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PEDIATRIC HEALTHCARE P.C. NPI 1770500787


NPI Information

NPI: 1770500787
Provider Name: PEDIATRIC HEALTHCARE, P.C.
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 49D0223318

Address:
46440 BENEDICT DR STE 207
STERLING, VA
ZIP 20164
Phone: (703) 444-2100
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PEDIATRIC HEALTHCARE, P.C. is a pediatrics in Sterling, 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. PEDIATRIC HEALTHCARE, P.C. NPI is 1770500787. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

46440 BENEDICT DR STE 207
STERLING, VA
ZIP 20164-602
Phone: (703) 444-2100
Fax: (703) 444-0386

The provider's authorized official is Thomas P Mcgorry .
The authorized official title is Md, Senior Partner and has the following contact phone number (703) 444-2100.

The CLIA number assigned to this NPI record is 49D0223318 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/16/2006 and was last updated on 8/22/2020.


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
1208000000XPediatricsYes

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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