VIRGINIA PEDIATRIC AND ADOLESCENT MEDICINE (NPI# 1376733782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376733782 |
| Entity Type | Organization |
| Organization Name | VIRGINIA PEDIATRIC AND ADOLESCENT MEDICINE |
| Practice Address |
5275 Lee Highway Suite 200 Arlington VA 22207 |
| Practice Telephone | 7037174090 |
| Practice Fax Number | 7037174091 |
| Mailing Telephone | 7037174090 |
| Mailing Fax Number | 7037174091 |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2014-05-09 |
| Authorized Official Name | DR. MARIJANA C DUCIC (OWNER) |
| Authorized Official Telephone | 7037174090 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
0101057772 | VA | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
5275 LEE HIGHWAY SUITE 200 |
| City | ARLINGTON |
| State | VA |
| Zip Code | 22207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871584797 | Marijana C Ducic | Pediatrics | 5275 Lee Highway, Suite 200, Arlington, VA 22207 | 2005-10-31 |
| 1508189721 | Women's Care of Arlington, Pllc | Obstetrics & Gynecology | 5275 Lee Highway, Suite 101, Arlington, VA 22207 | 2010-03-02 |
| 1104091818 | William Albright Burch IIi | Obstetrics & Gynecology | 5275 Lee Highway, Suite 101, Arlington, VA 22207 | 2008-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952820383 | Myrna Carlin Del Olivar | Dentist | Santa Rosalia 20380, Ste 3, Tijuana, BAJA CALIFORNIA 22207 | 2017-09-18 |
| 1770937617 | Jennifer Claire Gagnon | Nurse Practitioner | 2807 N. Glebe Road, Marymount University, Student Health, Arlington, VA 22207 | 2016-04-18 |
| 1609297308 | Henry L Danaceau, Md Ltd | Orthopaedic Surgery | 2501 North Glebe Road, Arlington, VA 22207 | 2013-12-23 |
| 1508121856 | Ashanti Sade Fludd | Home Health Aide | 5010 22nd Street, North Arlington, VA 22207 | 2012-07-11 |
| 1619204609 | Nathaniel Thomas Connally Jr. | Internal Medicine | 3563 N. Abingdon St., Arlington, VA 22207 | 2009-11-11 |
| 1548421076 | Physical Therapy Health Center | Clinic/Center | 5312 N 36th St, Arlington, VA 22207 | 2008-06-18 |
| 1770784415 | Edmund Russell Lynn Jr. | Social Worker | 6033 Little Falls Rd, Arlington, VA 22207 | 2007-05-30 |
| 1053520494 | Deborah Cusick Defranco | Specialist/Technologist | 1426 North Quincy Street, Arlington, VA 22207 | 2007-05-22 |
| 1316081284 | Denise E Bruner Md & Assoc PC | Internal Medicine | 5015 Lee Highway, Suite 201, Arlington, VA 22207 | 2007-02-16 |
| 1740340751 | Albert John Kalil | Psychologist | 4635 14th St North, Arlington, VA 22207 | 2006-12-11 |
| Find all providers in zip 22207 | ||||
| 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 |
|---|---|---|---|---|
| 1972990042 | Lizette Jamora Antig | Pediatrics | 875 Wesley St Ste 130, Arlington, WA 98223 | 2015-04-16 |
| 1255735791 | Naum I. Becker | Pediatrics | 6201 Matlock Rd Ste 139, Arlington, TX 76002-2763 | 2014-10-13 |
| 1790199735 | Nikita Patel | Pediatrics | 1915 E Mayfield Rd Ste 115, Arlington, TX 76014-2605 | 2014-06-18 |
| 1760750103 | Robert Kennedy Portman Jr. | Pediatrics | 2209 Shadywood Ct., Arlington, TX 76012 | 2011-12-13 |
| 1174828289 | Rainbow Children's Clinic, P.a. | Pediatrics | 1900 Ballpark Way, Ste 106, Arlington, TX 76006-6610 | 2011-01-20 |
| 1316259468 | George Peter Contis | Pediatrics | 2356 N Lincoln St, Arlington, VA 22207-3862 | 2010-07-06 |
| 1649581067 | Saurabh Dasgupta | Pediatrics | 611 S Carlin Springs Rd Ste 301, Arlington, VA 22204-1086 | 2010-06-30 |
| 1154653681 | Sarah Bridges Sheldon | Pediatrics | 22 Mill St Ste 206, Arlington, MA 02476 | 2010-02-09 |
| 1689807315 | Johanna Delacroix | Pediatrics | 920 N Barton St, Arlington, VA 22201-1910 | 2009-08-28 |
| 1629219407 | Purnachander Rao Sirikonda | Pediatrics | 4907 S Collins St Ste 141, Arlington, TX 76018-1159 | 2009-03-09 |
| Find all providers in ARLINGTON | ||||
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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.