CHILDRENS MEDICAL GROUP INC (NPI# 1538214275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538214275 |
Entity Type | Organization |
Organization Name | CHILDRENS MEDICAL GROUP INC |
Other Organization Name | PEDIATRIC ASSOCIATES |
Practice Address |
1909 Granby St Ste A Norfolk VA 23517-2349 |
Mailing Address |
601 Childrens Ln Norfolk VA 23507-1910 |
Practice Telephone | 7576400022 |
Practice Fax Number | 7576278064 |
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Pediatric Associates | 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 |
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 |
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 |
1909 GRANBY ST STE A |
City | NORFOLK |
State | VA |
Zip Code | 23517-2349 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831364165 | Emily L Schank | Pediatrics | 1909 Granby St Ste A, Norfolk, VA 23517-2349 | 2008-04-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164948535 | Honey Behavioral Therapy | Behavioral Analyst | 520 W. 21st Street, Suite G2-407, Norfolk, VA 23517 | 2017-08-17 |
1245638899 | Americare Plus, LLC. | In Home Supportive Care | 2200 Colonial Avenue, Suite 15, Norfolk, VA 23517 | 2014-12-15 |
1932458478 | Carolyn Reed Hersh | Counselor | 117 W. 21st Street, Suite 206, Norfolk, VA 23517 | 2012-08-30 |
1487959342 | Harris Teeter, LLC | Pharmacy | 1320 Colonial Avenue, Norfolk, VA 23517 | 2011-01-24 |
1912133406 | Air Specialty Corp | Contractor | 121 East 25th St, Norfolk, VA 23517 | 2009-06-10 |
1578798849 | East End Academy Inc Southside | Clinic/Center | 2607 Colonial Avenue, Norfolk, VA 23517 | 2009-05-15 |
1568682292 | Jennifer S Derugen | Midwife | 1700 Hampton Blvd, Apt A, Norfolk, VA 23517 | 2007-04-26 |
1265568026 | Norfolk Integrative Manual Therapy | Physical Therapist | 350 22 St W., Suite 108, Norfolk, VA 23517 | 2007-02-26 |
1528133436 | Krysia B Witkowski | Physical Therapist | 350 W 22nd St, Suite 108, Norfolk, VA 23517 | 2006-11-24 |
1699846121 | Orthopaedic Associates of Virginia, Ltd | Neuromusculoskeletal Medicine, Sports Medicine | 953b West 21st St, Virginia Beach, VA 23517 | 2006-11-13 |
Find all providers in zip 23517 |
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 |
---|---|---|---|---|
1629546106 | Childrens Medical Group Inc | Pediatrics | 1529 International Blvd Ste 301, Norfolk, VA 23513-4802 | 2018-11-02 |
1164801700 | Drexel Proctor | Pediatrics | 601 Childrens Ln Fl 6, Norfolk, VA 23507-1910 | 2015-05-28 |
1194084038 | Michael James Kochan | Pediatrics | 445 E Freemason St, Apt 2a, Norfolk, VA 23510-2453 | 2012-05-13 |
1184853749 | Eric Carroll | Pediatrics | 1562 Mitscher Avenue, Suite 250, Norfolk, VA 23551-2487 | 2009-07-03 |
1164650321 | Daniel B Spencer | Pediatrics | 400 Gresham Dr Ste 301, Norfolk, VA 23507-1901 | 2009-06-26 |
1548425218 | Mia Jin | Pediatrics | 810 W Princess Anne Rd, Apt 403, Norfolk, VA 23517-1871 | 2008-07-22 |
1851559504 | Princess Anne Pediatrics | Pediatrics | 5040 E Princess Anne Rd Ste A, Norfolk, VA 23502-1733 | 2008-05-29 |
1902079015 | Edward Alex Johnson | Pediatrics | 811 Redgate Ave, Norfolk, VA 23507-1515 | 2008-04-09 |
1790957447 | Kimberly Bryant Schindler | Pediatrics | 1909a Granby Street, Norfolk, VA 23517-2349 | 2008-04-01 |
1346425261 | Melissa Buryk | Pediatrics | 1210 Redgate Ave, Norfolk, VA 23507-1331 | 2008-01-09 |
Find all providers in NORFOLK |
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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.