MS. JENNIFER DIVITA D.O.
NPI 1063646529
Pediatrics in Charleston, WV

NPI Status: Active since May 12, 2009

Contact Information

830 PENNSYLVANIA AVE
STE 200
CHARLESTON, WV
ZIP 25302
Phone: (304) 388-2709
Fax: (304) 344-1755

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Insurance Plans Accepted
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Pediatrics
Accepts Insurance

About JENNIFER DIVITA

This page provides the complete NPI Profile along with additional information for Jennifer Divita, a pediatrician established in Charleston, West Virginia with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1063646529 assigned on May 2009. The practitioner's primary taxonomy code is 208000000X with license number 2474 (WV). The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI: 1063646529
Provider Name: MS. JENNIFER DIVITA D.O.
Gender: Female
Entity Type: Individual
Location Address: 830 PENNSYLVANIA AVE STE 200 CHARLESTON, WV 25302
Location Phone: (304) 388-2709
Location Fax: (304) 344-1755
Mailing Address: 830 PENNSYLVANIA AVE STE. 200 CHARLESTON, WV 25302
Mailing Phone: (304) 388-2709
Mailing Fax: (304) 344-1755
Is Sole Proprietor?: No
Enumeration Date: 05-12-2009
Last Update Date: 02-19-2013
Code Navigator

A pediatrician like Jennifer Divita is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Pediatrics
Taxonomy Code: 208000000X
Type: Allopathic & Osteopathic Physicians
License No.: 2474
License State: WV
Taxonomy Description: 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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	390200000X	Student, Health Care	Student in an Organized Health Care Education/Training Program

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

CareSource

Bronze First 7500 $25 Generic Drugs - HMO
Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
Gold 1500 $15 Generic Drugs - HMO
Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
Low Deductible Silver 4500 $3 Generic Drugs - HMO
Low Deductible Silver 4500 $3 Generic Drugs Adult Vision & Fitness - HMO
Low Premium Silver 6000 $3 Generic Drugs - HMO
Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
Platinum Zero $5 Generic Drugs - HMO
Platinum Zero $5 Generic Drugs Adult Vision & Fitness - HMO
Silver 5000 $20 Generic Drugs - HMO
Silver 5000 $20 Generic Drugs Adult Vision & Fitness - HMO

Highmark Blue Cross Blue Shield West Virginia

my Blue Access WV Major Events PPO Catastrophic 9200 - 3 Free PCP Visits - PPO
my Blue Access WV PPO Bronze 3800 - PPO
my Blue Access WV PPO Bronze 3800 + Adult Dental and Vision - PPO
my Blue Access WV PPO Bronze 7400 HSA - Custom Drug Benefit - PPO
my Blue Access WV PPO Bronze 8900 - PPO
my Blue Access WV PPO Gold 0 - PPO
my Blue Access WV PPO Gold 0 + Adult Dental and Vision - PPO
my Blue Access WV PPO Gold 1700 HSA - PPO
my Blue Access WV PPO Premier Gold 0 - PPO
my Blue Access WV PPO Premier Gold 0 + Adult Dental and Vision - PPO
my Blue Access WV PPO Silver 7000 - PPO
my Blue Access WV PPO Standard Bronze 7500 - PPO
my Blue Access WV PPO Standard Gold 1500 - PPO
my Blue Access WV PPO Standard Silver 5000 - PPO
my Blue Access WV PPO Standard Silver 5000 + Adult Dental and Vision - PPO

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
3810023323	MEDICAID (05)	WV

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	0	6	3	6	4	6	5	2	9
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	0	12	3	12	4	12	5	4
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 1 + 2 + 4 + 1 + 2 + 5 + 4 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 9									9

The NPI number 1063646529 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

DR. DAVID W THOMAS MD

Obstetrics & Gynecology

830 PENNSYLVANIA AVE
STE 402
CHARLESTON, WV
ZIP 25302

About JENNIFER DIVITA

Location Map

Specialty - Primary Taxonomy

Pediatrics

Secondary Taxonomies

Student in an Organized Health Care Education/Training Program

Insurance Plans Accepted

Additional Identifiers

Reviews for MS. JENNIFER DIVITA D.O.

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions