |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25302-3302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447253497 | Scott Alan Naegele | Obstetrics & Gynecology | 830 Pennsylvania Ave, Suite 108, Charleston, WV 25302-3389 | 2005-05-23 |
| 1134678071 | Meredith Anne Chapman | Dietitian, Registered | 830 Pennsylvania Ave, Suite 103, Charleston, WV 25302-3302 | 2016-10-03 |
| 1790168409 | Muhammad Farhan Khaliq | Internal Medicine | 830 Pennsylvania Ave, Women and Children's Medical Staff Office, Suite 103, Charleston, WV 25302-3302 | 2015-06-30 |
| 1467869537 | Amarah Shakoor | Student in an Organized Health Care Education/Training Program | 830 Pennsylvania Ave, Suite 102, Charleston, WV 25302-3302 | 2014-07-21 |
| 1154734465 | Thomas Hunter & Associates, Pllc | Obstetrics & Gynecology | 830 Pennsylvania Ave, Ste 402, Charleston, WV 25302-3302 | 2014-06-04 |
| 1881031557 | Integrated Health Care Providers, Inc. | Surgery | 830 Pennsylvania Ave, Suite 305, Charleston, WV 25302-3302 | 2013-06-04 |
| 1528300829 | Brandi Elizabeth Sentz | Dietitian, Registered | 830 Pennsylvania Ave, Suite 103, Charleston, WV 25302-3302 | 2013-03-25 |
| 1821338047 | Abc Pediatrics, Pllc | Pediatrics | 830 Pennsylvania Ave, Ste. 200, Charleston, WV 25302-3302 | 2013-02-25 |
| 1174842140 | Ashley E Meyer | Pediatrics | 830 Pennsylvania Ave, Ste 103, Charleston, WV 25302-3302 | 2010-05-28 |
| 1134456171 | Marsha Harris | Registered Nurse | 830 Pennsylvania Ave, Ste 104, Charleston, WV 25302-3302 | 2009-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871963 | Sha'la Wright | Technician | 713 Orchard Street Apt. G, Charleston, WV 25302 | 2020-11-03 |
| 1154929446 | Christine Balser | Technician | 3324 Pennsylvania Avenue, Charleston, WV 25302 | 2020-10-09 |
| 1629698865 | Umer Muhammad | Student in an Organized Health Care Education/Training Program | Childrens Medicine Center, 800 Pennsylvania Ave, Charleston, WV 25302 | 2020-04-17 |
| 1689209660 | Annedie Beauty Equipment Wholesale | Prosthetic/Orthotic Supplier | 3406 Pennsylvania Avenue, Charleston, WV 25302 | 2020-03-10 |
| 1932753530 | Northwest Pharmacy, LLC | Pharmacy | 708 Bigley Ave, Ste A, Charleston, WV 25302 | 2019-07-31 |
| 1831753185 | Philip Rhoney Fending | Student in an Organized Health Care Education/Training Program | Camc Ob/gyn Center, 800 Pennsylvania Ave, Charleston, WV 25302 | 2019-04-23 |
| 1851854491 | Amee Atulkumar Amin | Student in an Organized Health Care Education/Training Program | Familycare/ Children's Medicine Center, 800 Pennsylvania Ave, Charleston, WV 25302 | 2019-04-10 |
| 1790276525 | Womencare Inc | Clinic/Center | 812 Park Ave # 35, Charleston, WV 25302 | 2018-05-29 |
| 1245729771 | Zunaira Mahmood | Student in an Organized Health Care Education/Training Program | 800 Pennsylvania Ave., Familycare/children's Medicine C, Charleston, WV 25302 | 2018-05-10 |
| 1093212383 | Rahiya Binte Rehman | Student in an Organized Health Care Education/Training Program | 800 Pennsylvania Ave Family Care / Children's Medicine, Charleston, WV 25302 | 2018-04-12 |
| Find all providers in zip 25302 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831494376 | Robin Darnell Pllc | Pediatrics | 4502 Maccorkle Ave Se Ste B, Charleston, WV 25304-1835 | 2011-01-13 |
| 1346368487 | Sarah Bush Lincoln Health Center | Pediatrics | 1411 E St, Suite 2, Charleston, IL 61920-2529 | 2007-03-27 |
| 1821338047 | Abc Pediatrics, Pllc | Pediatrics | 830 Pennsylvania Ave, Ste. 200, Charleston, WV 25302-3302 | 2013-02-25 |
| 1982953873 | Bee Healthy Pediatrics Pllc | Pediatrics | 400 Court St, Suite 300, Charleston, WV 25301-1652 | 2012-09-06 |
| 1104078393 | University Medical Associates | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-8908 | 2008-10-21 |
| 1982712931 | Janice D Key | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-08-29 |
| 1124136080 | Patricia Lee Hutchison | Pediatrics | 181 Calhoun St, Charleston, SC 29424-0001 | 2006-08-29 |
| 1104888171 | Afif S Habash | Pediatrics | 4920 Maccorkle Ave Se, Charleston, WV 25304-2052 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669669453 | Karyn Lynette Molinari-fryer | Pediatrics | 139 Conference Center Way, Suite 113, Bridgeport, WV 26330 | 2007-09-26 |
| 1649304395 | Carlos E Lucero | Pediatrics | 403 Carriage Dr, Beckley, WV 25801-2805 | 2007-03-15 |
| 1588705107 | Sunila Mehrotra | Pediatrics | 2101 Jacob St Ste 602, Wheeling, WV 26003-3844 | 2007-02-08 |
| 1407819360 | Anna Maria Suray | Pediatrics | 3045 Pennsylvania Ave, Suite 3 Level 1, Weirton, WV 26062-3770 | 2006-04-10 |
| 1295737153 | Ann M. Lambernedis | Pediatrics | 111 Great Teays Blvd Ste 101, Scott Depot, WV 25560-9548 | 2005-08-11 |
| 1477554574 | Pamela S. Stallo | Pediatrics | 303 Great Teays Blvd, Scott Depot, WV 25560-9553 | 2005-08-10 |
| 1003810631 | Romeo R Ednacot | Pediatrics | 207 Maplewood Ave, Ronceverte, WV 24970-1335 | 2005-06-10 |
| 1881839892 | Woman and Child, PC | Pediatrics | 1004 Tavern Rd, Martinsburg, WV 25401-2864 | 2008-12-04 |
| 1306000880 | Denise Nicole Young | Pediatrics | 303 Great Teays Blvd, Scott Depot, WV 25560-9553 | 2008-07-15 |
| 1326221888 | Tara Mitchell | Pediatrics | 118 12th Street Ext, Princeton, WV 24740-2352 | 2007-12-06 |
| Find all providers with the same taxonomy | ||||
| City | CHARLESTON |
| Zip Code | 25302 |
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| 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.