Pediatric Assoc Of Petersburg
Pediatrics
Pediatric Assoc Of Petersburg is a Chester, Virginia based Pediatric center with medical specialization in
General Pediatrics. Pediatric Assoc Of Petersburg is doing business as
Infant Jesus Childrens Clinic.
It is located at
13213 Rivers Bend Blvd, Chester, Virginia - 23836-8606. They can be contacted on phone at
804-530-7413 and fax number 804-530-7411.
NPI number (Unique professional ID) for Pediatric Assoc Of Petersburg is
1457571754 which was assigned by NPPES on 27 Apr, 2007 and it was last updated on 22 Aug, 2020.
Pediatric Assoc Of Petersburg license number is
0101026123 for Pediatrics (208000000X) in Virginia.
Pediatric Assoc Of Petersburg 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 Assoc Of Petersburg basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Pediatric Assoc Of Petersburg |
|---|
| Other Name : | Infant Jesus Childrens Clinic |
|---|
Business Address:
Pediatric Assoc Of Petersburg 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 : | 13213 Rivers Bend Blvd
Chester, VA, 23836-8606
United States |
|---|
| Phone Number : | 804-530-7413 |
|---|
| Fax Number : | 804-530-7411 |
|---|
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 : | 1457571754 |
|---|
| NPI Entity Type : | Organization |
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| First Enrolment Date : | 27 Apr, 2007 |
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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 Gonzales |
|---|
| Authorized Official Credential : | MD |
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| Official Title or Position : | MEDICAL DIRECTOR |
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| Phone Number : | 804-530-7413 |
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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 Assoc Of Petersburg are as mentioned. Primary taxonomy code for Pediatric Assoc Of Petersburg is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 0101026123 | VA |
Legacy Identifiers:
Other legacy medical identifiers of Pediatric Assoc Of Petersburg such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 213114 | Other | | OPTIMUM CHOICE DR HERMES |
| 2134065 | Other | | ALLIANCE PPO DR TAMARA CH |
| 266582 | Other | | SOUTHERN HEALTH DR PATRIC |
| 6674705 | Other | | CIGNA DR HERMES DIZON |
| 13767 | Other | | SENTARA OPTIMA HEALTH DR |
| 2100405 | Other | | MAMSI DR PATRICIA GONZALE |
| 2134065 | Other | | OPTIMUM CHOICE DR TAMARA |
| 466594 | Other | VA | ANTHEM BLUE CROSS |
| 23468 | Other | | SENTARA OPTIMA HEALTH DR |
| 306087 | Other | | SOUTHERN HEALTH DR HERMES |
| 57968 | Other | | CARENET DR TAMARA CHARITY |
| 2134065 | Other | | MDIPA DR TAMARA CHARITY B |
| 5293 | Other | | CARENET DR PATRICIA GONZA |
| 002478499004 | Other | | UNITED HEALTHCARE DR HERM |
| 1243417 | Other | | CIGNA DRPATRICIA GONZALES |
| 13767 | Other | VA | OPTIMA HEALTH MEDICAID HM |
| 213114 | Other | | MDIPA DR HERMES DIZON |
| 4365024 | Other | | AETNA DRPATRICIA GONZALES |
| 1201542 | Other | | UNITED HEALTHCARE DR PATR |
| 6657468 | Other | | CIGNA DR TAMARA CHARITY B |
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 : | 13213 Rivers Bend Blvd
Chester, VA, 23836-8606
United States |
|---|
| Phone Number : | 804-530-7413 |
|---|
| Fax Number : | 804-530-7411 |
|---|
Business Location:
Patients can refer following map for directions to
Pediatric Assoc Of Petersburg practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.