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South Charleston Pediatrics

Pediatrics Physician in Charleston, WV · enumerated 2006 · authorized official Jennifer Fisher, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1639251036

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Registry record

Entity type Organization (Type 2)
Legal business name South Charleston Pediatrics
Practice address 830 Pennsylvania Avenue, Suite 110, Charleston, WV, 25302
Fax (304) 766-9450
Enumeration date Oct 19, 2006
Last updated in NPPES Jul 21, 2022

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Jennifer Fisher
Title Office Manager

Other identifiers

Identifier Type State Issuer
4005199000 Medicaid WV -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for South Charleston Pediatrics?
The NPI for South Charleston Pediatrics is 1639251036, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for South Charleston Pediatrics?
NPPES lists Jennifer Fisher (Office Manager) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-21.