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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Reston Town Center Pediatrics | Doing Business As Name - Organization |
Street Address |
1830 TOWN CENTER DR SUITE # 205 |
City | RESTON |
State | VA |
Zip Code | 20190-3292 |
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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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 Code | 2080A0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Adolescent Medicine |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073674594 | Ruth Avigan Mann | Pediatrics | 11130 Sunrise Valley Dr, Suite #150, Reston, VA 20191-4398 | 2006-12-12 |
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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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.