CHILDRENS MEDICAL GROUP INC (NPI# 1770049215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770049215 |
| Entity Type | Organization |
| Organization Name | CHILDRENS MEDICAL GROUP INC |
| Practice Address |
656 Independence Pkwy Ste 200 Chesapeake VA 23320-5213 |
| Mailing Address |
601 Childrens Ln Norfolk VA 23507-1910 |
| Practice Telephone | 7574103630 |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2019-02-20 |
| Authorized Official Name | MR. GREGORY S JONES (DIRECTOR, CONTRACT DEVELOPMENT) |
| Authorized Official Telephone | 7576689647 |
| 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 Partners of Hampton Roads | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629546106 | Childrens Medical Group Inc | Pediatrics | 1529 International Blvd Ste 301, Norfolk, VA 23513-4802 | 2018-11-02 |
| 1538214275 | Childrens Medical Group Inc | Pediatrics | 1909 Granby St Ste A, Norfolk, VA 23517-2349 | 2007-01-24 |
| 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 |
656 INDEPENDENCE PKWY STE 200 |
| City | CHESAPEAKE |
| State | VA |
| Zip Code | 23320-5213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263499 | Trinity Hospice 1, LLC | Hospice Care, Community Based | 1401 Kempsville Road, Suite A, Unit 1, Chesapeake, VA 23320 | 2020-04-09 |
| 1538624804 | Shaniqah Mcleod | Home Health | 217 Centerville Turnpike N, Chesapeake, VA 23320 | 2019-01-31 |
| 1942764113 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1400 Kempsville Rd, Virginia Beach, VA 23320 | 2019-01-22 |
| 1639647993 | Madison Vansavage Maben | Orthotist | 433 Network Sta, Chesapeake, VA 23320 | 2018-11-05 |
| 1568947356 | Kelly M Muchetti | Massage Therapist | 1421 C. Kempsville Rd., Chesapeake, VA 23320 | 2018-09-27 |
| 1235612912 | L&s Home Health Care, LLC. | Home Health | 1545 Cossways Blv, Chesepeake, VA 23320 | 2018-09-10 |
| 1154803500 | Latricia A Patterson | Home Health | 813-a Professional Pl Ste 107, Chesapeake, VA 23320 | 2018-09-02 |
| 1164909586 | 4k Tresses | Durable Medical Equipment & Medical Supplies | 1220 Executive Blvd Ste 101, Chesapeake, VA 23320 | 2018-07-27 |
| 1831676105 | Lance Taylor | Technician | 1645 Crossways Blvd Ste 250, Chesapeake, VA 23320 | 2018-07-19 |
| 1023507688 | Sentoria Howell Harold | Social Worker | 920 Ventures Way Ste 4, Chesapeake, VA 23320 | 2018-05-08 |
| Find all providers in zip 23320 | ||||
| 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 |
|---|---|---|---|---|
| 1770183303 | Charles Eshel Stith IIi | Pediatrics | 317 Middle Oaks Dr, Chesapeake, VA 23322-7502 | 2020-11-01 |
| 1770884173 | Randy C Axelrod | Pediatrics | 456 Woodards Ford Rd, Chesapeake, VA 23322-4307 | 2010-11-16 |
| 1770652646 | Pediatric Partners of Hampton Roads, P.C. | Pediatrics | 656 Independence Parkway, Suite 200, Chesapeake, VA 23320 | 2006-11-07 |
| 1184634446 | Ogubuike W. Emejuru | Pediatrics | 513 Baylor Ct, Chesapeake, VA 23320-3824 | 2006-08-09 |
| 1821003344 | Rex E. Kummer | Pediatrics | 420 Blue Beech Way, Chesapeake, VA 23320-3811 | 2006-07-31 |
| 1023041787 | Michelle Davis Eichelberger | Pediatrics | 500 Discovery Dr, Suite 302, Chesapeake, VA 23320-3871 | 2006-07-08 |
| 1184689770 | Dianne Marie Mcneill | Pediatrics | 308 Cedar Lakes Dr Ste 103, Chesapeake, VA 23322-8343 | 2006-04-18 |
| 1659342715 | Rosario Salgado Bermisa | Pediatrics | 110 American Legion Rd, Chesapeake, VA 23321-5651 | 2006-01-27 |
| 1114922077 | Luis F. Olmedo | Pediatrics | 817 Volvo Pkwy, Chesapeake, VA 23320-2855 | 2005-06-16 |
| 1225649742 | Shannon Kendra Henry | Pediatrics | 733 Volvo Pkwy Ste 200, Chesapeake, VA 23320-1609 | 2020-08-10 |
| Find all providers in CHESAPEAKE | ||||
| City | CHESAPEAKE |
| Zip Code | 23320 |
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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.