PEDSPLUS PEDIATRICS PRIMARY CARE, LLC (NPI# 1295186468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295186468 |
| Entity Type | Organization |
| Organization Name | PEDSPLUS PEDIATRICS PRIMARY CARE, LLC |
| Practice Address |
621 Jefferson Davis Hwy Unit 11b Fredericksburg VA 22401-4567 |
| Mailing Address |
1010 W Kensington Cir Fredericksburg VA 22401-8003 |
| Practice Telephone | 3477513641 |
| Mailing Telephone | 3477513641 |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2016-06-30 |
| Authorized Official Name | JEAN LAURORE (MANAGER) |
| Authorized Official Telephone | 3477513641 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 0101243632 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
621 JEFFERSON DAVIS HWY UNIT 11B |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22401-4567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992313415 | Amanda Dodd | Behavior Technician | 1411 Princess Anne, Fredericksburg, VA 22401 | 2020-07-21 |
| 1215567326 | Britteny Whitaker | Behavior Technician | 1411 Princess Ann, Fredericksburg, VA 22401 | 2020-01-17 |
| 1396389433 | Ashley Stanevich | Behavior Technician | 1411 Princess Anne Lane, Fredericksburg, VA 22401 | 2019-11-01 |
| 1265074231 | Anna Kelleher | Behavior Technician | 1411 Princess Anna St, Frericksburg, VA 22401 | 2019-10-11 |
| 1649824152 | Zaan Z Ali | Audiologist | 1708 Fall Hill Ave Suite 100, Fredericksburg, VA 22401 | 2019-08-01 |
| 1790342426 | Michael Williams Jr. | Physician Assistant | 411 B Park Hill Dr, Frederickburg, VA 22401 | 2019-05-29 |
| 1285290965 | Ann Damalie Namabiro | Behavior Technician | 1411 Princess Ann Street, Fredericksburg, VA 22401 | 2019-05-17 |
| 1922579630 | Primary and Urgent Care LLC | Family Medicine | Primary and Urgent Care LLC, 2306 Plank Road Ste 100, Fredericksburg, VA 22401 | 2018-12-07 |
| 1003323056 | Mariah Mazzariello | Behavior Technician | 1411 Princess Anne Stree, Fredericksburg, VA 22401 | 2017-12-29 |
| 1336655281 | Hina Zafar | Behavior Technician | 1411 Princess Anne St., Fredericksburg, VA 22401 | 2017-12-14 |
| Find all providers in zip 22401 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043530447 | Verne Elise Rochford | Pediatrics | 4604 Spotsylvania Pkwy Ste 200, Fredericksburg, VA 22408-7763 | 2010-06-08 |
| 1194936187 | Hina Rahman Khan | Pediatrics | 4425 Plank Rd, Fredericksburg, VA 22407-4809 | 2007-05-24 |
| 1114945037 | Preferred Pediatrics At Snowden | Pediatrics | 331 Park Hill Dr, Fredericksburg, VA 22401-3375 | 2006-07-18 |
| 1356366298 | Lynn Cao | Pediatrics | 1139 Heatherstone Dr, Fredericksburg, VA 22407-4828 | 2006-07-13 |
| 1568493138 | Pl Afterhours Clinic, Inc. | Pediatrics | 321 Park Hill Dr, Fredericksburg, VA 22401-3375 | 2006-07-05 |
| 1972530210 | Pl Physicians, Inc. | Pediatrics | 4550 Empire Ct., Fredericksburg, VA 22408-1939 | 2006-06-26 |
| 1730155268 | Alice C Noori | Pediatrics | 4552 Empire Ct, Pl Physicians, Inc., Fredericksburg, VA 22408-1939 | 2006-02-24 |
| 1518939438 | Julie E O'brien | Pediatrics | 10600 Spotsylvania Ave, Fredericksburg, VA 22408-2637 | 2006-02-03 |
| 1295715969 | William B Johnson | Pediatrics | 4532 Plank Rd, Fredericksburg, VA 22407-0139 | 2006-01-19 |
| 1811976046 | Allison H Goodlett | Pediatrics | 4701 Spotsylvania Parkway, Suite 200, Fredericksburg, VA 22408 | 2006-01-16 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 22401 |
Please comment or provide details below to improve the information on PEDSPLUS PEDIATRICS PRIMARY CARE, LLC.
| 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.