DR. CLARENCE G. CHILDRESS (NPI# 1902996549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902996549 |
| Entity Type | Individual |
| Full Name | DR. CLARENCE G. CHILDRESS |
| Credential | M.D. |
| Practice Address |
10150 Staples Mill Rd Suite E Glen Allen VA 23060-3452 |
| Practice Telephone | 8047557581 |
| Practice Fax Number | 8047557586 |
| Mailing Telephone | 8047557581 |
| Mailing Fax Number | 8047557586 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2012-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 0101056147 | VA | Allopathic & Osteopathic Physicians |
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
0101056147 | VA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 0101056147 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 010012759 | 05 | |
| VA | GROUP PTAN | C06115 | 01 |
| Street Address |
10150 STAPLES MILL RD SUITE E |
| City | GLEN ALLEN |
| State | VA |
| Zip Code | 23060-3452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104854488 | Randall Morris | Internal Medicine | 10150 Staples Mill Rd, Suite E, Glen Allen, VA 23060-3452 | 2006-06-28 |
| 1245773316 | Dawn J Ramsay-dasent | Nurse Practitioner | 10150 Staples Mill Rd, Suite A, Glen Allen, VA 23060-3452 | 2016-11-22 |
| 1023471034 | Emily E Slater | Nurse Practitioner | 10150 Staples Mill Rd, Suite A, Glen Allen, VA 23060-3452 | 2016-03-29 |
| 1093007650 | Wendy Evans | Pediatrics | 10150 Staples Mill Rd, Suite C, Glen Allen, VA 23060-3452 | 2011-05-13 |
| 1154649721 | Jacqueline M Stewart | Internal Medicine | 10150 Staples Mill Rd, Suite E, Glen Allen, VA 23060-3452 | 2010-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205469715 | Romy Sharieff | Midwife | 10433 Mountain Glen Pkwy, Glen Allen, VA 23060 | 2020-02-13 |
| 1366934549 | Guillermo Del Campo | Optometrist | 4114 Innslake Drive, Glen Allen, VA 23060 | 2018-06-04 |
| 1871013771 | Wecare Medical Transportation Inc. | Driver | 10524 Boscastle Rd, Glen Allen, VA 23060 | 2017-06-21 |
| 1265889570 | Darchelle Braxton Dmd PC | Dentist | 4300 Pouncey Tract Road Suite I, Glen Allen, VA 23060 | 2016-05-17 |
| 1952714842 | Gaynier Orthodontics PC | Clinic/Center | 4701 Cox Rx Ste 285, C/o Ct Corporation, Glen Allen, VA 23060 | 2014-06-09 |
| 1538507819 | Rca Laboratory Services, LLC | Clinical Medical Laboratory | 4060 Innslake Dr, Glen Allen, VA 23060 | 2013-06-10 |
| 1922352772 | Samantha S Stone | Physical Therapist | 4101 Cox Rd Ste 100, Glen Allen, VA 23060 | 2012-11-01 |
| 1609123660 | Stephanie Rene Matsko | Optometrist | 4114 Innslake Dr., Glen Allen, VA 23060 | 2012-08-09 |
| 1851661367 | Lateaka Sheri Vinson | Speech-Language Pathologist | 2250 Old Brick Rd, Suite 2229, Glen Allen, VA 23060 | 2012-01-01 |
| 1568774271 | Cynthia A Koza | Optometrist | 4600 Cox Road, Suite 120, Glen Allen, VA 23060 | 2010-07-10 |
| Find all providers in zip 23060 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558305615 | Prajwol Joshi | Internal Medicine | Po Box 2879, Glen Allen, VA 23058-2879 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952812364 | Virginia Id Doctors LLC | Internal Medicine | 4437 Brookfield Corporate Dr Ste 101, Chantilly, VA 20151-2122 | 2017-10-12 |
| 1841749272 | Lawrence Daniel Mullany | Internal Medicine | 12272 Declaration Ave, Chester, VA 23836-3057 | 2016-09-27 |
| 1790172724 | Sana Attar | Internal Medicine | 8220 Meadowbridge Rd Ste 203, Mechanicsville, VA 23116-2339 | 2015-04-16 |
| 1811395205 | W. Robert Lange | Internal Medicine | 835 Gangplank Rd Unit 110, Moneta, VA 24121-2499 | 2014-12-17 |
| 1063835304 | Juan Weiss | Internal Medicine | 9335 Amaryllis Ave., Manassas, VA 20110 | 2014-01-22 |
| 1104165034 | Derek Thomas Larson | Internal Medicine | 133 Green Meadow Dr, Portsmouth, VA 23701-1522 | 2013-02-13 |
| 1023361086 | Valerie Riddle | Internal Medicine | 185 Tara Woods Dr, Bumpass, VA 23024-4934 | 2012-10-16 |
| 1053676858 | Mir Akbar Ali | Internal Medicine | 4720 Puddledock Rd Ste 120, Prince George, VA 23875-1275 | 2012-07-08 |
| 1841560273 | Donald Gray Heppner Jr. | Internal Medicine | 1041 Half Mile Branch Rd, Crozet, VA 22932-3306 | 2012-01-02 |
| 1790075901 | Jillian Eileen Raybould | Internal Medicine | 1000 E Marshall St, Vmi Building, Suite 2015, Richmond, VA 23298-1901 | 2011-04-10 |
| Find all providers with the same taxonomy | ||||
| City | GLEN ALLEN |
| Zip Code | 23060 |
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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.