Pediatric Associates Of Petersburg Plc
Pediatrics
Pediatric Associates Of Petersburg Plc is a Petersburg, Virginia based Pediatric center with medical specialization in
General Pediatrics. Pediatric Associates Of Petersburg Plc is doing business as
Infant Jesus Children's Clinic.
It is located at
5 Holly Hill Dr, Petersburg, Virginia - 23805-2559. They can be contacted on phone at
804-733-4131 and fax number 804-862-1362.
NPI number (Unique professional ID) for Pediatric Associates Of Petersburg Plc is
1891714911 which was assigned by NPPES on 19 Jul, 2006 and it was last updated on 22 Aug, 2020.
Pediatric Associates Of Petersburg Plc is a pediatrician who 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.
Complete Profile:
Pediatric Associates Of Petersburg Plc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Pediatric Associates Of Petersburg Plc |
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| Other Name : | Infant Jesus Children's Clinic |
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Business Address:
Pediatric Associates Of Petersburg Plc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 5 Holly Hill Dr
Petersburg, VA, 23805-2559
United States |
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| Phone Number : | 804-733-4131 |
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| Fax Number : | 804-862-1362 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1891714911 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 19 Jul, 2006 |
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| Last Updated On : | 22 Aug, 2020 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Patriciad Gonzalez |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | PRESIDENT |
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| Phone Number : | 804-733-4131 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pediatric Associates Of Petersburg Plc are as mentioned. Primary taxonomy code for Pediatric Associates Of Petersburg Plc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Pediatric Associates Of Petersburg Plc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 13767 | Other | | SANTARA |
| 529 | Other | | CARENET |
| 1201542 | Other | | UNITED HEALTH CARE |
| 204646 | Other | | ANTHEM |
| 1243417 | Other | | CIGNA PPC |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 1837
Petersburg, VA, 23805
United States |
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| Phone Number : | 804-733-4131 |
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| Fax Number : | 804-862-1362 |
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Business Location:
Patients can refer following map for directions to
Pediatric Associates Of Petersburg Plc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.