Pediatric Primary Care, Pc
Pediatric Adolescent Medicine
Pediatric Primary Care, Pc is a Richmond, Virginia based Pediatric center with medical specialization in
Pediatric Adolescent Medicine.
It is located at
2500 Pocoshock Pl, Suite 302, Richmond, Virginia - 23235-6345. They can be contacted on phone at
804-674-1985 and fax number 804-276-1048.
NPI number (Unique professional ID) for Pediatric Primary Care, Pc is
1225118532 which was assigned by NPPES on 17 Oct, 2006 and it was last updated on 10 Nov, 2009.
Pediatric Primary Care, Pc 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.
Complete Profile:
Pediatric Primary Care, Pc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Pediatric Primary Care, Pc |
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Business Address:
Pediatric Primary Care, Pc 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 : | 2500 Pocoshock Pl, Suite 302
Richmond, VA, 23235-6345
United States |
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| Phone Number : | 804-674-1985 |
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| Fax Number : | 804-276-1048 |
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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 : | 1225118532 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 17 Oct, 2006 |
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| Last Updated On : | 10 Nov, 2009 |
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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 : | Susanlewis Pillsbury David |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | PRESIDENT |
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| Phone Number : | 804-674-1985 |
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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 Primary Care, Pc are as mentioned. Primary taxonomy code for Pediatric Primary Care, Pc is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Pediatric Primary Care, Pc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 111185 | Other | VA | OPTIMA HEALTHCARE |
| 1764809 | Other | VA | UNITED HEALTHCARE |
| 231001 | Other | VA | ANTHEM |
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 : | 2500 Pocoshock Pl, Suite 302
Richmond, VA, 23235-6345
United States |
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| Phone Number : | 804-674-1985 |
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| Fax Number : | 804-276-1048 |
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Business Location:
Patients can refer following map for directions to
Pediatric Primary Care, Pc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.