CENTURY PEDIATRICS INC. (NPI# 1558428953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558428953 |
| Entity Type | Organization |
| Organization Name | CENTURY PEDIATRICS INC. |
| Practice Address |
2024 Opitz Blvd Ste A Woodbridge VA 22191-3388 |
| Mailing Address |
22445 Conservancy Dr Ashburn VA 20148-8068 |
| Practice Telephone | 7034927000 |
| Mailing Telephone | 7036806641 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2014-09-08 |
| Authorized Official Name | MRS. SRIDEVI MADIRAJU (VICE PRESIDENT) |
| Authorized Official Telephone | 5713346978 |
| Authorized Official Credential | OFFICE MANAGER |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 0101054958 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | HEALTHKEEPERS PLUS STAFFO | 386437 | 01 |
| VA | 010236568 | 05 | |
| VA | ALLIANCE PPO | 897801 | 01 |
| VA | FREDERICKSBURG HEALTHKEEP | 189147 | 01 |
| VA | 006720421 | 05 | |
| VA | AMERIGROUP | 98446 | 01 |
| VA | 006739491 | 05 | |
| VA | AETNA | 5686693 | 01 |
| VA | HEALTHKEEPERS PLUS WOODBR | 259327 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | CENTURY PEDIATRICS INC. | 1031 Sterling Rd Suite 101, Herndon, Virginia 20170 |
| Street Address |
2024 OPITZ BLVD STE A |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22191-3388 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376600759 | Krishna Prasad Madiraju | Pediatrics | 2024 Opitz Blvd Ste A, Woodbridge, VA 22191-3388 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861021131 | Bailey Orthodontics Pllc | Dentist | 16446 Navigation Drive, Woodbridge, VA 22191 | 2020-04-07 |
| 1417589326 | Meseret Abate | Registered Nurse | 15608 William Bayliss Ct, Woodbridge, VA 22191 | 2020-02-08 |
| 1992279327 | Velocity Urgent Care, LLC | Clinic/Center | 16422 Navigation Dr, Woodbridge, VA 22191 | 2019-01-18 |
| 1821577263 | Maame Gyasiwah Banahene | Registered Nurse | 1812 Featherstone Rd, Woodbridge, VA 22191 | 2018-08-07 |
| 1235617507 | Yaw P. Baidoo | Nutritionist | 14960 Potomac Heights Pl Apt 503, Woodbridge, VA 22191 | 2018-07-30 |
| 1477048452 | Anahita Abazari | Optometrist | 14901 Potomac Town Pl, Suite 120, Woodbridge, VA 22191 | 2018-06-22 |
| 1619490661 | Misti S Gray | Nurse Practitioner | 2296 Optiz Blvd, Suite 440, About Women Ob/gyn, Woodbridge, VA 22191 | 2017-07-21 |
| 1568991974 | Patrice Whilby | Behavior Technician | 2264 York Drive Apt 302, Woodbridge, VA 22191 | 2017-06-08 |
| 1508395245 | Maria Theresa Lee | Registered Nurse | 2028b Opitz Blvd # 22191, Woodbridge, VA 22191 | 2017-06-07 |
| 1861943763 | A1 Home Care, LLC | Home Health | 13928 Jefferson Davis Hwy, Ste # C, Woodbridge, VA 22191 | 2016-10-17 |
| Find all providers in zip 22191 | ||||
| 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 |
|---|---|---|---|---|
| 1548518616 | Kavitha Rajarathnam | Pediatrics | 702 Plaza Dr, Woodbridge, NJ 07095-1113 | 2012-08-21 |
| 1740510080 | William Paul Silberberg | Pediatrics | 31 Jenick Ln, Woodbridge, CT 06525-1935 | 2010-01-09 |
| 1154567352 | Manpreet Sidhu | Pediatrics | 12722 Directors Loop, Woodbridge, VA 22192-2462 | 2008-12-18 |
| 1225205222 | David Bendich | Pediatrics | 143 Highview Dr, Woodbridge, NJ 07095-3906 | 2008-05-09 |
| 1285817429 | Lynn Karen Rudich | Pediatrics | 9 N Pease Rd, Woodbridge, CT 06525-1621 | 2007-12-11 |
| 1205031325 | Christine Sunia | Pediatrics | 13001 Summit School Rd, Woodbridge, VA 22192 | 2007-06-19 |
| 1588730790 | Krishnan S. Kumar, M.d., P.C. | Pediatrics | 1900 Opitz Blvd Ste A, Woodbridge, VA 22191-3320 | 2006-11-28 |
| 1346316122 | Leonard Lee Touchette | Pediatrics | 2296 Opitz Blvd Ste 510, Woodbridge, VA 22191-3348 | 2006-11-25 |
| 1033224340 | Nova Pediatrics | Pediatrics | 1483 Old Bridge Rd, Suite 201, Woodbridge, VA 22192-2738 | 2006-08-20 |
| 1336154822 | Woodbridge Pediatrics Ltd | Pediatrics | 1924 Opitz Blvd, Woodbridge, VA 22191 | 2006-07-31 |
| Find all providers in WOODBRIDGE | ||||
| City | WOODBRIDGE |
| Zip Code | 22191 |
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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.