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COMPASSIONATE CARE PEDIATRICS LLC NPI 1154860310


NPI Information

NPI: 1154860310
Provider Name: COMPASSIONATE CARE PEDIATRICS, LLC

Other Name: COMPASSIONATE CARE PEDS

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 49D2132406

Address:
315 HOSPITAL DR
STE 101
MARTINSVILLE, VA
ZIP 24112
Phone: (276) 252-1948
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COMPASSIONATE CARE PEDIATRICS, LLC is a pediatrics in Martinsville, VA. The provider is 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. COMPASSIONATE CARE PEDIATRICS, LLC NPI is 1154860310. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Compassionate Care Peds.

The provider's business location address is:

315 HOSPITAL DR
STE 101
MARTINSVILLE, VA
ZIP 24112-945
Phone: (276) 252-1948

The provider's authorized official is Luis A Matos .
The authorized official title is Supervising Physician and has the following contact phone number (276) 252-1948.

The CLIA number assigned to this NPI record is 49D2132406 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/20/2017 and was last updated on 4/21/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207K00000XAllergy & Immunology0101056392VIRGINIANo
2208000000XPediatrics0101056392VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1I12188MEDICARE UPINVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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