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NORTHSIDE PEDIATRICS PC NPI 1992724181


NPI Information

NPI: 1992724181
Provider Name: NORTHSIDE PEDIATRICS PC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
2008 BREMO RD
SUITE 100
RICHMOND, VA
ZIP 23226
Phone: (804) 288-0814
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NORTHSIDE PEDIATRICS PC is a pediatrics in Richmond, 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. NORTHSIDE PEDIATRICS PC NPI is 1992724181. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2008 BREMO RD
SUITE 100
RICHMOND, VA
ZIP 23226-443
Phone: (804) 288-0814
Fax: (877) 331-0645

The provider's authorized official is Lakeita Lynne Smith .
The authorized official title is Physician and has the following contact phone number (804) 432-4631.

The enumeration date for this NPI number is 7/19/2006 and was last updated on 5/20/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics0101231186VIRGINIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10101231186OTHERVIRGINIAVA LICENSE NUMBER
2370001247MEDICARE ID-TYPE UNSPECIFIEDVIRGINIARPA MEDICARE NUMBER
3010167175MEDICAIDVIRGINIA
4H47938MEDICARE UPIN
51710963582OTHERLAKEITA L. SMITH'S NPI

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: 4/28/2024

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