Pediatrics
PENNY DIVITA DO
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1598744757 · enumerated 2006-01-16 · record updated 2011-06-23. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 830 PENNSYLVANIA AVE, STE 200, CHARLESTON, WV, 25302-3302 (304) 388-2709 Google Maps Apple Maps OpenStreetMap
- Practice location 830 PENNSYLVANIA AVE, STE 200, CHARLESTON, WV, 25302-3302 (304) 388-2709 Google Maps Apple Maps OpenStreetMap
Specialties
- Emergency Medicine 207P00000X · License 1461 WV
- Pediatrics 208000000X · Primary · License 1451 WV
In this directory
Locations and evidence
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Practice location
CHARLESTON, WV, 253023302
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.