THE PEDIATRIC GROUP, PC (NPI# 1851515175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851515175 |
| Entity Type | Organization |
| Organization Name | THE PEDIATRIC GROUP, PC |
| Practice Address |
10527 Braddock Road Fairfax VA 22032 |
| Mailing Address |
7015 C Manchester Blvd. Alexandria VA 22310 |
| Practice Telephone | 7034253300 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MICHAEL GRADER (ADMINISTRATOR) |
| Authorized Official Telephone | 7039716900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023232345 | The Pediatric Group, PC | Registered Nurse | 3914 Centreville Road, Chantilly, VA 20151 | 2007-04-11 |
| 1780808006 | The Pediatric Group, PC | Registered Nurse | 12506 A Lake Ridge Drive, Lake Ridge, VA 22192 | 2007-04-11 |
| 1922162205 | The Pediatric Group, PC | Pediatrics | 7015c Manchester Blvd, Alexandria, VA 22310-3253 | 2006-12-20 |
| 1710928437 | The Pediatric Group, PC | Pediatrics | 7015c Manchester Blvd, Alexandria, VA 22310-3253 | 2006-06-10 |
| Street Address |
10527 BRADDOCK ROAD |
| City | FAIRFAX, |
| State | VA |
| Zip Code | 22032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093193567 | Cynthia Leigh Pascal | Counselor | 9801 Joyce Street, Fairfax, VA 22032 | 2015-05-15 |
| 1760888432 | Judy Lim | Massage Therapist | 4205 Olley Ln, Fairfax, VA 22032 | 2014-11-07 |
| 1083015010 | Caring Heart Nursing Services LLC | Registered Nurse | 4824 Gainsborough Dr, Fairfax, VA 22032 | 2014-09-09 |
| 1033483839 | Inovacares for Seniors | PACE Provider Organization | 4027b Olley Lane, Braddock Glen, Fairfax, VA 22032 | 2012-02-27 |
| 1598032716 | Joshua Michael Prozeralik | Pharmacist | 10310 New Guinea Road, Burke, VA 22032 | 2011-11-17 |
| 1356570071 | Azmy A. Iskander | Emergency Medicine | 10520 Acacia Lane, Fairfax, VA 22032 | 2009-07-02 |
| 1770634313 | Andrea L Lubeck | Nurse Practitioner | 10301 New Guinea Road, Cvs Health, Minuteclinic, Fairfax, VA 22032 | 2007-01-12 |
| 1104167212 | Inova Health Care Services | PACE Provider Organization | 4027b Olley Lane, Braddock Glen, Fairfax, VA 22032 | 2013-03-14 |
| 1770835993 | Catherine A Groden | Nurse Practitioner | 10301 New Guinea Rd, Target, Fairfax, VA 22032 | 2012-10-11 |
| 1790953420 | Amanda Nicole Collins | Physician Assistant | 238 Brookley Avenue, Bolling Afb, DC 22032 | 2008-02-15 |
| Find all providers in zip 22032 | ||||
| Taxonomy Code | 163WP0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Pediatrics |
| Definition to come... |
| 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 |
| 1023232345 | The Pediatric Group, PC | Registered Nurse | 3914 Centreville Road, Chantilly, VA 20151 | 2007-04-11 |
| 1780808006 | The Pediatric Group, PC | Registered Nurse | 12506 A Lake Ridge Drive, Lake Ridge, VA 22192 | 2007-04-11 |
| Find all providers with the same taxonomy | ||||
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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.