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RENAISSANCE PEDIATRICS PC NPI 1427061340


NPI Information

NPI: 1427061340
Provider Name: RENAISSANCE PEDIATRICS PC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 49D0896535

Address:
4012 RAINTREE RD
SUITE 200A
CHESAPEAKE, VA
ZIP 23321
Phone: (757) 488-2223
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RENAISSANCE PEDIATRICS PC is a pediatrics in Chesapeake, 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. RENAISSANCE PEDIATRICS PC NPI is 1427061340. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4012 RAINTREE RD
SUITE 200A
CHESAPEAKE, VA
ZIP 23321-741
Phone: (757) 488-2223
Fax: (757) 488-8398

The provider's authorized official is Sandra S Baucom .
The authorized official title is President and has the following contact phone number (757) 488-2223.

The CLIA number assigned to this NPI record is 49D0896535 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/14/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsYes

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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