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PEDIATRIC ASSOCIATE
NPI 1104937416
Legal Medicine in Bridgeport, WV

Active since August 31, 2006
11 CHENOWETH DR, SUITE A, BRIDGEPORT, WV 26330(304) 842-5777(304) 842-3318 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pediatric Associate NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRIC ASSOCIATE (NPI 1104937416) is a healthcare organization registered as a legal medicine in Bridgeport, West Virginia and active in the NPI registry since August 2006. The organization lists Joseph Momen, Owner, as its authorized official.

NPPES Registry Identity

NPI1104937416
Entity TypeOrganization
Primary Taxonomy173000000X
Legal Business NamePEDIATRIC ASSOCIATE
Location Address11 CHENOWETH DR, SUITE ABridgeport, WV 26330-1675
Mailing Address11 Chenoweth Dr, Suite ABridgeport, WV 26330-1675 · (304) 842-5777 · Fax (304) 842-3318
Phone(304) 842-5777
Fax(304) 842-3318
Organization SubpartNo
Authorized OfficialJoseph MomenOwner · (304) 842-5777
Enumeration DateAugust 31, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1104937416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLegal MedicineOther Service Providers
Taxonomy Code173000000X
License✔ Licensed in WV · WV11941
Definition
The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.
11 CHENOWETH DR, Bridgeport, WV 26330
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Other Identifiers 1

Medicaid0010556000WV

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PEDIATRIC ASSOCIATE
Clinical Medical Laboratory
11 CHENOWETH DR, SUITE A
BRIDGEPORT, WV 26330
Harrison County (304) 842-5777

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric Associate's NPI number?

The NPI number for Pediatric Associate is 1104937416. It was assigned to this organization in the NPPES registry on August 31, 2006.

Where is Pediatric Associate located?

Pediatric Associate is located at 11 Chenoweth Dr Suite A, Bridgeport, WV 26330. The listed phone number is (304) 842-5777.

What is Pediatric Associate's specialty?

The primary specialty registered for this NPI is Legal Medicine with taxonomy code 173000000X.

When was this NPI record last updated?

The NPPES record for Pediatric Associate was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.