ABC PEDIATRICS, PLLC
NPI 1154429041
Pediatrics in Charleston, WV

Q: What is Abc Pediatrics, PLLC's NPI number?

The NPI number for Abc Pediatrics, PLLC is 1154429041. It was assigned to this organization in the NPPES registry on September 21, 2006.

Q: What is Abc Pediatrics, PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since September 21, 2006

830 PENNSYLVANIA AVE, SUITE 200, CHARLESTON, WV 25302(304) 343-1863(304) 344-1755 Get Directions Write a Review

NPPES record last updated: June 23, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Abc Pediatrics, Pllc NPPES

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

ABC PEDIATRICS, PLLC (NPI 1154429041) is a healthcare organization registered as a pediatrics in Charleston, West Virginia and active in the NPI registry since September 2006. The organization lists Joseph Matusic, Physician, as its authorized official.

NPPES Registry Identity

NPI1154429041

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameABC PEDIATRICS, PLLC

Location Address830 PENNSYLVANIA AVE, SUITE 200Charleston, WV 25302-3302

Mailing Address830 Pennsylvania Ave, Suite 200Charleston, WV 25302-3302 · (304) 343-1863 · Fax (304) 344-1755

Phone(304) 343-1863

Fax(304) 344-1755

Organization SubpartNo

Authorized OfficialJoseph MatusicPhysician · (304) 343-1863

Enumeration DateSeptember 21, 2006

Last NPPES UpdateJune 23, 2011

✔ NPI 1154429041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in WV · 731✔ Licensed in WV · 1451✔ Licensed in WV · 15140✔ Licensed in WV · 18217✔ Licensed in WV · 16381

Definition

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.

Also ListedClinical Medical LaboratoryTaxonomy 291U00000X · License 51D0910134 (WV)

Also ListedNurse PractitionerTaxonomy 363L00000X · License 18804 (WV)

830 PENNSYLVANIA AVE, Charleston, WV 25302

Open in Google Maps ↗

Other Identifiers 17

Other1922061076WV · Sue Ann Upton,md Npi #

Other1598744757WV · Npi # Penny Divita,do

Medicaid0107822000WV

Medicaid0112455000WV

Other1013971761WV · Npi# Brenda Walker,cfnp

Medicaid4000022000WV

Other1295798361WV · Npi # Carol Frail, Md

Medicare UPINF53257WV

Medicaid1003000000WV

Medicare UPING15685WV

Medicaid0105170000WV

Other1912961343WV · Npi # Joe Matusic, Md

Medicare UPINF18699WV

Medicare ID-Type Unspecified0792053WV · Medicare # Penny Divita

Medicare UPING42653WV

Medicare UPINF53258WV

Medicaid0167011000WV

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Other Providers at the Same Location NPPES 20

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

DR. STEPHEN HAROLD BUSH MD

Obstetrics & Gynecology

830 PENNSYLVANIA AVE
CHARLESTON, WV 25302

Kanawha County (304) 388-1515

DR. JOHN M ECKERD M.D.

Pediatrics (Pediatric Cardiology)

830 PENNSYLVANIA AVE, SUITE 103
CHARLESTON, WV 25302

Kanawha County (304) 388-1552

CARRIE MARIE BUSH M.D.

Otolaryngology

830 PENNSYLVANIA AVE, SUITE 405
CHARLESTON, WV 25302

Kanawha County (304) 388-2980

MARCUS DODDRIDGE SHAFFER M.D.

Otolaryngology

830 PENNSYLVANIA AVE, SUITE 302
CHARLESTON, WV 25302

Kanawha County (304) 388-2950

PICKENS A. GANTT II M.D.

Obstetrics & Gynecology (Reproductive Endocrinology)

830 PENNSYLVANIA AVE, SUITE 205
CHARLESTON, WV 25302

Kanawha County (304) 388-2863

MS. JENNIFER DIVITA D.O.

Pediatrics

830 PENNSYLVANIA AVE, STE 200
CHARLESTON, WV 25302

Kanawha County (304) 388-2709

INTEGRATED HEALTH CARE PROVIDERS, INC.

Clinical Medical Laboratory

830 PENNSYLVANIA AVE, SUITE 302
CHARLESTON, WV 25302

Kanawha County (304) 388-2950

SCOTT A. NAEGELE, MD, PLLC

Obstetrics & Gynecology

830 PENNSYLVANIA AVE, SUITE 108
CHARLESTON, WV 25302

Kanawha County (304) 344-8368

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 Abc Pediatrics, PLLC's NPI number?

The NPI number for Abc Pediatrics, PLLC is 1154429041. It was assigned to this organization in the NPPES registry on September 21, 2006.

Where is Abc Pediatrics, PLLC located?

Abc Pediatrics, PLLC is located at 830 Pennsylvania Ave Suite 200, Charleston, WV 25302. The listed phone number is (304) 343-1863.

What is Abc Pediatrics, PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Abc Pediatrics, PLLC accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Abc Pediatrics, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Abc Pediatrics, PLLC was last updated on June 23, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.