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LIFELINE PEDIATRICS INC
NPI 1598896193
Specialist in New Martinsville, WV

Active since March 08, 2007
100 PADUCAH DR, NEW MARTINSVILLE, WV 26155(304) 455-3611 Get Directions Write a Review

NPPES record last updated: August 19, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lifeline Pediatrics Inc NPPES

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

LIFELINE PEDIATRICS INC (NPI 1598896193) is a healthcare organization registered as a specialist in New Martinsville, West Virginia and active in the NPI registry since March 2007. The organization lists Ibanga M Ekanem, Owner, as its authorized official.

NPPES Registry Identity

NPI1598896193
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameLIFELINE PEDIATRICS INC
Location Address100 PADUCAH DRNew Martinsville, WV 26155-2710
Mailing Address100 Paducah DriveNew Martinsville, WV 26155 · (304) 455-3611
Phone(304) 455-3611
Organization SubpartNo
Authorized OfficialIbanga M EkanemOwner · (304) 455-3611
Enumeration DateMarch 8, 2007
Last NPPES UpdateAugust 19, 2011
✔ NPI 1598896193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in WV · 19922
Definition
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.
100 PADUCAH DR, New Martinsville, WV 26155
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Other Identifiers 1

Medicaid3810006383WV

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

Other Providers at the Same Location NPPES 3

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

PATRICIA LOUISE BOWMAN CFNP
Nurse Practitioner (Family)
100 PADUCAH DR, SUITE B
NEW MARTINSVILLE, WV 26155
Wetzel County (304) 447-4000
IBANGA MICHAEL EKANEM MD
Pediatrics (Adolescent Medicine)
100 PADUCAH DR
NEW MARTINSVILLE, WV 26155
Wetzel County (304) 455-3611
DAKSHINA R MURTHY MD
Internal Medicine (Cardiovascular Disease)
100 PADUCAH DR
NEW MARTINSVILLE, WV 26155
Wetzel County (304) 815-0050

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 Lifeline Pediatrics Inc's NPI number?

The NPI number for Lifeline Pediatrics Inc is 1598896193. It was assigned to this organization in the NPPES registry on March 8, 2007.

Where is Lifeline Pediatrics Inc located?

Lifeline Pediatrics Inc is located at 100 Paducah Dr, New Martinsville, WV 26155. The listed phone number is (304) 455-3611.

What is Lifeline Pediatrics Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Lifeline Pediatrics Inc was last updated on August 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.