PEDIATRIC PHYSICIANS OF RESTON, PC


Address: 1830 Town Center Dr, Suite # 205, Reston, VA 20190-3292
Phone: 7034353636

PEDIATRIC PHYSICIANS OF RESTON, PC (NPI# 1841494796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841494796
Entity Type Organization
Organization Name PEDIATRIC PHYSICIANS OF RESTON, PC
Other Organization Name RESTON TOWN CENTER PEDIATRICS
Practice Address 1830 Town Center Dr
Suite # 205
Reston
VA 20190-3292
Practice Telephone 7034353636
Practice Fax Number 7034359145
Mailing Telephone 7034353636
Mailing Fax Number 7034359145
Enumeration Date 2007-06-13
Last Update Date 2020-08-22
Authorized Official Name MS. ROSEMARY J. CONNOLLY (PRACTICE MANAGER)
Authorized Official Telephone 7034350325
Authorized Official Credential RT R
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080A0000X Pediatrics
Specialization: Adolescent Medicine
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Reston Town Center Pediatrics Doing Business As Name - Organization

Office Location

Street Address 1830 TOWN CENTER DR
SUITE # 205
City RESTON
State VA
Zip Code 20190-3292

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427032564 Richard L Stokes IIi Specialist 1830 Town Center Dr, Suite 207, Reston, VA 20190-3292 2005-12-02
1811351166 Loudoun Medical Group PC Urology 1830 Town Center Dr, Suite 306, Reston, VA 20190-3292 2016-04-12
1306211370 Urology Center-usa Inc Specialist 1830 Town Center Dr, Suite 301, Reston, VA 20190-3292 2015-12-02
1164787065 Aishah Carol Hassan Voluntary or Charitable 1830 Town Center Dr, Reston, VA 20190-3292 2012-07-07
1063739324 Healthy Heart Sleep Center, LLC Clinical Medical Laboratory 1830 Town Center Dr, Suite 405, Reston, VA 20190-3292 2010-04-27
1578729216 Tae Joon Chung, Md PC Internal Medicine 1830 Town Center Dr, Suite 308, Reston, VA 20190-3292 2008-08-01
1316110125 Richard Lee Cho Psychiatry & Neurology 1830 Town Center Dr, Suite 305, Reston, VA 20190-3292 2008-04-12
1730364969 Rabih Kanan Hamzeh Specialist 1830 Town Center Dr, Suite #303, Reston, VA 20190-3292 2008-01-07
1710160205 M Karim Ali Md Facs PC Otolaryngology 1830 Town Center Dr, Suite 209, Reston, VA 20190-3236 2007-12-07
1689855587 David K Chow, Md, PC Ophthalmology 1830 Town Center Dr, Suite 210, Reston, VA 20190-3292 2007-11-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912548470 Virginia Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 1906 Reston Metro Plaza, Suite 100, Reston, VA 20190 2019-10-04
1205483260 Northern Virginia Applied Behavior Analysis, L.L.C. Behavioral Analyst 1984 Issac Newton Square West, Suite 204, Reston, VA 20190 2019-08-23
1336796481 Sandra Chiunda Nurse Practitioner 11484 Washington Plaza W 3rd Floor, Reston, VA 20190 2019-08-23
1891357232 Beyond Counseling, Inc. Clinic/Center 11250 Roger Bacon Dr., Atrium 5, Reston, VA 20190 2019-07-06
1003470063 Sarah Katharina Jungnitsch Registered Nurse Reston Anesthesia Associates, 11341 Sunset Hills Road, Reston, VA 20190 2019-04-25
1194202341 May Health Care Services Inc Home Health 12110 Sunset Hills Road Suite 600, Reston, VA 20190 2018-07-20
1245739895 Carlee B. Genung Physician Assistant 1760 Reston Parkway Suite 306, Reston, VA 20190 2018-02-09
1760901045 Kristen Kelly Dietitian, Registered 11703 Bowman Green Drive, Lower Level, Reston, VA 20190 2017-09-18
1245778992 Sarah Christine Bernstein Occupational Therapist 1860 Town Center Drive Ste, Suite 300, Reston, VA 20190 2017-02-02
1023495298 Phillip Nguyen Dentist 1800 Town Center Dr Ste 116, Reston, VA 20190 2015-04-27
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Taxonomy Information

Taxonomy Code 2080A0000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Adolescent Medicine

Taxonomy Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073674594 Ruth Avigan Mann Pediatrics 11130 Sunrise Valley Dr, Suite #150, Reston, VA 20191-4398 2006-12-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1164869020 Kyzwana N Caves Pediatrics 301 Riverview Ave Ste 3, Norfolk, VA 23510-1065 2013-05-31
1891814844 East End Pediatrics, P.C. Pediatrics 4744 Finlay Street, Richmond, VA 23231 2007-03-29
1013042480 Privia Medical Group, LLC Pediatrics 950 N Glebe Rd, Suite 4000, Arlington, VA 22203-1824 2007-02-23
1821133489 John Stephen Zachary Pediatrics 1521 Huguenot Rd, Suite 101, Midlothian, VA 23113-2426 2007-02-21
1831246891 William J. Mcaveney Pediatrics 221 Randolph St, Mineral, VA 23117-4493 2007-01-04
1619071149 Irene Townsend Pediatrics 3605 Ferncliff Ave Nw, Roanoke, VA 24017-1411 2006-09-13
1447352018 Richard Vichitr Chusuei Pediatrics 8373a Greensboro Dr, Mclean, VA 22102-3529 2006-09-02
1821105412 Chang-kai Lilly Liu Pediatrics 8377a Greensboro Drive, Mclean, VA 22102-3529 2006-08-23
1356457774 Patty Anne Chitwood Pediatrics Schiffert Health Center-virginia Tech, Nccomas Hall, Blacksburg, VA 24060 2006-08-21
1174637888 Yasmin K. Anez Pediatrics 8365a Greensboro Dr, Mclean, VA 22102-3530 2006-08-18
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Competitor

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City RESTON
Zip Code 20190

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Dataset Information

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.

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