SHERIDAN CHILDRENS HEALTHCARE SERVICES OF VIRGINIA INC (NPI# 1528609203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528609203 |
| Entity Type | Organization |
| Organization Name | SHERIDAN CHILDRENS HEALTHCARE SERVICES OF VIRGINIA INC |
| Practice Address |
8700 Sudley Rd Manassas VA 20110-4418 |
| Mailing Address |
7700 W Sunrise Blvd Plantation FL 33322-4113 |
| Practice Telephone | 9548382371 |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2019-10-03 |
| Authorized Official Name | KATHY KONDAS (OFFICER) |
| Authorized Official Telephone | 9548382371 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 231H00000X | Audiologist | Speech, Language and Hearing Service Providers | ||
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083255368 | Sheridan Childrens Healthcare Services of Virginia Inc | Audiologist | 15225 Healthcote Blvd, Haymarket, VA 20169-6264 | 2019-10-08 |
| 1932215704 | Sheridan Childrens Healthcare Services of Virginia Inc | Pediatrics | 1602 Skipwith Rd, Richmond, VA 23229-5205 | 2006-08-22 |
| 1184730954 | Sheridan Childrens Healthcare Services of Virginia Inc | Pediatrics | 44045 Riverside Pkwy, Leesburg, VA 20176-5101 | 2006-08-22 |
| 1295719367 | Sheridan Childrens Healthcare Services of Virginia Inc | Pediatrics | 7101 Jahnke Rd, Richmond, VA 23225-4017 | 2005-12-02 |
| Street Address |
8700 SUDLEY RD |
| City | MANASSAS |
| State | VA |
| Zip Code | 20110-4418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770588725 | Christopher R Heaton | Family Medicine | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2005-06-16 |
| 1740806629 | Lyndsey Atherton Lee | Nurse Practitioner | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2020-06-17 |
| 1033731591 | Marti Abarquez | Radiologic Technologist | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2020-05-07 |
| 1235764317 | Chelsea Mara Thompson | Registered Nurse | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2020-03-09 |
| 1346874997 | Lauren Nichole-evans Jeske | Nurse Practitioner | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2020-02-22 |
| 1689218620 | Martha Gordon | Registered Nurse | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2019-11-02 |
| 1700440674 | Nmg Affiliate Practice I, LLC | Internal Medicine | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2019-04-26 |
| 1780248823 | Nmg Affiliate Practice I, LLC | Internal Medicine | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2019-04-24 |
| 1588122410 | Prince William Hospital | General Acute Care Hospital | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2019-03-11 |
| 1891259057 | Dorie Christine Ellis | Nurse Anesthetist, Certified Registered | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2019-01-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184246787 | Sini Eapen | Nurse Practitioner | 9380 Forestwood Lane, 9380 Unit B, Manassas, VA 20110 | 2020-05-18 |
| 1023662202 | United Health Home Care Agency | Registered Nurse | 8789 Commerce Ct#202, Manassas, VA 20110 | 2019-07-26 |
| 1750868097 | Elaine K. Sours, D.d.s., P.C. | Dentist | 8719 Plantation Lane, Manassas, VA 20110 | 2018-07-19 |
| 1962904573 | Donielle Francis | Specialist/Technologist | 10420 Monterosa Pl, Manassas, VA 20110 | 2018-02-28 |
| 1003332354 | Katrina Kask | Occupational Therapist | 6985 Centreville Rd., Manassas, VA 20110 | 2017-08-18 |
| 1477091478 | Mega Health Services, Inc | General Practice | 9602 Champion Ct, Manassas, VA 20110 | 2017-02-09 |
| 1811340599 | Malik Usman Dds, PC | Dentist | 8559 Sudley Road, Manassas, VA 20110 | 2016-07-19 |
| 1871944660 | Chitra Subbaraj | Physical Therapist | 8595 Centreville Rd, Manassas, VA 20110 | 2016-06-23 |
| 1093186512 | Daczkowski Orthodontics | Dentist | 8715 Stonewall Road, Manassas, VA 20110 | 2015-10-09 |
| 1851770366 | Candace Fleming | Counselor | 9242b Mosby St, Manassas, VA 20110 | 2015-05-29 |
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| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| 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/certification - 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 |
|---|---|---|---|---|
| 1730442674 | Hazel Villanueva | Pediatrics | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2012-06-15 |
| 1992095079 | Prince William Hospital | Pediatrics | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2011-04-11 |
| 1710137070 | Jagadish Venkat Raga Elumalai | Pediatrics | 8700 Sudley Rd, Manassas Neonatal Associates, Manassas, VA 20110-4418 | 2008-09-23 |
| 1710089610 | Luz Galang Mcpherson | Pediatrics | 8700 Sudley Rd, Neonatology, Manassas, VA 20110-4418 | 2006-09-01 |
| 1245238310 | Rossana T Sy | Pediatrics | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2005-07-12 |
| 1700883980 | Shantharama Karanth | Pediatrics | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2005-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649679754 | Wayne E Hachey | Pediatrics | 11 Laurel Ct, Nellysford, VA 22958-9554 | 2014-08-14 |
| 1942644588 | Shajeer Noorudeen | Pediatrics | 1000 E Broad St # 5-104, Richmond, VA 23219-1930 | 2013-04-25 |
| 1437415833 | Oleksandr Mikhailovich Kudin | Pediatrics | 1506 Willow Lawn Dr Ste 205, Richmond, VA 23230-3418 | 2012-04-10 |
| 1598050239 | Valerie Atienza Navarrete | Pediatrics | 13509 Leith Ct, Chantilly, VA 20151 | 2011-06-10 |
| 1699065425 | Jing Fang | Pediatrics | Inova Children's Hospital Nicu, 3300 Gallows Rd, Falls Church, VA 22042 | 2011-04-13 |
| 1952691164 | Melissa Lindsey Macomber-estill | Pediatrics | 4320 Seminary Rd # 3000, Alexandria, VA 22304-1535 | 2011-04-10 |
| 1780914085 | Pediatrix Newborn Hearing Screen LLC | Pediatrics | 4991 Lake Brook Dr, Suite 300, Glen Allen, VA 23060-9290 | 2010-01-08 |
| 1538496807 | Vanaja Nandini Alexander | Pediatrics | 3708 5th St S, Arlington, VA 22204-1681 | 2009-11-06 |
| 1679734412 | Harsh Datta | Pediatrics | 1001 Sam Perry Blvd, 3rd Floor Neonatology Office, Fredericksburg, VA 22401 | 2008-06-24 |
| 1932385606 | Tetyana H Nesterenko | Pediatrics | 5980 Richmond Hwy Apt 1-214, Alexandria, VA 22303-2739 | 2008-01-12 |
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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.