THE PEDIATRIC CONNECTION, INC (NPI# 1619092087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619092087 |
| Entity Type | Organization |
| Organization Name | THE PEDIATRIC CONNECTION, INC |
| Other Organization Name | THRIVE SKILLED PEDIATRIC CARE |
| Practice Address |
199 Spotnap Road, Suite 6 Charlottesville VA 22911-8827 |
| Mailing Address |
701 Edgewater Drive Suite 300 Wakefield MA 01880-6242 |
| Practice Telephone | 8046754550 |
| Practice Fax Number | 4342275703 |
| Mailing Telephone | 7814864100 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-04-07 |
| Authorized Official Name | GREGORY A. SERRAO (PRESIDENT & CEO) |
| Authorized Official Telephone | 7814864101 |
| Is Organization Subpart | Y |
| Parent Organization Name | THRIVE SKILLED PEDIATRIC CARE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251J00000X | Nursing Care | Agencies | ||
| Y | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
497431 | VA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 008750823 | 05 | |
| VA | ANTHEM NURSING PROVIDER | 177687 | 01 |
| Other Name | Type Code |
|---|---|
| The Pediatric Connection: A Thrive Skilled Pediatric Care Company | Doing Business As Name - Organization |
| Thrive Skilled Pediatric Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932224573 | The Pediatric Connection, Inc | Nursing Care | 1300 Semmes Ave, Richmond, VA 23224-2162 | 2007-03-20 |
| 1801911540 | The Pediatric Connection, Inc | Durable Medical Equipment & Medical Supplies | 199 Spotnap Road, Suite 6, Charlottesville, VA 22911-8827 | 2007-03-20 |
| 1841789435 | The Pediatric Connection, Inc | Respite Care | 11047 Pierson Drive, Suite N, Fredericksburg, VA 22408-2062 | 2018-05-09 |
| 1396234985 | The Pediatric Connection, Inc | Nursing Care | 11047 Pierson Drive, Suite N, Fredericksburg, VA 22408-2062 | 2018-05-09 |
| 1306961792 | The Pediatric Connection, Inc | Durable Medical Equipment & Medical Supplies | 1300 Semmes Ave, Richmond, VA 23224-2162 | 2007-03-21 |
| Street Address |
199 SPOTNAP ROAD, SUITE 6 |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22911-8827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801911540 | The Pediatric Connection, Inc | Durable Medical Equipment & Medical Supplies | 199 Spotnap Road, Suite 6, Charlottesville, VA 22911-8827 | 2007-03-20 |
| 1619154747 | The Pediatric Connection, Inc. | Respite Care | 199 Spotnap Road, Suite 6, Charlottesville, VA 22911-8827 | 2008-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760840912 | Hearing At Home | Hearing Instrument Specialist | 103 Free Brige Ln, Charlottesville, VA 22911 | 2016-02-03 |
| 1649637752 | Ebony Cosby | Contractor | 2500 Boulders Rd, Charlottesville, VA 22911 | 2016-01-20 |
| 1629452727 | Ahmed M Murtuza | Pharmacist | 925 Dorchester Pl Apt. 103, Charlottesville, VA 22911 | 2015-07-17 |
| 1083093231 | Kimberly P Tran | Dentist | 1470 Pantops Mountain Pl Ste 1, Charlottesville, VA 22911 | 2015-05-20 |
| 1508252982 | Alexandra M Bender | Family Medicine | 3263 Proffit Rd Ste 201, Charlottesville, VA 22911 | 2015-04-13 |
| 1538599980 | Commonwealth Dental Anesthesiology Inc | Clinic/Center | 1460-b Pantops Mountain Place, Charlottesville, VA 22911 | 2013-11-21 |
| 1831386606 | Hudson Chiropractic P.C. | Chiropractor | 103-a Free Bridge Lane, Charlottesville, VA 22911 | 2007-09-26 |
| 1386863421 | Laura P Smith | Specialist | 595 Peter Jefferson Parkway Suite 390, Reproductive Medicine and Surgery Center of Va, Charlottesville, VA 22911 | 2007-04-25 |
| 1609928621 | Bl Enterprises, LLC | Physical Therapist | 1405 Rolkin Court, Suite 102, Charlottesville, VA 22911 | 2007-01-18 |
| 1972660959 | Kenneth I. Barron | Obstetrics & Gynecology | 630 Peter Jefferson Pkwy Ste 140b, Charlottesville, VA 22911 | 2007-01-02 |
| Find all providers in zip 22911 | ||||
| Taxonomy Code | 163WP0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710058664 | Beth L Lawton | Registered Nurse | 2270 Ivy Rd, Charlottesville, VA 22903-4977 | 2006-11-13 |
| 1548360720 | Elisabeth Upshaw Mcrae | Registered Nurse | 1011 E Jefferson St, Charlottesville, VA 22902-5354 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366057119 | Stephanie Keeling | Registered Nurse | 1223 Rowland Dr, Herndon, VA 20170-2430 | 2020-09-09 |
| 1639638273 | Brittani Jordan | Registered Nurse | 6171 Fawnlake Ct, New Kent, VA 23124-2977 | 2019-03-13 |
| 1013382837 | Carrie Shreve Entsminger | Registered Nurse | 11810 Murray Hill Dr, Midlothian, VA 23113-2342 | 2015-12-04 |
| 1245504083 | April Rose De Leon | Registered Nurse | 2503 E Little Creek Rd, Apt #5, Norfolk, VA 23518-3343 | 2012-02-24 |
| 1629341508 | Danielle Louise Henry | Registered Nurse | 4211 Heather Rd, Portsmouth, VA 23703-1621 | 2012-02-22 |
| 1801169784 | Karissa J Richardson | Registered Nurse | 826 Priscilla Ln, Chesapeake, VA 23322-3719 | 2012-02-22 |
| 1073886842 | April Gilbrech | Registered Nurse | 1103 Canopy Ct, Virginia Beach, VA 23455 | 2012-02-09 |
| 1225255938 | Janet Ann Williams-janas | Registered Nurse | 6419 Chapel View Rd, Clifton, VA 20124-1944 | 2007-04-20 |
| 1851515175 | The Pediatric Group, PC | Registered Nurse | 10527 Braddock Road, Fairfax, VA 22032 | 2007-04-11 |
| 1023232345 | The Pediatric Group, PC | Registered Nurse | 3914 Centreville Road, Chantilly, VA 20151 | 2007-04-11 |
| Find all providers with the same taxonomy | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22911 |
Please comment or provide details below to improve the information on THE PEDIATRIC CONNECTION, 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.