CHILDRENS MEDICAL GROUP INC


Address: 2117 Mccomas Way, Suite 103, Virginia Beach, VA 23456-3908
Phone: 7576686700

CHILDRENS MEDICAL GROUP INC (NPI# 1366597114) 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) 1366597114
Entity Type Organization
Organization Name CHILDRENS MEDICAL GROUP INC
Other Organization Name GENERAL BOOTH PEDIATRICS
Practice Address 2117 Mccomas Way
Suite 103
Virginia Beach
VA 23456-3908
Mailing Address 601 Childrens Ln
Norfolk
VA 23507-1910
Practice Telephone 7576686700
Practice Fax Number 7576686690
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 VP CFO)
Authorized Official Telephone 7576688565
Is Organization Subpart Y
Parent Organization Name CHILDRENS MEDICAL GROUP INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
General Booth Pediatrics Doing Business As Name - Organization

Other Provider IDs and Locations

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
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

Office Location

Street Address 2117 MCCOMAS WAY
SUITE 103
City VIRGINIA BEACH
State VA
Zip Code 23456-3908

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548201973 Megan K Bazil Pediatrics 2117 Mccomas Way, Suite 103, Virginia Beach, VA 23456-3908 2006-06-09
1215220355 Mary Vaughn Smith Desoto Pediatrics 2117 Mccomas Way, Suite 103, Virginia Beach, VA 23456-3908 2011-05-23
1952690208 Daniel I. Dison Pediatrics 2117 Mccomas Way, Suite 103, Virginia Beach, VA 23456-3908 2011-04-06
1952562993 Kristin K Hutchinson Pediatrics 2117 Mccomas Way, Virginia Beach, VA 23456-3908 2008-06-23
1376562926 Michelle Bartimoccia Pediatrics 2117 Mccomas Way, Ste. 103, Virginia Beach, VA 23456-3908 2006-07-18
1255350823 Douglas Mitchell Pediatrics 2117 Mccomas Way, Ste. 103, Virginia Beach, VA 23456-3908 2006-07-18
1891714499 David Norris Pediatrics 2117 Mccomas Way, Ste.103, Virginia Beach, VA 23456-3908 2006-07-18
1003833757 Michele Wadsworth Pediatrics 2117 Mccomas Way, Ste. 103, Virginia Beach, VA 23456-3908 2006-07-17
1558388207 Elizabeth Mcgloon Pediatrics 2117 Mccomas Way, Ste. 103, Virginia Beach, VA 23456-3908 2006-07-17
1629003231 Christy Fontana Pediatrics 2117 Mccomas Way, Ste. 103, Virginia Beach, VA 23456-3908 2006-07-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336679349 Joelene Grandy Contractor 1892 Riverrock Arch, Virginia Beach, VA 23456 2017-06-13
1023568995 Red Mill Pediatric Dentistry and Behl Orthodontics Pllc Dentist 2033 Fisher Arch, Ste 100, Virginia Beach, VA 23456 2016-10-04
1609235803 Maria Teresa Olivas Registered Nurse 3212 Fluuanna Circle, Virginia Beach, VA 23456 2016-02-16
1326434747 Catharine White Cartwright Physician Assistant 2501 James Madison Blvd, Virginia Beach, VA 23456 2015-04-13
1598153785 Harris Teeter LLC Pharmacy 2105 Princess Anne Road, Suite 100, Virginia Beach, VA 23456 2014-12-23
1881034023 Kimberly Ann Benson Dentist 2105 Princess Anne Road, Suite 108, Virginia Beach, VA 23456 2013-07-02
1124378450 Phyllis A. Wilson Psychologist 1249 Eagle Way, Virginia Beach, VA 23456 2012-09-13
1033477807 Wolfgang J. Bay Dentist 1625 Salem Road #101, Virginia Beach, VA 23456 2012-04-30
1881974475 Virginia Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 2232 General Booth Blvd, Virginia Beach, VA 23456 2011-08-26
1780988857 Casey Snyder Dentist 2484 North Landing Road, Virginia Beach, VA 23456 2011-01-05
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629428560 Daniel Garcia Pediatrics 1924 Landstown Centre Way, Virginia Beach, VA 23456-1624 2016-06-21
1740546134 Partners In Pediatric Care, P.C. Pediatrics 324 Louisa Ave Ste 118, Virginia Beach, VA 23454-4669 2012-04-10
1780906479 Isaac G. Doron Pediatrics 117 66th St, Virginia Beach, VA 23451-2016 2010-02-22
1063612554 Valeria Noelia Higinio Pediatrics 2088 Princess Anne Rd, Virginia Beach, VA 23456-4014 2007-07-23
1508903550 Joseph W Familant Pediatrics 5700 Thurston Ave Ste 107, Virginia Beach, VA 23455-3302 2007-01-31
1649325242 Childrens Medical Group Inc Pediatrics 4505 Columbus St Ste 250, Virginia Beach, VA 23462-5011 2007-01-24
1265517627 Maria Teresa Josefa Tomas Torralba Pediatrics 804 Perez Ct, Virginia Beach, VA 23456-6730 2006-10-26
1548201973 Megan K Bazil Pediatrics 2117 Mccomas Way, Suite 103, Virginia Beach, VA 23456-3908 2006-06-09
1700844016 Laura Alois Charette Pediatrics 2021 Concert Dr, Suite 202, Virginia Beach, VA 23456-8082 2006-05-03
1154382018 Ghazala Y Khan Pediatrics 4221 Pleasant Valley Rd, Suite 114, Virginia Beach, VA 23464-8519 2006-03-30
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Competitor

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City VIRGINIA BEACH
Zip Code 23456

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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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