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Export Provider Record NPI 1124072905
Mary C PozegaD.O.
Active
NPI Number1124072905
NPI TypeNPI-1 Individual
SpecialtyPediatrics
Provider Details
NPI1124072905
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-05-19
Last Updated2007-07-08
Mailing Address6637 Kanawha Ave Se
Charleston, WV 25304-2915
United States
Phone: (304) 926-6637
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Primary Practice Address5324 Maccorkle Ave Se
Charleston, WV 25304-2222
United States
Phone: (304) 925-7001 | Fax: (304) 925-7234
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes208000000X – PediatricsWV1512
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About NPI 1124072905

Mary C Pozega D.O. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1124072905. The primary specialty listed is Pediatrics. The provider is located in Charleston, WV. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-05-19. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1124072905?

NPI 1124072905 belongs to Mary C Pozega D.O., a Pediatrics in Charleston, WV. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1124072905 active?

The current status of NPI 1124072905 in the NPPES registry is Active. The record was last updated on 2007-07-08.

What specialty is NPI 1124072905?

NPI 1124072905 is classified under the taxonomy Pediatrics. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1124072905?

You can verify NPI 1124072905 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1124072905?

The primary practice address on file for NPI 1124072905 is 5324 Maccorkle Ave Se, Charleston, WV 25304-2222. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1124072905 issued?

NPI 1124072905 was first issued (enumerated) on 2006-05-19. The NPPES record was last updated on 2007-07-08.

Practice Location Map

Mary C Pozega is located at 5324 Maccorkle Ave Se, Charleston, WV. Use the map below to find directions or verify the practice location.

📍 5324 Maccorkle Ave Se, Charleston, WV 25304-2222  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Mary C Pozega. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1124072905. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pediatrics1512WV
Data Verified from CMS NPPES Last synced: 2026-06-29 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162