CHILDRENS MEDICAL GROUP INC (NPI# 1144468836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144468836 |
| Entity Type | Organization |
| Organization Name | CHILDRENS MEDICAL GROUP INC |
| Other Organization Name | NANSEMOND PEDIATRICS |
| Practice Address |
1005 Commercial Ln Godwin Bldg On Rt. 10, Suite 220 Suffolk VA 23434-8149 |
| Mailing Address |
601 Childrens Ln Norfolk VA 23507-1910 |
| Practice Telephone | 7576687017 |
| Mailing Telephone | 7576687017 |
| Mailing Fax Number | 7576688929 |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2012-04-26 |
| Authorized Official Name | MR. DENNIS MICHAEL RYAN (SENIOR VP 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 |
|---|---|
| Nansemond Pediatrics | 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 |
| 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 |
| 1104971548 | Childrens Medical Group Inc | Pediatrics | 885 Kempsville Rd, Suite 200, Norfolk, VA 23502-3800 | 2007-01-24 |
| Street Address |
1005 COMMERCIAL LN GODWIN BLDG ON RT. 10, SUITE 220 |
| City | SUFFOLK |
| State | VA |
| Zip Code | 23434-8149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538120290 | Gracie D Bernardo | Pediatrics | 1005 Commercial Ln, Suite 220, Suffolk, VA 23434-8149 | 2006-03-31 |
| 1427427830 | Jason Downey | Physician Assistant | 1005 Commercial Ln, Suffolk, VA 23434-8149 | 2015-09-16 |
| 1104167626 | Persons Orthopaedic Sports Medicine and Joint Replacement Center, PC | Specialist | 1005 Commercial Ln, Suite 210, Suffolk, VA 23434-8149 | 2013-03-07 |
| 1497032205 | Virginia Dermatology Skin Cancer Center Suffolk | Specialist | 1005 Commercial Ln, Suite 230, Suffolk, VA 23434-8149 | 2011-11-08 |
| 1073737789 | Jamie A Ramsay | Dentist | 1005 Commercial Ln, Suite 210, Suffolk, VA 23434-8149 | 2007-04-12 |
| 1821053422 | Joanne Rue Wunderlich | Pediatrics | 1005 Commercial Ln, Suite 220, Suffolk, VA 23434-8149 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235780255 | Chiquita Savage | Home Health | You 1st Healthcare, 112 West Washington Street Suite 502, Suffolk, VA 23434 | 2019-09-20 |
| 1912561713 | Revivication Counseling Services | Counselor | 814 Cripple Creek Lane, Suffolk, VA 23434 | 2019-04-26 |
| 1558826958 | Nita Jenkins | Non-emergency Medical Transport (VAN) | 707 Gittings St. Suite 105, Suffolk, VA 23434 | 2019-02-10 |
| 1730660952 | Latrese L Riddick | Driver | 418 Jackson St, Suffolk, VA 23434 | 2018-08-25 |
| 1114411279 | Percilla D Zeno | Community Health Worker | 102 Niblick Cir, Suffolk, VA 23434 | 2018-06-21 |
| 1437652765 | Aprele Gaddie | Health Educator | 2769 Godwin Boulevard, Suffolk, VA 23434 | 2018-03-13 |
| 1598284283 | Domonic Teheran Scott | Driver | 102 Brewer Ave, Suffolk, VA 23434 | 2017-09-13 |
| 1578089397 | Nakia Shantel Francis | Nurse Practitioner | 2970 Godwin Blvd, Suite 320, Suffolk, VA 23434 | 2017-08-15 |
| 1679093009 | Daisy Mae Aba, LLC | Behavioral Analyst | 3212 Clearcreek Rd., Suffolk, VA 23434 | 2017-06-27 |
| 1114457736 | Better Care Family Homes | Day Training, Developmentally Disabled Services | 813 West Washington Street, Suffolk, VA 23434 | 2017-06-15 |
| Find all providers in zip 23434 | ||||
| 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 |
|---|---|---|---|---|
| 1669597613 | Wanda Sawyer Ross | Pediatrics | 152 Burnetts Way, Suffolk, VA 23434-8166 | 2007-03-20 |
| 1003919622 | Nellie M Sankaran | Pediatrics | 440 W Washington St, Suffolk, VA 23439 | 2006-09-07 |
| 1023048766 | Jane M Robertson | Pediatrics | 1009 Hillpoint Blvd., Suffolk, VA 23434 | 2006-07-04 |
| 1942237805 | Laura I Leverone | Pediatrics | 1009 Hillpoint Blvd N, Suffolk, VA 23434-8470 | 2006-06-27 |
| 1437114386 | Richard Lee Curry | Pediatrics | 1005 Commercial Lane, Godwin Bldg On Rt 10, Suite 220, Suffolk, VA 23434-1849 | 2006-04-20 |
| 1184687675 | Douglas Blair Gregory | Pediatrics | 4868 Bridge Road, Suffolk, VA 23435-2048 | 2006-04-07 |
| 1538120290 | Gracie D Bernardo | Pediatrics | 1005 Commercial Ln, Suite 220, Suffolk, VA 23434-8149 | 2006-03-31 |
| 1194214924 | Kaitlin Gudger Opauski | Pediatrics | 1005 Commercial Ln Ste 220, Suffolk, VA 23434 | 2018-05-07 |
| 1316470305 | Olivia L Carey | Pediatrics | 4868 Bridge Rd Ste 310, Suffolk, VA 23435-2048 | 2017-04-06 |
| 1003235813 | Jessica Saxbury | Pediatrics | 4868 Bridge Rd Ste 310, Suffolk, VA 23435-2048 | 2014-04-08 |
| Find all providers in SUFFOLK | ||||
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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.