CHILDRENS MEDICAL GROUP INC (NPI# 1104971548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104971548 |
| Entity Type | Organization |
| Organization Name | CHILDRENS MEDICAL GROUP INC |
| Other Organization Name | PEDIATRIC SPECIALISTS |
| Practice Address |
885 Kempsville Rd Suite 200 Norfolk VA 23502-3800 |
| Mailing Address |
601 Childrens Ln Norfolk VA 23507-1910 |
| Practice Telephone | 7574616342 |
| Practice Fax Number | 7574618507 |
| Mailing Telephone | 7576687017 |
| Mailing Fax Number | 7576688929 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2012-04-26 |
| Authorized Official Name | MR. DENNIS MICHAEL RYAN (SENIOR VA CFO) |
| Authorized Official Telephone | 7576688565 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHILDRENS MEDICAL GROUP INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Pediatric Specialists | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770049215 | Childrens Medical Group Inc | Pediatrics | 656 Independence Pkwy Ste 200, Chesapeake, VA 23320-5213 | 2019-02-20 |
| 1629546106 | Childrens Medical Group Inc | Pediatrics | 1529 International Blvd Ste 301, Norfolk, VA 23513-4802 | 2018-11-02 |
| 1538214275 | Childrens Medical Group Inc | Pediatrics | 1909 Granby St Ste A, Norfolk, VA 23517-2349 | 2007-01-24 |
| 1649325242 | Childrens Medical Group Inc | Pediatrics | 4505 Columbus St Ste 250, Virginia Beach, VA 23462-5011 | 2007-01-24 |
| 1992117527 | Childrens Medical Group Inc | Pediatrics | 1181 First Colonial Rd, Suite 100, Virginia Beach, VA 23454-2437 | 2014-06-02 |
| 1144468836 | Childrens Medical Group Inc | Pediatrics | 1005 Commercial Ln, Godwin Bldg On Rt. 10, Suite 220, Suffolk, VA 23434-8149 | 2009-02-03 |
| 1245386341 | Childrens Medical Group Inc | Pediatrics | 6345 Center Dr, Bldg 14, Norfolk, VA 23502-4105 | 2007-01-25 |
| 1538214713 | Childrens Medical Group Inc | Pediatrics | 171 Kempsville Rd, Bldg B, Norfolk, VA 23502-4700 | 2007-01-25 |
| 1366597114 | Childrens Medical Group Inc | Pediatrics | 2117 Mccomas Way, Suite 103, Virginia Beach, VA 23456-3908 | 2007-01-24 |
| 1538214309 | Childrens Medical Group Inc | Pediatrics | 500 Discovery Dr, Suite 302, Chesapeake, VA 23320-3842 | 2007-01-24 |
| Street Address |
885 KEMPSVILLE RD SUITE 200 |
| City | NORFOLK |
| State | VA |
| Zip Code | 23502-3800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215938634 | Ruta Jane Skrinska | Ophthalmology | 885 Kempsville Rd, Suite 101, Norfolk, VA 23502-3800 | 2005-08-09 |
| 1740532001 | Barry Charles Lubin | Internal Medicine | 885 Kempsville Rd, Suite 221, Norfolk, VA 23502-3800 | 2012-10-11 |
| 1578841367 | Mary Immaculate Hospital | Internal Medicine | 885 Kempsville Rd, Suite 320, Norfolk, VA 23502-3800 | 2011-07-27 |
| 1659660538 | Carolyn Elizabeth Ingram | Nurse Practitioner | 885 Kempsville Rd, Suite 320, Norfolk, VA 23502-3800 | 2011-03-31 |
| 1376856898 | Mary E Sweeney | Nurse Practitioner | 885 Kempsville Rd, Suite 114, Norfolk, VA 23502-3800 | 2010-07-26 |
| 1033352547 | Rebecca L Hall | Physician Assistant | 885 Kempsville Rd, Suite 224, Norfolk, VA 23502-3800 | 2009-04-14 |
| 1659563799 | Gastrointestinal and Liver Specialists of Tidewater, Pllc | Internal Medicine | 885 Kempsville Rd, Suite 114, Norfolk, VA 23502-3800 | 2007-08-13 |
| 1760689277 | Arielle R Spitze | Ophthalmology | 885 Kempsville Rd, Suite #101, Norfolk, VA 23502-3800 | 2007-06-28 |
| 1407985641 | Urology of Virginia PC | Durable Medical Equipment & Medical Supplies | 885 Kempsville Rd, Ste304, Norfolk, VA 23502-3800 | 2007-03-05 |
| 1033263892 | Robert Milton Selden Jr. | Dentist | 885 Kempsville Rd, Suite 302, Norfolk, VA 23502-3800 | 2007-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295210706 | Advantage Home Care, LLC | Home Health | 5353 E. Princess Anne Rd., Suite C, Norfolk, VA 23502 | 2018-10-01 |
| 1336627207 | Sentara Medical Group | Emergency Medicine | 844 Kempsville Rd Ste 103, Norfolk, VA 23502 | 2018-08-02 |
| 1548753833 | Murphy's Absolute Home Care LLC | Home Health | 983 Ingleside Rd Ste 6, Norfolk, VA 23502 | 2018-06-11 |
| 1487143939 | Valerie Sowder | Social Worker | 6275 E Virginia Beach Blvd Ste 301, Norfolk, VA 23502 | 2018-05-09 |
| 1164938841 | Accupoint Diagnostics | Clinical Medical Laboratory | 6161 Kempsville Cir Ste 202, Norfolk, VA 23502 | 2017-12-18 |
| 1467979351 | Lakeshia Louise Perryman | Counselor | 6325 N. Center Drive, Bldg 18, Suite 208, Norfolk, VA 23502 | 2017-08-23 |
| 1841536125 | Golden Touch Enterprise | Durable Medical Equipment & Medical Supplies | 5680 Lowey Rd, Unit 410b, Norfolk, VA 23502 | 2012-12-14 |
| 1497029011 | Kristine B Rand | Counselor | 6325 N Center Dr Ste 208, Norfolk, VA 23502 | 2012-02-29 |
| 1427343706 | Erica Leigh Streander | Pharmacist | 471 North Military Hwy, Norfolk, VA 23502 | 2011-06-14 |
| 1215239330 | Atlantic Physical Therapy | Specialist/Technologist | 5610 Lewis Rd, Norfolk, VA 23502 | 2010-11-22 |
| Find all providers in zip 23502 | ||||
| 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 |
|---|---|---|---|---|
| 1629546106 | Childrens Medical Group Inc | Pediatrics | 1529 International Blvd Ste 301, Norfolk, VA 23513-4802 | 2018-11-02 |
| 1164801700 | Drexel Proctor | Pediatrics | 601 Childrens Ln Fl 6, Norfolk, VA 23507-1910 | 2015-05-28 |
| 1194084038 | Michael James Kochan | Pediatrics | 445 E Freemason St, Apt 2a, Norfolk, VA 23510-2453 | 2012-05-13 |
| 1184853749 | Eric Carroll | Pediatrics | 1562 Mitscher Avenue, Suite 250, Norfolk, VA 23551-2487 | 2009-07-03 |
| 1164650321 | Daniel B Spencer | Pediatrics | 400 Gresham Dr Ste 301, Norfolk, VA 23507-1901 | 2009-06-26 |
| 1548425218 | Mia Jin | Pediatrics | 810 W Princess Anne Rd, Apt 403, Norfolk, VA 23517-1871 | 2008-07-22 |
| 1851559504 | Princess Anne Pediatrics | Pediatrics | 5040 E Princess Anne Rd Ste A, Norfolk, VA 23502-1733 | 2008-05-29 |
| 1902079015 | Edward Alex Johnson | Pediatrics | 811 Redgate Ave, Norfolk, VA 23507-1515 | 2008-04-09 |
| 1790957447 | Kimberly Bryant Schindler | Pediatrics | 1909a Granby Street, Norfolk, VA 23517-2349 | 2008-04-01 |
| 1346425261 | Melissa Buryk | Pediatrics | 1210 Redgate Ave, Norfolk, VA 23507-1331 | 2008-01-09 |
| Find all providers in NORFOLK | ||||
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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.