WATOTO PEDIATRIC & ADOLESCENT SPECIALTY, LLC (NPI# 1457585481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457585481 |
| Entity Type | Organization |
| Organization Name | WATOTO PEDIATRIC & ADOLESCENT SPECIALTY, LLC |
| Practice Address |
7915 Lake Manassas Drive Suite 209 Gainesville VA 20155-3260 |
| Practice Telephone | 5712480679 |
| Practice Fax Number | 5712619549 |
| Mailing Telephone | 5712480679 |
| Mailing Fax Number | 5712619549 |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2009-05-05 |
| Authorized Official Name | DR. IRVING C WILLIAMS II (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 5712480679 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
7915 LAKE MANASSAS DRIVE SUITE 209 |
| City | GAINESVILLE |
| State | VA |
| Zip Code | 20155-3260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104828045 | Larry Allen Nance | Specialist | 7915 Lake Manassas Drive, Sutie 205, Gainesville, NC 20155-3260 | 2005-08-11 |
| 1952558918 | Momentum Physical Therapy | Physical Therapist | 7915 Lake Manassas Drive, Suite 305, Gainesville, VA 20155 | 2008-08-21 |
| 1669648028 | Natasha Khurana | Dentist | 7915 Lake Manassas Drive, Suite 301, Gainesville, VA 20155-3258 | 2008-05-06 |
| 1518091701 | Michele Sellers Allard | Physical Therapist | 7915 Lake Manassas Drive, Suite 305, Gainesville, VA 20155 | 2007-03-16 |
| 1922132869 | Jennifer Lea Heilman | Physical Therapist | 7915 Lake Manassas Drive, Suite 305, Gainesville, VA 20155 | 2007-03-15 |
| 1740364066 | Jay Meyer Bukzin | Dentist | 7915 Lake Manassas Drive, Suite 115, Gainesville, VA 20155 | 2006-10-24 |
| 1952346256 | Michael S Liao | Obstetrics & Gynecology | 7915 Lake Manassas Drive, Suite 205, Gainesville, VA 20155-3260 | 2006-06-19 |
| 1164476818 | Eugene J Louie-ng | Obstetrics & Gynecology | 7915 Lake Manassas Drive, Suite 205, Gainesville, VA 20155 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932689387 | Debbie Ruth Romero | Massage Therapist | Gainesville Holistic Health Center, 8006 Crescent Park Drive, Gainesville, VA 20155 | 2018-08-15 |
| 1821587114 | Anh T. Pham, Dds, General Dentistry, PC | Dentist | 7544 Gardner Park Dr., Gainesville, VA 20155 | 2018-05-02 |
| 1982118618 | Renew Counseling and Services | Social Worker | 14540 John Marshall Highway, Gainesville, VA 20155 | 2017-11-16 |
| 1952831745 | Lauren Gutta Matini | Dentist | 13801 Heathcote Blvd, 100, Gainesville, VA 20155 | 2017-06-14 |
| 1023546611 | Dentists of Gainesville, PC | Dentist | 8140 Stonewall Shops Square, Gainesville, VA 20155 | 2017-05-26 |
| 1538600036 | Prince William H&r Ops Limited Partnership | Skilled Nursing Facility | 14935 Holly Knoll Lane, Gainesville, VA 20155 | 2017-03-16 |
| 1396191870 | Isg Transport, LLC | Non-emergency Medical Transport (VAN) | 7653 Framingham Ct., Gainesville, VA 20155 | 2016-05-13 |
| 1831518356 | Alvorada Dentistry | Dentist | 13922 Estate Manor Drive, Gainesville, VA 20155 | 2014-04-11 |
| 1215352547 | Pamco Care LLC | Community/Behavioral Health | 7316 Respite Court, Gainesville, VA 20155 | 2014-02-24 |
| 1598109787 | Nader Nagy Hanna | Pharmacist | 14334 Broadwinged Dr, Gainesville, VA 20155 | 2013-04-18 |
| Find all providers in zip 20155 | ||||
| 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 |
|---|---|---|---|---|
| 1679077291 | Sonja Ann Rasmussen | Pediatrics | Shands Hospital 1600 Sw Archer Road, Gainesville, FL 32610-0001 | 2018-03-19 |
| 1346652278 | Elahe Meryl Shychuk | Pediatrics | 1600 Sw Archer Rd # B100296, Gainesville, FL 32610-3003 | 2014-05-27 |
| 1760829147 | Robert Daniel Smith II | Pediatrics | 610 Nw 34th Ter, Gainesville, FL 32607-2434 | 2013-05-27 |
| 1871847608 | Apisadaporn Thambundit | Pediatrics | 1600 Sw Archer Rd Rm Hd513, Gainesville, FL 32610-3003 | 2012-10-31 |
| 1285982082 | Zachary Gohsman | Pediatrics | 1699 Sw 16th Ave Bldg A, Gainesville, FL 32608-1158 | 2012-08-27 |
| 1609133982 | Karen Martinez | Pediatrics | 1600 Sw Archer Rd Box 100296 Rm Hd513, Gainesville, FL 32610-0001 | 2012-04-11 |
| 1376809491 | Dr. Rosi Pediatrics, LLC | Pediatrics | 2131 Nw 40th Ter, Suite A, Gainesville, FL 32605-3599 | 2012-04-03 |
| 1699059634 | Thomas M Zavelson | Pediatrics | 4316 Nw 38th St, Gainesville, FL 32606-4534 | 2011-10-10 |
| 1659663243 | Vaidehi Archit Shah | Pediatrics | 7474 Limestone Dr, Gainesville, VA 20155-4007 | 2011-05-14 |
| 1073833265 | Varachati Soodjinda | Pediatrics | 592 Medical Park Dr, Suite A, Gainesville, GA 30501-2055 | 2010-06-10 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 20155 |
Please comment or provide details below to improve the information on WATOTO PEDIATRIC & ADOLESCENT SPECIALTY, 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.