CHILDRENS MEDICAL GROUP INC (NPI# 1447305057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447305057 |
Entity Type | Organization |
Organization Name | CHILDRENS MEDICAL GROUP INC |
Other Organization Name | PEDIATRIC ASSOCIATES OF WILLIAMSBURG |
Practice Address |
119 Bulifants Blvd Williamsburg VA 23188-5709 |
Mailing Address |
601 Childrens Ln Norfolk VA 23507-1910 |
Practice Telephone | 7575647337 |
Practice Fax Number | 7575643205 |
Mailing Telephone | 7576687017 |
Mailing Fax Number | 7576688929 |
Enumeration Date | 2007-01-24 |
Last Update Date | 2012-04-26 |
Authorized Official Name | MR. DENNIS MICHAEL RYAN (SENIOR VP CFO) |
Authorized Official Telephone | 7576688565 |
Is Organization Subpart | Y |
Parent Organization Name | CHILDRENS MEDICAL GROUP INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Pediatric Associates of Williamsburg | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770049215 | Childrens Medical Group Inc | Pediatrics | 656 Independence Pkwy Ste 200, Chesapeake, VA 23320-5213 | 2019-02-20 |
1629546106 | Childrens Medical Group Inc | Pediatrics | 1529 International Blvd Ste 301, Norfolk, VA 23513-4802 | 2018-11-02 |
1538214275 | Childrens Medical Group Inc | Pediatrics | 1909 Granby St Ste A, Norfolk, VA 23517-2349 | 2007-01-24 |
1649325242 | Childrens Medical Group Inc | Pediatrics | 4505 Columbus St Ste 250, Virginia Beach, VA 23462-5011 | 2007-01-24 |
1992117527 | Childrens Medical Group Inc | Pediatrics | 1181 First Colonial Rd, Suite 100, Virginia Beach, VA 23454-2437 | 2014-06-02 |
1144468836 | Childrens Medical Group Inc | Pediatrics | 1005 Commercial Ln, Godwin Bldg On Rt. 10, Suite 220, Suffolk, VA 23434-8149 | 2009-02-03 |
1245386341 | Childrens Medical Group Inc | Pediatrics | 6345 Center Dr, Bldg 14, Norfolk, VA 23502-4105 | 2007-01-25 |
1538214713 | Childrens Medical Group Inc | Pediatrics | 171 Kempsville Rd, Bldg B, Norfolk, VA 23502-4700 | 2007-01-25 |
1366597114 | Childrens Medical Group Inc | Pediatrics | 2117 Mccomas Way, Suite 103, Virginia Beach, VA 23456-3908 | 2007-01-24 |
1538214309 | Childrens Medical Group Inc | Pediatrics | 500 Discovery Dr, Suite 302, Chesapeake, VA 23320-3842 | 2007-01-24 |
Street Address |
119 BULIFANTS BLVD |
City | WILLIAMSBURG |
State | VA |
Zip Code | 23188-5709 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508850454 | Elizabeth De Falcon | Pediatrics | 119 Bulifants Blvd, Williamsburg, VA 23188-5747 | 2005-09-07 |
1396107637 | Ertle Clennie Jones Jr. | Pediatrics | 119 Bulifants Blvd, Williamsburg, VA 23188-5747 | 2016-03-25 |
1770855157 | Childrens Hospital of The Kings Daughters Inc | Clinical Medical Laboratory | 119 Bulifants Blvd, Williamsburg, VA 23188-5709 | 2012-02-01 |
1699046078 | Childrens Hospital of The Kings Daughters Inc | Clinic/Center | 119 Bulifants Blvd, Williamsburg, VA 23188-5709 | 2012-01-18 |
1285856948 | Amanda Scott Lereche | Occupational Therapist | 119 Bulifants Blvd, Suite B, Williamsburg, VA 23188-5709 | 2007-05-03 |
1982825345 | Wanda Green | Occupational Therapist | 119 Bulifants Blvd, Suite B, Williamsburg, VA 23188-5709 | 2007-05-02 |
1518187582 | Andrea R Harris | Occupational Therapist | 119 Bulifants Blvd, Suite B, Williamsburg, VA 23188-5709 | 2007-05-01 |
1003850744 | Mark C Downey | Pediatrics | 119 Bulifants Blvd, Williamsburg, VA 23188-5709 | 2006-06-15 |
1366480220 | Beverly Charlier Coleman | Nurse Practitioner | 119 Bulifants Blvd, Williamsburg, VA 23188-5709 | 2006-06-03 |
1770521593 | Jane Francis Henley | Nurse Practitioner | 119 Bulifants Blvd, Williamsburg, VA 23188-5709 | 2006-06-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992287833 | Kathryn Goss Atanasov | Counselor | Farley Iop Williamsburg Place, 5477 Mooretown Road, Williamsburg, VA 23188 | 2018-09-06 |
1386180933 | Brittany Marie Purdy | Physical Therapist | 6425 Richmond Road, Williamsburg, VA 23188 | 2017-01-06 |
1770930745 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 6485 Centerville Rd, Williamsburg, VA 23188 | 2016-05-19 |
1073979738 | Sharon Harper | Social Worker | 4732 Longhill Road, Suite 3202, Williamsburg, VA 23188 | 2016-01-12 |
1710362819 | Diamond Healthcare | Social Worker | 5477 Mooretown Road, Williamsburg Place, Williamsburg, VA 23188 | 2015-07-30 |
1922489749 | Uc Davis Medical Center | General Acute Care Hospital | 3905 Cold Spring Rd, Williamsburg, VA 23188 | 2015-06-17 |
1013326214 | Deandra Smith | Developmental Therapist | 111 Bulifants Blvd Ste B, Williamsburg, VA 23188 | 2014-08-13 |
1255751590 | Lisa Marie Frazier | Counselor | 4345 New Town Ave. Ste. 107a, Williamsburg, VA 23188 | 2014-04-25 |
1972883569 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 7529 Richmond Rd, Williamsburg, VA 23188 | 2011-08-26 |
1720386816 | Harry Leon White | Pharmacist | 114 Molesey Hurst, Williamsburg, VA 23188 | 2011-03-14 |
Find all providers in zip 23188 |
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 |
---|---|---|---|---|
1942663737 | Daniel Carr | Pediatrics | 135 W Landing, Williamsburg, VA 23185-8255 | 2016-03-30 |
1376928234 | County Pediatrics, P.l.l.c. | Pediatrics | 2109 Harpers Ml, Williamsburg, VA 23185-7521 | 2015-07-21 |
1417922444 | Cynthia T Portal | Pediatrics | 108 Harbourside, Williamsburg, VA 23188-8004 | 2006-02-22 |
1639144686 | Steven C Mares | Pediatrics | 1162 Professional Dr, Williamsburg, VA 23185 | 2006-02-22 |
1780658260 | Jennifer J Altman | Pediatrics | 4374 New Town Ave, Ste 202, Williamsburg, VA 23188-2865 | 2006-02-14 |
1508850454 | Elizabeth De Falcon | Pediatrics | 119 Bulifants Blvd, Williamsburg, VA 23188-5747 | 2005-09-07 |
1396107637 | Ertle Clennie Jones Jr. | Pediatrics | 119 Bulifants Blvd, Williamsburg, VA 23188-5747 | 2016-03-25 |
1265668578 | Sentara Medical Group | Pediatrics | 400 Sentara Cir, Suite 310, Williamsburg, VA 23188-5716 | 2009-06-02 |
1174718514 | Roger Hobart Perry | Pediatrics | 5249 Olde Towne Rd, Suite D, Williamsburg, VA 23188-8111 | 2007-09-10 |
1720106149 | Sentara Medical Group | Pediatrics | 4374 New Town Ave, Ste 202, Williamsburg, VA 23188-2865 | 2007-03-26 |
Find all providers in WILLIAMSBURG |
City | WILLIAMSBURG |
Zip Code | 23188 |
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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.