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COMMONWEALTH PEDIATRICS NPI 1104917954


NPI Information

NPI: 1104917954
Provider Name: COMMONWEALTH PEDIATRICS

Former Legal Business Name: CHIPPENHAM PEDIATRIC & ADOLESCENT MEDICINE

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 49D0227068

Address:
7023 OLD JAHNKE RD
RICHMOND, VA
ZIP 23225
Phone: (804) 320-1353
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COMMONWEALTH PEDIATRICS is a specialist in Richmond, VA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. COMMONWEALTH PEDIATRICS NPI is 1104917954. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Chippenham Pediatric & Adolescent Medicine.

The provider's business location address is:

7023 OLD JAHNKE RD
RICHMOND, VA
ZIP 23225
Phone: (804) 320-1353
Fax: (804) 320-6636

The provider's authorized official is Paul M Sthrehler .
The authorized official title is Partner Of Practice and has the following contact phone number (804) 320-1353.

The CLIA number assigned to this NPI record is 49D0227068 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/27/2006 and was last updated on 7/21/2022.


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
1174400000XSpecialistYes

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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