PRINCESS ANNE PEDIATRICS NPI 1851559504

NPI Information

  • NPI: 1851559504
  • Provider Name: PRINCESS ANNE PEDIATRICS
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Address: 5040 E PRINCESS ANNE RD STE A
    NORFOLK, VA
    ZIP 23502
  • Phone: (757) 853-3838

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NPI Details

PRINCESS ANNE PEDIATRICS is a pediatrics in Norfolk, 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. PRINCESS ANNE PEDIATRICS NPI is 1851559504. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5040 E PRINCESS ANNE RD STE A
NORFOLK, VA
ZIP 23502-733
Phone: (757) 853-3838
Fax: (757) 853-0940

The provider's authorized official is Omar A Blanco .
The authorized official title is Sole Proprietor/pediatrician and has the following contact phone number (757) 853-3838.

The enumeration date for this NPI number is 5/29/2008 and was last updated on 5/29/2008.

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
1208000000XPediatrics0101222303VIRGINIAYes

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
122917OTHEROPTIMA HEALTH
2006732305MEDICAIDVIRGINIA
37543052OTHERAETNA U.S. HEALTHCARE
46732305OTHERVA PREMIER
5284466OTHERANTHEM BLUE CROSS BLUE SHIELD

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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