THE PEDIATRIC GROUP, PC


Address: 3914 Centreville Road, Chantilly, VA 20151
Phone: 7034818600

THE PEDIATRIC GROUP, PC (NPI# 1023232345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023232345
Entity Type Organization
Organization Name THE PEDIATRIC GROUP, PC
Practice Address 3914 Centreville Road
Chantilly
VA 20151
Mailing Address 7015 C Manchester Blvd.
Alexandria
VA 22310
Practice Telephone 7034818600
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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP0200X Registered Nurse
Specialization: Pediatrics
Nursing Service Providers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1851515175 The Pediatric Group, PC Registered Nurse 10527 Braddock Road, Fairfax, VA 22032 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

Office Location

Street Address 3914 CENTREVILLE ROAD
City CHANTILLY
State VA
Zip Code 20151

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1013405950 Chantilly Modern Dentistry, PC Dentist 14337 Newbrook Dr., Suite 200, Chantilly, VA 20151 2018-04-26
1972090389 Wegmans Food Markets, Inc. Pharmacy 14361 Newbrook Dr., Chantilly, VA 20151 2018-04-20
1922526714 Cynthia Anne Biggar Specialist/Technologist 13613 Bare Island Drive, Chantilly, VA 20151 2017-09-01
1497297717 Rebekah Lee Hinders Nurse Practitioner 3914 Centrevill Rd, Suite 101, Chantilly, VA 20151 2016-11-17
1043761117 Victoria Ranti Balogun Nurse Practitioner 14121 Parke Long Court, Suite 201, Chantilly, VA 20151 2016-10-24
1619424694 Erin Booker Nurse Practitioner Parke Long Court, Suite 201, Chantilly, VA 20151 2016-09-07
1326419078 Amparo Emilia Kidd Nurse Practitioner 14121 Parke Long Court, Suite 201, Chantilly, VA 20151 2015-10-07
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Taxonomy Information

Taxonomy Code 163WP0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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
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

Competitor

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City CHANTILLY
Zip Code 20151

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Dataset Information

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.

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