PARKWAY PEDIATRICS NPI 1417192261

NPI Information

  • NPI: 1417192261
  • Provider Name: PARKWAY PEDIATRICS
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 49D1101797
  • Address: 464 HERNDON PKWY
    SUITE # 117
    HERNDON, VA
    ZIP 20170
  • Phone: (703) 230-7201

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NPI Details

PARKWAY PEDIATRICS is a primary care clinic center in Herndon, VA. PARKWAY PEDIATRICS NPI is 1417192261. The provider is registered as an organization entity type.

The provider's business location address is:

464 HERNDON PKWY
SUITE # 117
HERNDON, VA
ZIP 20170-290
Phone: (703) 230-7201
Fax: (703) 230-7204

The provider's authorized official is Ernest Quaye .
The authorized official title is Pediatrician and has the following contact phone number (703) 230-7201.

The CLIA number assigned to this NPI record is 49D1101797 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/9/2008 and was last updated on 12/9/2008.

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
1261QP2300XClinic/CenterPrimary Care0101043188VIRGINIAYes

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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