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VIRGIN ISLANDS PEDIATRIC SPECIALTIES LLC NPI 1578881181


NPI Information

NPI: 1578881181
Provider Name: VIRGIN ISLANDS PEDIATRIC SPECIALTIES, LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 48D2039387

Address:
4500 SION FARM
ISLAND MEDICAL CENTER, SUITE 301
CHRISTIANSTED, VI
ZIP 00820
Phone: (340) 719-0685
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VIRGIN ISLANDS PEDIATRIC SPECIALTIES, LLC is a pediatrics in Christiansted, VI. 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. VIRGIN ISLANDS PEDIATRIC SPECIALTIES, LLC NPI is 1578881181. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4500 SION FARM
ISLAND MEDICAL CENTER, SUITE 301
CHRISTIANSTED, VI
ZIP 00820-493
Phone: (340) 719-0685
Fax: (340) 719-0690

The provider's authorized official is Anthony David Ricketts .
The authorized official title is Chief Executive Officer and has the following contact phone number (340) 719-0685.

The CLIA number assigned to this NPI record is 48D2039387 - other - outpatient clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/6/2010 and was last updated on 5/6/2010.


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
1208000000XPediatrics1103VIRGIN ISLANDSYes

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: 5/5/2024

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