CRESTWOOD PEDIATRIC ASSOCIATES PC (NPI# 1629034897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629034897 |
| Entity Type | Organization |
| Organization Name | CRESTWOOD PEDIATRIC ASSOCIATES PC |
| Practice Address |
10623 Crestwood Dr Manassas VA 20109-3433 |
| Practice Telephone | 7033617131 |
| Practice Fax Number | 7033302065 |
| Mailing Telephone | 7033617131 |
| Mailing Fax Number | 7033302065 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SANDY MULLINS (OFFICE MANAGER) |
| Authorized Official Telephone | 7033617131 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
10623 CRESTWOOD DR |
| City | MANASSAS |
| State | VA |
| Zip Code | 20109-3433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457322356 | Katherine Abbott | Pediatrics | 10623 Crestwood Dr, Manassas, VA 20109-3433 | 2006-01-30 |
| 1073868261 | Jennifer Therese Bradford | Pediatrics | 10623 Crestwood Dr, Manassas, VA 20109-3433 | 2012-07-13 |
| 1528276409 | Sheetal Ajmani | Pediatrics | 10623 Crestwood Dr, Manassas, VA 20109-3433 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275151854 | Laura Zabel | Social Worker | 10220 Launch Circle #103, Manassas, VA 20109 | 2020-07-09 |
| 1659910677 | Leigh Cristi Babin-adkins | Registered Nurse | 10550 Linden Lake Plazza, Manassas, VA 20109 | 2019-12-23 |
| 1326686221 | Sophie Louise Elliot | Speech-Language Pathologist | 10550 Linden Lake Plaza Suite 100, Manassas, VA 20109 | 2019-12-11 |
| 1962978221 | Dominique Marie Cytryn | Behavior Technician | Family Insight, P.C., 7730 Donegan Dr, Manassas, VA 20109 | 2018-10-15 |
| 1255829008 | Lyusyena Teper | Physical Therapist | 11662 Sudley Manor Dr Ste 50-b, Manassas, VA 20109 | 2018-04-27 |
| 1861995060 | Mylisa L Ickes | Counselor | 7982 Donegan Drive, Manassas, VA 20109 | 2018-03-14 |
| 1336641885 | Stephanie Joanne Gamboa | Behavior Technician | 1037 Battleview Pkwy, Manassas, VA 20109 | 2018-03-01 |
| 1154822237 | Katherine Sholl | Behavior Technician | 10370 Battleview Parkway, Manassas, VA 20109 | 2018-02-23 |
| 1386168615 | Northern Virginia Checker Cab LLC | Taxi | 7631 Coppermine Dr, Manassas, VA 20109 | 2017-07-28 |
| 1407383201 | Monique Lowery | Social Worker | 7403 Emerald Dr., Manassas, VA 20109 | 2017-05-11 |
| Find all providers in zip 20109 | ||||
| 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 |
|---|---|---|---|---|
| 1588051015 | Noreen Hossain | Pediatrics | 8701 Stonewall Rd Ste 1a, Manassas, VA 20110-8327 | 2015-04-22 |
| 1255687950 | Keyur Kamlesh Mehta | Pediatrics | 8609 Sudley Rd Ste 203, Manassas, VA 20110-4500 | 2012-07-31 |
| 1598096091 | Prince William Pediatric Care Inc. | Pediatrics | 8701 Stonewall Rd, Unit 1a, Manassas, VA 20110-8326 | 2010-01-22 |
| 1982859484 | Children's Health Care Center of Nova | Pediatrics | 9001 Digges Rd Ste 106, Manassas, VA 20110-4414 | 2008-11-25 |
| 1205096286 | Rachna A. Patel | Pediatrics | 10623 Crestwood Drive, Manassas, VA 20109 | 2008-06-12 |
| 1205034659 | Pediatric Practice,pc | Pediatrics | 8600 Rolling Rd Ste 100, Manassas, VA 20110-3868 | 2007-07-06 |
| 1205037959 | Chiquitia Jenee Anderson | Pediatrics | 8640 Sudley Rd Ste 306, Manassas, VA 20110-4404 | 2007-05-30 |
| 1699802942 | Louis Puppo | Pediatrics | 10692 Crestwood Dr Ste B, Manassas, VA 20109 | 2007-02-27 |
| 1801940531 | Denyse R Bailey | Pediatrics | 9430 Forestwood Ln Ste 100, Manassas, VA 20110 | 2007-01-22 |
| 1568538858 | Shiekh Mohammed M Hossain | Pediatrics | 8701 Stonewall Road, Unit 1a, Manassas, VA 20110 | 2006-11-28 |
| Find all providers in MANASSAS | ||||
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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.