DR. SAMANTHA C MINNICOZZI


Address: 1204 W Main St, Charlottesville, VA 22903-2824
Phone: 4349240123

DR. SAMANTHA C MINNICOZZI (NPI# 1518304468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518304468
Entity Type Individual
Full Name DR. SAMANTHA C MINNICOZZI
Credential M.D.
Practice Address 1204 W Main St
Charlottesville
VA 22903-2824
Mailing Address Po Box 9007
Charlottesville
VA 22906-9007
Practice Telephone 4349240123
Practice Fax Number 4342433300
Mailing Telephone 4342951000
Mailing Fax Number 4349724266
Enumeration Date 2013-06-02
Last Update Date 2020-10-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0201X Pediatrics
Specialization: Pediatric Allergy/Immunology
0101266442 VA Allopathic & Osteopathic Physicians

Office Location

Street Address 1204 W MAIN ST
City CHARLOTTESVILLE
State VA
Zip Code 22903-2824

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811980287 Ann Lenox Kellams Pediatrics 1204 W Main St, Charlottesville, VA 22903-2824 2005-08-31
1982210357 Olivia Oriana Obertello Dietitian, Registered 1204 W Main St, Charlottesville, VA 22903-2824 2020-09-21
1417563180 Caitlin E Anderson Psychologist 1204 W Main St, Charlottesville, VA 22903-2824 2020-09-18
1821611286 Mackenzie Trapp Genetic Counselor, MS 1204 W Main St, Charlottesville, VA 22903-2824 2020-05-20
1740836287 Sarah Burnett Pediatrics 1204 W Main St, Charlottesville, VA 22903-2824 2019-08-12
1609439207 Meredith Jordan Student in an Organized Health Care Education/Training Program 1204 W Main St, Charlottesville, VA 22903-2824 2019-04-18
1376007328 Kaitlyn Geib Nurse Practitioner 1204 W Main St, Charlottesville, VA 22903-2824 2019-01-24
1275017147 Haley F. Stephens Pediatrics 1204 W Main St, Charlottesville, VA 22903-2824 2018-09-18
1114414919 Shelley Towner Genetic Counselor, MS 1204 W Main St, Charlottesville, VA 22903-2824 2018-04-17
1891291944 Elina Bank Dietitian, Registered 1204 W Main St, Charlottesville, VA 22903 2018-04-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326671009 Ticynn Symone London Specialist/Technologist 723 Retriever Run, Ticynn London, Charlottesville, VA 22903 2020-02-20
1043853542 Elaine Mccall Dietitian, Registered 1335 Jefferson Park Ave, Charlottesville, VA 22903 2019-10-28
1205480753 Sean Robert Bennett Clinic/Center 433 Ednam Drive, Charlottesville, VA 22903 2019-08-01
1922562818 Lynn Owen Taggart Student in an Organized Health Care Education/Training Program 300 Grassmere Rd, Charlottesville, VA 22903 2019-01-25
1831636166 Sarah Michelle Richin Social Worker 709 A West Main St, Charlottesville, VA 22903 2017-01-25
1962868851 Kelly Stewart Maurer Counselor 3101 Fontaine Avenue, Charlottesville, VA 22903 2016-01-07
1831592039 Bearley Dental PC Dentist 901 Preston Ave, Suite 200, Charlottesville, VA 22903 2014-10-01
1730437823 Frances Eva Demmerle Neuromusculoskeletal Medicine & OMM 1149 Rose Hill Dr., Charlottesville, VA 22903 2012-08-21
1801142229 University of Virginia General Acute Care Hospital 1925 Beechcrest Court, Charlottesville, VA 22903 2012-08-03
1407123516 Laura P. Handler Counselor 500 Old Lynchburg Rd., Region Ten Csb, Charlottesville, VA 22903 2011-11-18
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Taxonomy Information

Taxonomy Code 2080P0201X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Allergy/Immunology

Taxonomy Definition

A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: title modified, definition added, source added] Additional Resources: A Certification of Special Qualifications (CSQ) is issued by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144514092 Jonathan A Hemler Pediatrics 1204 W Main St, Charlottesville, VA 22903-2824 2011-06-07
1710027826 Peter W. Heymann Pediatrics Uva Primary Care Ctr, Lee Street, Charlottesville, VA 22908-0001 2007-02-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1972169910 Erin Bartlett Pediatrics 22505 Landmark Ct Ste 225, Ashburn, VA 20148-6503 2019-05-15
1821153172 John R Vroom Pediatrics 6501loisdale Court, Springfield, VA 22150-1885 2006-12-27
1184735334 Lan Chau Tu Pediatrics 6404 Seven Corners Place, #g, Falls Church, VA 22044-2304 2006-08-31
1285622183 Derek K Johnson Pediatrics 3903a Fair Ridge Dr, Fairfax, VA 22033-2938 2005-10-13
1528300910 Supriya Jain Pediatrics 3023 Hamaker Ct Ste 300, Fairfax, VA 22031-2240 2013-03-23
1679658363 Adult and Pediatric Healthcare Pediatrics 100 Elden St, Suite 10, Herndon, VA 20170-4873 2006-10-25
1366495228 Cristian Rodriguez Pediatrics 3450 N Beauregard St, Suite 1, Alexandria, VA 22302-1200 2006-05-19

Competitor

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City CHARLOTTESVILLE
Zip Code 22903

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Dataset Information

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.

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