Kidmed Inc.

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

KIDMED INC.

Practice address

8356 Bell Creek Rd.
Mechanicsville, VA 23116

Phone

(804) 559-5437

NPI assigned

Jan 6, 2014

Organization subpart

Yes

Parent organization

KIDMED INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mark A Flanzenbaum, MDNPI 1134129398

Title

President

Phone

(804) 592-5437

Specialties & licenses 1

Addresses

Other names 1

• KidMed Mechanicsville Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Kidmed Inc

Locations

Interoperability endpoints

• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/11416842

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark A Flanzenbaum, M.D.

  • Pediatrics Physician
  • Midlothian, VA
  • NPI 1134129398
  NPD (past) Authorized official
• Jeffrey E Bennett, D.O.

  • Pediatrics Physician
  • Glen Allen, VA
  • NPI 1578563839
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1388966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1003237330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8356 BELL CREEK RD.",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "23116",
            "telephone_number": "804-559-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8356 BELL CREEK RD.",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "23116",
            "telephone_number": "804-559-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDMED INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KIDMED INC.",
        "enumeration_date": "2014-01-06",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "FLANZENBAUM",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-592-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KidMed Mechanicsville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Key Mentoring LLC
• Amira Khalil
• Amanjot Khara, DDS
• Sehaj Kaur Khara
• Shelbie Leigh-Ann Kidd
• Hernan Dario Kim Mok
• Moon C Kim, M.D.
• Paul Dado Kim, DDS
• Thomas Kim, MD
• Virgil Kincaid III

• Urgent Care Clinic/Center in Mechanicsville, VA
• Providers in Mechanicsville, VA by specialty
• Urgent Care Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.