KIDMED INC. (NPI# 1407013121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407013121 |
Entity Type | Organization |
Organization Name | KIDMED INC. |
Other Organization Name | KIDMED WEST END |
Practice Address |
4687 Pouncey Tract Rd Glen Allen VA 23059-5802 |
Practice Telephone | 8046472240 |
Mailing Telephone | 8044225437 |
Enumeration Date | 2008-05-20 |
Last Update Date | 2020-02-28 |
Authorized Official Name | DR. MARK A FLANZENBAUM (PRESIDENT) |
Authorized Official Telephone | 8045925437 |
Authorized Official Credential | MD |
Is Organization Subpart | Y |
Parent Organization Name | KIDMED INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
KidMed West End | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003237330 | Kidmed Inc. | Clinic/Center | 8356 Bell Creek Rd., Mechanicsville, VA 23116 | 2014-01-06 |
1174042022 | Kidmed Inc. | Clinic/Center | 20 Doc Stone Rd, Stafford, VA 22556-4515 | 2017-09-12 |
Street Address |
4687 POUNCEY TRACT RD |
City | GLEN ALLEN |
State | VA |
Zip Code | 23059-5802 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578563839 | Jeffrey E Bennett | Pediatrics | 4687 Pouncey Tract Rd, Glen Allen, VA 23059-5802 | 2005-07-28 |
1982233136 | Nicole Ashlee Smith | Nurse Practitioner | 4687 Pouncey Tract Rd, Glen Allen, VA 23059-5802 | 2020-04-08 |
1558911263 | Abigail Myree Schwartz | Nurse Practitioner | 4687 Pouncey Tract Rd, Glen Allen, VA 23059-5802 | 2019-09-14 |
1093377897 | Carter Hunter | Nurse Practitioner | 4687 Pouncey Tract Rd, Glen Allen, VA 23059-5802 | 2019-07-01 |
1881106037 | Sarah Seiberling Fulton Barr | Nurse Practitioner | 4687 Pouncey Tract Rd, Glen Allen, VA 23059-5802 | 2017-10-27 |
1720521065 | Lauren Cranfill | Nurse Practitioner | 4687 Pouncey Tract Rd, Glen Allen, VA 23059-5802 | 2016-11-18 |
1184092389 | Tiffany Batterton | Nurse Practitioner | 4687 Pouncey Tract Rd, Glen Allen, VA 23059-5802 | 2015-09-04 |
1538555727 | Noelle Edwards | Pediatrics | 4687 Pouncey Tract Rd, Glen Allen, VA 23059-5802 | 2015-04-14 |
1730580085 | Ann Lewis Shields | Nurse Practitioner | 4687 Pouncey Tract Rd, Glen Allen, VA 23059-5802 | 2014-09-05 |
1174930705 | Emily Montaigne | Emergency Medicine | 4687 Pouncey Tract Rd, Glen Allen, VA 23059-5802 | 2014-07-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003422163 | Kusum Bhetwal | Nurse Practitioner | 12804 Westin Estates Drive, Glen Allen, VA 23059 | 2020-09-23 |
1538704770 | Rise Services LLC | Community/Behavioral Health | 11357 Nuckois Road, Suite 2043, Glen Allen, VA 23059 | 2019-11-12 |
1992347116 | Irene Anne Mcgovern | Technician | 5233 Eastbranch Dr, Glen Allen, VA 23059 | 2019-10-09 |
1427547322 | Sharon Ann Lott | Audiologist | Short Pump Middle School, 4701 Pouncey Tract Road, Glen Allen, VA 23059 | 2018-05-07 |
1518476423 | Thomas Joseph Stein | Pharmacist | 4912 Old Millrace Place, Glen Allen, VA 23059 | 2017-09-22 |
1033638440 | Caroline Taylor | Specialist/Technologist | 5143 Dorin Hill Ct., Glen Allen, VA 23059 | 2017-09-18 |
1003335167 | Rva Transport, Inc. | Non-emergency Medical Transport (VAN) | 830 Brassie Ln, Apt F, Glen Allen, VA 23059 | 2017-09-10 |
1639628407 | Jessica Jasmine Green | Nurse Practitioner | 4687 Poucey Tract Road, Glen Allen, VA 23059 | 2016-09-22 |
1255512760 | Peggy Ellen York | Psychologist | 13314 Greenwood Rd, Glen Allen, VA 23059 | 2007-11-27 |
1689795940 | Kim Blassic | Dentist | 5225 Hickory Park Dr., Suite D, Glen Allen, VA 23059 | 2007-04-03 |
Find all providers in zip 23059 |
Taxonomy Code | 261QU0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Urgent Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245531359 | Urgent Care Associates LLC | Clinic/Center | 10220 Staples Mill Rd, Glen Allen, VA 23060-3064 | 2010-11-04 |
1346662343 | Bon Secours Ambulatory Services LLC | Clinic/Center | 9851 Brook Rd, Glen Allen, VA 23059-4559 | 2014-01-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881200764 | Total Healthcare | Clinic/Center | 2202 Daniels Creek Rd, Collinsville, VA 24078-1370 | 2020-09-16 |
1487284717 | Xcel Urgent Care LLC | Clinic/Center | 3517 S Jefferson St, Falls Church, VA 22041-3106 | 2020-01-27 |
1003446402 | Mwhc Urgent Care LLC | Clinic/Center | 10 Stafford Lakes Parkway, Stafford, VA 22406 | 2020-01-24 |
1942857297 | Quiet Heartbeat LLC | Clinic/Center | 101 King Arthurs Way Apt 203, Fredericksburg, VA 22406-6421 | 2019-08-21 |
1467914994 | Velocity Urgent Care, LLC | Clinic/Center | 7394 Harbour Towne Pkwy Ste 5, Suffolk, VA 23435-3473 | 2019-04-03 |
1710448022 | Shifa Health LLC | Clinic/Center | 9 Center St Ste 101, Stafford, VA 22556-8910 | 2019-03-28 |
1992279327 | Velocity Urgent Care, LLC | Clinic/Center | 16422 Navigation Dr, Woodbridge, VA 22191 | 2019-01-18 |
1104394766 | Ortho Oic Orthopaedic Immediate Care, LLC | Clinic/Center | 1701 Clarendon Blvd Ste 120, Arlington, VA 22209-4800 | 2018-11-12 |
1043795941 | Velocity Urgent Care, LLC | Clinic/Center | 2180 General Booth Blvd Ste F, Virginia Beach, VA 23454-5804 | 2018-09-27 |
1174005920 | Velocity Urgent Care, LLC | Clinic/Center | 1001 Centerbrooke Ln Ste 100, Suffolk, VA 23434-8663 | 2018-08-29 |
Find all providers with the same taxonomy |
City | GLEN ALLEN |
Zip Code | 23059 |
Please comment or provide details below to improve the information on KIDMED INC..
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.