PEDIATRIX MEDICAL GROUP PC NPI 1205928587

NPI Information

  • NPI: 1205928587
  • Provider Name: PEDIATRIX MEDICAL GROUP PC
  • Classification: Pediatrics - 2080N0001X
  • Specialization: Neonatal-Perinatal Medicine
  • Entity Type: Organization
  • Address: 1840 AMHERST ST FL 1
    WINCHESTER, VA
    ZIP 22601
  • Phone: (540) 536-8000

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NPI Details

PEDIATRIX MEDICAL GROUP PC is a neonatal-perinatal medicine pediatrics in Winchester, VA. The provider is a pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. PEDIATRIX MEDICAL GROUP PC NPI is 1205928587. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1840 AMHERST ST FL 1
WINCHESTER, VA
ZIP 22601-808
Phone: (540) 536-8000
Fax: (954) 851-1948

The provider's authorized official is Nicholas E. Glaser .
The authorized official title is Assistant Secretary and has the following contact phone number (954) 384-0175.

The enumeration date for this NPI number is 9/28/2006 and was last updated on 7/24/2025.

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
1231H00000XAudiologistNo
2363LN0000XNurse PractitionerNeonatalNo
3208000000XPediatricsNo
42080N0001XPediatricsNeonatal-Perinatal MedicineYes

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
11205928587MEDICAIDVIRGINIA

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: 11/21/2025

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