PEDIATRIC CENTER PC (NPI# 1912128240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912128240 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC CENTER PC |
| Practice Address |
901 Enterprise Pkwy Suite 200 Hampton VA 23666-6249 |
| Mailing Address |
901 Enterprise Parkway Suite 200 Hampton VA 23666 |
| Practice Telephone | 7578265437 |
| Practice Fax Number | 7578260721 |
| Mailing Telephone | 7578265437 |
| Mailing Fax Number | 7578260721 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2015-09-16 |
| Authorized Official Name | MARK E HOLMAN (PHYSICIAN) |
| Authorized Official Telephone | 7578265437 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 0101045706 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 006769357 | 05 | |
| VA | BCBS | 91788 | 01 |
| Street Address |
901 ENTERPRISE PKWY SUITE 200 |
| City | HAMPTON |
| State | VA |
| Zip Code | 23666-6249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245238195 | Loel Zachery Payne | Orthopaedic Surgery | 901 Enterprise Pkwy, Suite 900, Hampton, VA 23666-6249 | 2005-07-13 |
| 1467008136 | Adam Weisenborn | Occupational Therapist | 901 Enterprise Pkwy, Hampton, VA 23666-6249 | 2019-08-17 |
| 1871961722 | Matthew Daroja | Physical Therapist | 901 Enterprise Pkwy, Ste 900, Hampton, VA 23666-6249 | 2015-09-09 |
| 1053742031 | Hampton Roads Otolaryngology Associates Pllc | Non-Pharmacy Dispensing Site | 901 Enterprise Pkwy, Suite 300, Hampton, VA 23666-6249 | 2013-12-02 |
| 1013255710 | Michael Anthony Burgos | Occupational Therapist | 901 Enterprise Pkwy, Suite 900, Hampton, VA 23666-6249 | 2013-01-30 |
| 1275816142 | Christopher R Foley | Physical Therapist | 901 Enterprise Pkwy, Suite 900, Hampton, VA 23666-6249 | 2011-09-27 |
| 1669768891 | Lisa A Vincent | Physical Therapist | 901 Enterprise Pkwy, Suite 900, Hampton, VA 23666-6249 | 2011-06-27 |
| 1912225525 | Kelly R Campbell | Physical Therapist | 901 Enterprise Pkwy, Suite 900, Hampton, VA 23666-6249 | 2010-05-06 |
| 1629217021 | Amanda K Watkins | Physician Assistant | 901 Enterprise Pkwy, Suite 900, Hampton, VA 23666-6249 | 2009-02-10 |
| 1811141294 | Junmei Pan | Physical Therapist | 901 Enterprise Pkwy, Sutie 900, Hampton, VA 23666-6249 | 2008-11-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548824022 | Melanin Excellence Medical Transportation Co LLC | Non-emergency Medical Transport (VAN) | 4418 East Claiborne Sq, Suite 334, Hampton, VA 23666 | 2019-04-30 |
| 1952880502 | Exquisite Counseling Services LLC | Counselor | 2703 Build America Drive, Hampton, VA 23666 | 2018-08-13 |
| 1063999811 | Speak From The Heart | Speech-Language Pathologist | 2 Abbott Dr, Hampton, VA 23666 | 2018-07-24 |
| 1245724632 | Drashti Khamar | Dentist | 2040 Coliseum Dr # A27, Hampton, VA 23666 | 2018-06-19 |
| 1750874772 | Dion J Roszina | Private Vehicle | 806 Charlton,dr, Hampton, VA 23666 | 2018-06-13 |
| 1205352481 | Crystal Lynn Harris | Counselor | 2021 Cunningham Drive, Suite 400, Hampton, VA 23666 | 2017-08-18 |
| 1538693361 | Marquis A. Norton | Counselor | 4410 East Claiborne Street, Suite 334, Hampton, VA 23666 | 2017-04-18 |
| 1194181966 | Key Elements Care, LLC | Case Management | 20 Research Dr Ste 600, Hampton, VA 23666 | 2016-01-11 |
| 1740665215 | Lauren-grey Gonzales Igel | Hearing Instrument Specialist | 1507 Hardy Cash Drive, Hampton, VA 23666 | 2015-07-27 |
| 1457758062 | Alexandra Levine | Acupuncturist | 2216 Executive Dr Ste A, Hampton, VA 23666 | 2014-11-25 |
| Find all providers in zip 23666 | ||||
| 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 |
|---|---|---|---|---|
| 1114162476 | Pediatrics At The Hamptons | Pediatrics | 410b Marcella Rd, Hampton, VA 23666-2487 | 2008-12-15 |
| 1699865725 | Minnie Z Stiff | Pediatrics | 2110 Hartford Rd Ste C, Hampton, VA 23666-6600 | 2006-10-12 |
| 1992745301 | Jose Ramon C Ongkingco | Pediatrics | 23 Manhattan Sq, Hampton, VA 23666-5843 | 2006-06-07 |
| 1467981175 | Joshua Reed Mellor | Pediatrics | 77 Nealy Ave, Hampton, VA 23665-2040 | 2017-06-06 |
| 1336535632 | Imani Rene Eichelberger | Pediatrics | 23 Manhattan Sq, Hampton, VA 23666-5843 | 2015-04-13 |
| 1679875934 | Ana M Montanez Concepcion | Pediatrics | 23 Manhattan Sq, Hampton, VA 23666-5843 | 2010-11-18 |
| 1710209564 | Palmetto Primary Care Physicians | Pediatrics | 300 Maple St W, Hampton, SC 29924-3238 | 2010-02-22 |
| 1568672459 | Theresa Broderick | Pediatrics | 23 Manhattan Sq, Hampton, VA 23666-5843 | 2007-05-22 |
| 1518009893 | M.a. Stiff, M.d. Pediatrics PC | Pediatrics | 2110 Hartford Rd Ste C, Hampton, VA 23666-6600 | 2007-02-13 |
| 1275688988 | Childrens Medical Group Inc | Pediatrics | 23 Manhattan Sq, Hampton, VA 23666-5843 | 2007-01-24 |
| Find all providers in HAMPTON | ||||
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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.