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STEVENSON PEDIATRICS NPI 1528103645


NPI Information

NPI: 1528103645
Provider Name: STEVENSON PEDIATRICS
Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
6000 STEVENSON AVE
STE 104
ALEXANDRIA, VA
ZIP 22304
Phone: (703) 823-2400
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STEVENSON PEDIATRICS is an adolescent medicine pediatrics in Alexandria, VA. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. STEVENSON PEDIATRICS NPI is 1528103645. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6000 STEVENSON AVE
STE 104
ALEXANDRIA, VA
ZIP 22304-577
Phone: (703) 823-2400
Fax: (703) 823-2013

The provider's authorized official is Rosario G Dancel .
The authorized official title is Md and has the following contact phone number (703) 823-2400.

The enumeration date for this NPI number is 2/20/2007 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
12080A0000XPediatricsAdolescent Medicine0101032546VIRGINIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1407481OTHERVIRGINIAAETNA US HEALTHCARE PPO
2090804OTHERVIRGINIAAETNA US HEALTHCARE HMO
3231691OTHERVIRGINIAANTHEM HEALTH KEEPERS PLU
458692OTHERVIRGINIAAMERIGROUP

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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