THE PEDIATRIC GROUP, PC (NPI# 1023232345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023232345 |
| Entity Type | Organization |
| Organization Name | THE PEDIATRIC GROUP, PC |
| Practice Address |
3914 Centreville Road Chantilly VA 20151 |
| Mailing Address |
7015 C Manchester Blvd. Alexandria VA 22310 |
| Practice Telephone | 7034818600 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MICHAEL GRADER (ADMINISTRATOR) |
| Authorized Official Telephone | 7039716900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851515175 | The Pediatric Group, PC | Registered Nurse | 10527 Braddock Road, Fairfax, VA 22032 | 2007-04-11 |
| 1780808006 | The Pediatric Group, PC | Registered Nurse | 12506 A Lake Ridge Drive, Lake Ridge, VA 22192 | 2007-04-11 |
| 1922162205 | The Pediatric Group, PC | Pediatrics | 7015c Manchester Blvd, Alexandria, VA 22310-3253 | 2006-12-20 |
| 1710928437 | The Pediatric Group, PC | Pediatrics | 7015c Manchester Blvd, Alexandria, VA 22310-3253 | 2006-06-10 |
| Street Address |
3914 CENTREVILLE ROAD |
| City | CHANTILLY |
| State | VA |
| Zip Code | 20151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023635695 | Sabah Home Care | Home Health | 4221 Walney Rd Suite 500 C, Chantilly, VA 20151 | 2020-06-30 |
| 1205485976 | Huang Wellness Center LLC | Acupuncturist | 14145 Robet Paris Ct, Chantilly, VA 20151 | 2019-09-05 |
| 1376032714 | Myeyedr Optometry of Virginia, Pllc | Optometrist | 14337 Newbrook Drive, Suite 400, Chantilly, VA 20151 | 2018-05-01 |
| 1013405950 | Chantilly Modern Dentistry, PC | Dentist | 14337 Newbrook Dr., Suite 200, Chantilly, VA 20151 | 2018-04-26 |
| 1972090389 | Wegmans Food Markets, Inc. | Pharmacy | 14361 Newbrook Dr., Chantilly, VA 20151 | 2018-04-20 |
| 1922526714 | Cynthia Anne Biggar | Specialist/Technologist | 13613 Bare Island Drive, Chantilly, VA 20151 | 2017-09-01 |
| 1497297717 | Rebekah Lee Hinders | Nurse Practitioner | 3914 Centrevill Rd, Suite 101, Chantilly, VA 20151 | 2016-11-17 |
| 1043761117 | Victoria Ranti Balogun | Nurse Practitioner | 14121 Parke Long Court, Suite 201, Chantilly, VA 20151 | 2016-10-24 |
| 1619424694 | Erin Booker | Nurse Practitioner | Parke Long Court, Suite 201, Chantilly, VA 20151 | 2016-09-07 |
| 1326419078 | Amparo Emilia Kidd | Nurse Practitioner | 14121 Parke Long Court, Suite 201, Chantilly, VA 20151 | 2015-10-07 |
| Find all providers in zip 20151 | ||||
| Taxonomy Code | 163WP0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366057119 | Stephanie Keeling | Registered Nurse | 1223 Rowland Dr, Herndon, VA 20170-2430 | 2020-09-09 |
| 1639638273 | Brittani Jordan | Registered Nurse | 6171 Fawnlake Ct, New Kent, VA 23124-2977 | 2019-03-13 |
| 1013382837 | Carrie Shreve Entsminger | Registered Nurse | 11810 Murray Hill Dr, Midlothian, VA 23113-2342 | 2015-12-04 |
| 1245504083 | April Rose De Leon | Registered Nurse | 2503 E Little Creek Rd, Apt #5, Norfolk, VA 23518-3343 | 2012-02-24 |
| 1629341508 | Danielle Louise Henry | Registered Nurse | 4211 Heather Rd, Portsmouth, VA 23703-1621 | 2012-02-22 |
| 1801169784 | Karissa J Richardson | Registered Nurse | 826 Priscilla Ln, Chesapeake, VA 23322-3719 | 2012-02-22 |
| 1073886842 | April Gilbrech | Registered Nurse | 1103 Canopy Ct, Virginia Beach, VA 23455 | 2012-02-09 |
| 1225255938 | Janet Ann Williams-janas | Registered Nurse | 6419 Chapel View Rd, Clifton, VA 20124-1944 | 2007-04-20 |
| 1851515175 | The Pediatric Group, PC | Registered Nurse | 10527 Braddock Road, Fairfax, VA 22032 | 2007-04-11 |
| 1780808006 | The Pediatric Group, PC | Registered Nurse | 12506 A Lake Ridge Drive, Lake Ridge, VA 22192 | 2007-04-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.