PRIMECARE PEDSXPRESS (NPI# 1891102158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891102158 |
| Entity Type | Organization |
| Organization Name | PRIMECARE PEDSXPRESS |
| Practice Address |
2511 Salem Church Rd Fredericksburg VA 22407-6466 |
| Practice Telephone | 5407861200 |
| Practice Fax Number | 5407863195 |
| Mailing Telephone | 5407861200 |
| Mailing Fax Number | 5407863195 |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2017-03-27 |
| Authorized Official Name | MR. DANA P TATE (OPERATIONS DIRECTOR) |
| Authorized Official Telephone | 5403714488 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
2511 SALEM CHURCH RD |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22407-6466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952390056 | Joseph M. Marietta | Emergency Medicine | 2511 Salem Church Rd, Fredericksburg, VA 22407-6466 | 2005-10-20 |
| 1235656208 | Krista Marie Hobbs | Physician Assistant | 2511 Salem Church Rd, Fredericksburg, VA 22407-6466 | 2017-08-29 |
| 1699149096 | Holly Morgan | Nurse Practitioner | 2511 Salem Church Rd, Fredericksburg, VA 22407-6466 | 2015-11-23 |
| 1861514564 | Christie Lynn Meek | Physician Assistant | 2511 Salem Church Rd, Fredericksburg, VA 22407-6466 | 2007-04-04 |
| 1568582054 | Annie Rose Rutherford | Physician Assistant | 2511 Salem Church Rd, Fredericksburg, VA 22407-6466 | 2007-03-30 |
| 1295816577 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 2511 Salem Church Rd, Fredericksburg, VA 22407-6466 | 2006-10-17 |
| 1831287945 | Clifton A. Sheets | Emergency Medicine | 2511 Salem Church Rd, Fredericksburg, VA 22407-6466 | 2006-10-11 |
| 1497786073 | Michael J. Goeden, Md, PC | Emergency Medicine | 2511 Salem Church Rd, Fredericksburg, VA 22407-6466 | 2006-07-05 |
| 1780612424 | Prime Care Family Care, Inc. | Family Medicine | 2511 Salem Church Rd, Fredericksburg, VA 22407 | 2006-06-29 |
| 1154301364 | Robert Arthur Glasgow Iv | Physician Assistant | 2511 Salem Church Rd, Fredericksburg, VA 22407-6466 | 2006-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174120596 | Nutrition for You, LLC | 1129 Heatherstone Drive, Fredericksburg, VA 22407 | 2020-10-08 | |
| 1881241016 | Jessica Tran | Optometrist | 395-a Spotsylvania Towne Centre, Fredericksburg, VA 22407 | 2019-08-22 |
| 1376039065 | Virginia Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 6010 Plank Rd, Fredericksburg, VA 22407 | 2018-07-05 |
| 1366935967 | Vip Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 5710 Lucas St, Fredericksburg, VA 22407 | 2018-06-08 |
| 1407348501 | Dina Maria Martinez Lombardy | Counselor | 6506 Forest Grove Dr, Fredericksburg, VA 22407 | 2018-06-04 |
| 1881192342 | Alyssa Testa | Specialist/Technologist | 5219 Mcmanus Dr, Fredericksburg, VA 22407 | 2018-01-30 |
| 1437675725 | Jacqueline D. Turner | Driver | 7112 Sharon Rd, Fredericksburg, VA 22407 | 2017-08-17 |
| 1689199556 | Audrey Daniel | Driver | 10701 Leavells Road, Fredericksburg, VA 22407 | 2017-08-11 |
| 1740722982 | T&d Optometry, LLC | Optometrist | 400 Spotsylvania Towne Centre, (spotsylvania Towne Centre--next To Jcpenney Optical), Fredericksburg, VA 22407 | 2016-11-04 |
| 1639521164 | Fredericksburg Eyecare LLC | Optometrist | 395a Towne Centre Blvd, Fredericksburg, VA 22407 | 2016-07-08 |
| Find all providers in zip 22407 | ||||
| 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 |
|---|---|---|---|---|
| 1295186468 | Pedsplus Pediatrics Primary Care, LLC | Pediatrics | 621 Jefferson Davis Hwy Unit 11b, Fredericksburg, VA 22401-4567 | 2016-06-28 |
| 1043530447 | Verne Elise Rochford | Pediatrics | 4604 Spotsylvania Pkwy Ste 200, Fredericksburg, VA 22408-7763 | 2010-06-08 |
| 1194936187 | Hina Rahman Khan | Pediatrics | 4425 Plank Rd, Fredericksburg, VA 22407-4809 | 2007-05-24 |
| 1114945037 | Preferred Pediatrics At Snowden | Pediatrics | 331 Park Hill Dr, Fredericksburg, VA 22401-3375 | 2006-07-18 |
| 1356366298 | Lynn Cao | Pediatrics | 1139 Heatherstone Dr, Fredericksburg, VA 22407-4828 | 2006-07-13 |
| 1568493138 | Pl Afterhours Clinic, Inc. | Pediatrics | 321 Park Hill Dr, Fredericksburg, VA 22401-3375 | 2006-07-05 |
| 1972530210 | Pl Physicians, Inc. | Pediatrics | 4550 Empire Ct., Fredericksburg, VA 22408-1939 | 2006-06-26 |
| 1730155268 | Alice C Noori | Pediatrics | 4552 Empire Ct, Pl Physicians, Inc., Fredericksburg, VA 22408-1939 | 2006-02-24 |
| 1518939438 | Julie E O'brien | Pediatrics | 10600 Spotsylvania Ave, Fredericksburg, VA 22408-2637 | 2006-02-03 |
| 1295715969 | William B Johnson | Pediatrics | 4532 Plank Rd, Fredericksburg, VA 22407-0139 | 2006-01-19 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 22407 |
Please comment or provide details below to improve the information on PRIMECARE PEDSXPRESS.
| 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.