PEDIATRIC CONSULTANTS OF HAMPTON ROADS NPI 1235222571

NPI Information

NPI: 1235222571
Provider Name: PEDIATRIC CONSULTANTS OF HAMPTON ROADS
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 49D0969345

Address:
1405 KILN CREEK PKWY
STE E
NEWPORT NEWS, VA
ZIP 23602
Phone: (757) 875-9700
Get Directions

PEDIATRIC CONSULTANTS OF HAMPTON ROADS is a primary care clinic center in Newport News, VA. PEDIATRIC CONSULTANTS OF HAMPTON ROADS NPI is 1235222571. The provider is registered as an organization entity type.

The provider's business location address is:

1405 KILN CREEK PKWY
STE E
NEWPORT NEWS, VA
ZIP 23602-700
Phone: (757) 875-9700
Fax: (757) 875-1028

The provider's authorized official is Tien L Vanden Hoek .
The authorized official title is Partner and has the following contact phone number (757) 875-9700.

The CLIA number assigned to this NPI record is 49D0969345 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/1/2006 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
1	261QP2300X	Clinic/Center	Primary Care	0101046667	VIRGINIA	Yes

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
1	6700047	MEDICAID	VIRGINIA
2	6700136	MEDICAID	VIRGINIA

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

NPI Synchronization or Removal

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