Organization Active NPI

Acorn Pediatrics, Inc

  • Pediatrics Physician
  • Henrico, VA
National Provider Identifier
1053921627
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ACORN PEDIATRICS, INC
Practice address
2610-B Gaskins Road
Henrico, VA 23238
Phone
(804) 548-4700
Fax
(804) 548-4788
NPI assigned
Aug 7, 2020
Last updated
Sep 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Authorized official

Name
Dr. Scott Iwashyna, MDNPI 1720292600
Title
Cmo
Phone
(804) 548-4700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

2610-B Gaskins Road
Henrico, VA 23238

Mailing address

13207 Hollyhock CT
Henrico, VA 23233-7534
Phone (804) 475-2637

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2197522Acorn Pediatrics2610-B Gaskins Rd, Richmond, VA 23238Certificate of waiverOct 25, 2026

National Provider Directory

National Provider Directory

Locations

2610 Gaskins Rd
Ste A
Henrico, VA 23238
Phone (804) 310-3894

2610 Gaskins Rd
Ste B
Richmond, VA 23238
Phone (804) 548-4700

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599523200000",
    "number": "1053921627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13207 HOLLYHOCK CT",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232337534",
            "telephone_number": "804-475-2637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610-B GASKINS ROAD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "23238",
            "telephone_number": "804-548-4700",
            "fax_number": "804-548-4788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACORN PEDIATRICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-07",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-04",
        "status": "A",
        "authorized_official_last_name": "IWASHYNA",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "804-548-4700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.