ALEXANDRIA LAKE RIDGE PEDIATRICS (NPI# 1194960252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194960252 |
| Entity Type | Organization |
| Organization Name | ALEXANDRIA LAKE RIDGE PEDIATRICS |
| Practice Address |
1500 N Beauregard St Suite 200 Alexandria VA 22311-1723 |
| Mailing Address |
1707 Osage St Suite 104 Alexandria VA 22302-2607 |
| Practice Telephone | 7032126600 |
| Practice Fax Number | 7039310961 |
| Mailing Telephone | 7032126600 |
| Mailing Fax Number | 7039310961 |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2008-12-03 |
| Authorized Official Name | DR. JON M FARBER (TREASURER) |
| Authorized Official Telephone | 7032126600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 0101038289 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316182116 | Alexandria Lake Ridge Pediatrics | Pediatrics | 9010 Lorton Station Blvd, Suite 100, Lorton, VA 22079 | 2008-12-08 |
| 1548358815 | Alexandria Lake Ridge Pediatrics | Pediatrics | 1500 N Beauregard St, Suite 200, Alexandria, VA 22311-1723 | 2006-10-11 |
| 1417053794 | Alexandria Lake Ridge Pediatrics | Pediatrics | 1990 Old Bridge Rd, Suite 101, Woodbridge, VA 22192-2383 | 2006-09-15 |
| 1649215955 | Alexandria Lake Ridge Pediatrics | Pediatrics | 4660 Kenmore Ave, Suite 500, Alexandria, VA 22304-1313 | 2006-06-19 |
| Street Address |
1500 N BEAUREGARD ST SUITE 200 |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22311-1723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811989957 | John Wesley Cochran | Psychiatry & Neurology | 1500 N Beauregard St, #300, Alexandria, VA 22311-1723 | 2005-08-16 |
| 1043797129 | Bethany Gibson Frank | Nurse Practitioner | 1500 N Beauregard St, Alexandria, VA 22311-1723 | 2018-07-23 |
| 1821436213 | Anne Melinda Giles | Nurse Practitioner | 1500 N Beauregard St, Suite 300, Alexandria, VA 22311-1723 | 2013-06-07 |
| 1164865549 | Brittany M Taylor | Pediatrics | 1500 N Beauregard St, Suite 200, Alexandria, VA 22311-1723 | 2013-04-16 |
| 1275859688 | Ramsey Andrew Falconer | Psychiatry & Neurology | 1500 N Beauregard St, Suite 300, Alexandria, VA 22311-1723 | 2010-04-09 |
| 1740504992 | Sean Lewis Rogers | Psychiatry & Neurology | 1500 N Beauregard St, Suite 300, Alexandria, VA 22311-1723 | 2010-03-17 |
| 1497980361 | Marcella Villa | Pediatrics | 1500 N Beauregard St, Suite 200, Alexandria, VA 22311-1723 | 2009-05-21 |
| 1932269206 | Susan L Miller | Social Worker | 1500 N Beauregard St, Ste 240, Alexandria, VA 22311-1715 | 2006-12-09 |
| 1548358815 | Alexandria Lake Ridge Pediatrics | Pediatrics | 1500 N Beauregard St, Suite 200, Alexandria, VA 22311-1723 | 2006-10-11 |
| 1558473892 | Adrienne Robles | Nurse Practitioner | 1500 N Beauregard St, Alexandria, VA 22311-1723 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356995898 | Tika Trotter-mason | Counselor | 1900 N Beauregard Street, Alexandria, VA 22311 | 2019-08-01 |
| 1386179414 | Marian Ramirez Bautista | Nurse Practitioner | 2000 N Beauregard St. Suite 330, Alexandria, VA 22311 | 2017-04-26 |
| 1710294327 | Heather Jo Knowles Scharre | Behavioral Analyst | 4876 West Braddock Road, Alexandria, VA 22311 | 2010-09-02 |
| 1790001980 | Soft Dentistry | Clinic/Center | 5508 Seminary Rd, Alexandria, VA 22311 | 2010-04-13 |
| 1093946469 | David John Anderson | Dentist | 5192 Dawes Avenue, Alexandria, VA 22311 | 2009-08-04 |
| 1114109410 | Chong W. Lee, M.d., P.C. | Surgery | 4901 Seminary Road, #110, Alexandria, VA 22311 | 2007-11-29 |
| 1922298819 | Ramia Gupta | Psychiatry & Neurology | 4551 Strutfield Lane, #4220, Alexandria, VA 22311 | 2007-07-27 |
| 1942422431 | Sheila Jahan Md PC | Psychiatry & Neurology | 5238 Dawes Ave, Alexandria, VA 22311 | 2007-05-03 |
| 1457497380 | Elizabeth Anne Teegarden | Psychologist | 5276 Dawes Avenue, Alexandria, VA 22311 | 2007-01-29 |
| 1609932292 | James A Snyder | Dentist | 5284 Dawes Avenue, Alexandria, VA 22311 | 2006-12-28 |
| Find all providers in zip 22311 | ||||
| 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 |
|---|---|---|---|---|
| 1205454774 | Jackson Street Pediatrics, LLC | Pediatrics | 5716 Jackson St, Alexandria, LA 71303-2042 | 2020-07-10 |
| 1205221942 | Carlos A. Cruz, Md, PC | Pediatrics | 1707 Osage St Ste 303, Alexandria, VA 22302-2611 | 2015-03-31 |
| 1447508163 | Arnold Jay Zedd | Pediatrics | 2621 Jamestown Lane, #203, Alexandria, VA 22314-5882 | 2012-08-28 |
| 1104102987 | Reynaldo Fraga | Pediatrics | 4518 Seminary Road, Juan R. Fraga M.d., Alexandria, VA 22304 | 2011-10-25 |
| 1144417544 | Chandanjeet Sidhu | Pediatrics | 2616 Sherwood Hall Ln Ste 106, Alexandria, VA 22306-3154 | 2007-09-29 |
| 1780886481 | Cathy Southammakosane | Pediatrics | 1500 N Beauregard St Ste 200, Alexandria, VA 22311-1700 | 2007-06-04 |
| 1215156898 | Rhodes Pediatric Clinic | Pediatrics | 37 Calvert Dr, Alexandria, LA 71303-3520 | 2007-04-24 |
| 1346363769 | Robert Bregman | Pediatrics | 4480 King St., Alex Health Dept, Alexandria, VA 22302 | 2007-04-09 |
| 1013035575 | Emily B Remus | Pediatrics | 1451 Belle Haven Rd Ste 110, Alexandria, VA 22307-1201 | 2007-03-26 |
| 1598880791 | Terri W Cummings | Pediatrics | 3628 Ransom Pl, Alexandria, VA 22306-1473 | 2007-03-20 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 22311 |
Please comment or provide details below to improve the information on ALEXANDRIA LAKE RIDGE PEDIATRICS.
| 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.