CHILDRENS MEDICAL GROUP INC


Address: 1181 First Colonial Rd, Suite 100, Virginia Beach, VA 23454-2437
Phone: 7576684600

CHILDRENS MEDICAL GROUP INC (NPI# 1992117527) 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) 1992117527
Entity Type Organization
Organization Name CHILDRENS MEDICAL GROUP INC
Other Organization Name PREMIER PEDIATRICS
Practice Address 1181 First Colonial Rd
Suite 100
Virginia Beach
VA 23454-2437
Mailing Address 601 Childrens Ln
Norfolk
VA 23507-1910
Practice Telephone 7576684600
Practice Fax Number 7576684605
Mailing Telephone 7576687017
Mailing Fax Number 7576688929
Enumeration Date 2014-06-02
Last Update Date 2014-10-22
Authorized Official Name MR. DENNIS MICHAEL RYAN (VP CFO)
Authorized Official Telephone 7576688565
Is Organization Subpart Y
Parent Organization Name CHILDRENS MEDICAL GROUP INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Premier Pediatrics Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1770049215 Childrens Medical Group Inc Pediatrics 656 Independence Pkwy Ste 200, Chesapeake, VA 23320-5213 2019-02-20
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
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

Office Location

Street Address 1181 FIRST COLONIAL RD
SUITE 100
City VIRGINIA BEACH
State VA
Zip Code 23454-2437

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245782440 Janelle K Galbraith Nurse Practitioner 1181 First Colonial Rd, Suite 200, Virginia Beach, VA 23454-2437 2016-11-04
1801200621 Andrea Scharfe Nugent Obstetrics & Gynecology 1181 First Colonial Rd, Suite 200, Virginia Beach, VA 23454-2437 2014-06-19
1861770323 Katherine Church Duey Nurse Practitioner 1181 First Colonial Rd, Suite 100, Virginia Beach, VA 23454-2437 2011-08-01
1528383023 Linsey A. Shreve Nurse Practitioner 1181 First Colonial Rd, Suite 200, Virginia Beach, VA 23454-2437 2010-03-29
1639492747 Angela Simmons Physician Assistant 1181 First Colonial Rd, Suite 200, Virginia Beach, VA 23454-2437 2010-03-03
1265660203 Charysse Johnston Manouilov Obstetrics & Gynecology 1181 First Colonial Rd, Suite 200, Virginia Beach, VA 23454-2437 2009-06-29
1285893099 Ilene Beth Goldstein Obstetrics & Gynecology 1181 First Colonial Rd, Suite 200, Virginia Beach, VA 23454-2437 2008-06-06
1710171467 Jessica Anthony Barber Physician Assistant 1181 First Colonial Rd, Suite 100, Virginia Beach, VA 23454-2437 2007-09-05
1740484468 Natalie Nicole Randolph Obstetrics & Gynecology 1181 First Colonial Rd, Suite 200, Virginia Beach, VA 23454-2437 2007-06-14
1770656043 Fenney Kwan Obstetrics & Gynecology 1181 First Colonial Rd, Suite 200, Virginia Beach, VA 23454-2437 2006-11-16
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356994263 Agape Consulting Behavioral Analyst 1216 Garth Court, Virginia Beach, VA 23454 2019-07-19
1831650266 Amelia Jo Crutsinger Physician Assistant 1644 Kepler Bnd, Virginia Beach, VA 23454 2019-03-28
1538639158 Bay Psychiatric II Inc Counselor 923 First Colonial Rd Suite 1821, Virginia Beach, VA 23454 2018-11-26
1487151759 Akanksha Mohan Student in an Organized Health Care Education/Training Program 100 Mannng Drive, Chapel Hill, Nc 27514, Chapel Hill, NC 23454 2018-04-12
1275038580 Food Lion, LLC Durable Medical Equipment & Medical Supplies 1615 General Booth Blvd, Virginia Beach, VA 23454 2018-03-28
1346783164 Tracy Chasse Occupational Therapy Assistant 1628 Old Donation Parkway, Virginia Beach, VA 23454 2016-11-28
1982066627 Jennifer Mitchell Speech-Language Pathologist 2101 Agecroft Rd., Virginia Beach, VA 23454 2016-03-22
1659730562 Rebecca Houvener Psychologist 1120 First Colonial Rd Ste 202, Virginia Beach, VA 23454 2016-02-19
1932581741 Monica Jane Bailey Nurse Practitioner 2110 N Great Neck Rd, Virginia Beach, VA 23454 2015-06-29
1376930073 Ashley A Burkholder Family Medicine 1024 First Colonial Rd Ste 104, Virginia Beach, VA 23454 2015-04-20
Find all providers in zip 23454

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629428560 Daniel Garcia Pediatrics 1924 Landstown Centre Way, Virginia Beach, VA 23456-1624 2016-06-21
1740546134 Partners In Pediatric Care, P.C. Pediatrics 324 Louisa Ave Ste 118, Virginia Beach, VA 23454-4669 2012-04-10
1780906479 Isaac G. Doron Pediatrics 117 66th St, Virginia Beach, VA 23451-2016 2010-02-22
1063612554 Valeria Noelia Higinio Pediatrics 2088 Princess Anne Rd, Virginia Beach, VA 23456-4014 2007-07-23
1508903550 Joseph W Familant Pediatrics 5700 Thurston Ave Ste 107, Virginia Beach, VA 23455-3302 2007-01-31
1649325242 Childrens Medical Group Inc Pediatrics 4505 Columbus St Ste 250, Virginia Beach, VA 23462-5011 2007-01-24
1265517627 Maria Teresa Josefa Tomas Torralba Pediatrics 804 Perez Ct, Virginia Beach, VA 23456-6730 2006-10-26
1548201973 Megan K Bazil Pediatrics 2117 Mccomas Way, Suite 103, Virginia Beach, VA 23456-3908 2006-06-09
1700844016 Laura Alois Charette Pediatrics 2021 Concert Dr, Suite 202, Virginia Beach, VA 23456-8082 2006-05-03
1154382018 Ghazala Y Khan Pediatrics 4221 Pleasant Valley Rd, Suite 114, Virginia Beach, VA 23464-8519 2006-03-30
Find all providers in VIRGINIA BEACH

Competitor

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City VIRGINIA BEACH
Zip Code 23454

Improve Information

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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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