Organization Active NPI

Pediatric Cardiology of Virginia

  • Pediatric Cardiology Physician
  • Richmond, VA
National Provider Identifier
1063450070
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
Legal business name
PEDIATRIC CARDIOLOGY OF VIRGINIA
Practice address
7603 Forest Ave
Suite 401
Richmond, VA 23229-4942
Phone
(804) 285-1611
Fax
(804) 285-1615
NPI assigned
Jun 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Page Kidwell
Title
Office Manager
Phone
(804) 285-1611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0202X Primary

Addresses

Primary practice location

7603 Forest Ave
Suite 401
Richmond, VA 23229-4942

Mailing address

7603 Forest Ave
Suite 401
Richmond, VA 23229-4942
Phone (804) 285-1611

National Provider Directory

National Provider Directory

Locations

7603 Forest Ave
Ste 401
Richmond, VA 23229

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063450070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7603 FOREST AVE",
            "address_2": "SUITE 401",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232294942",
            "telephone_number": "804-285-1611",
            "fax_number": "804-285-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7603 FOREST AVE",
            "address_2": "SUITE 401",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232294942",
            "telephone_number": "804-285-1611",
            "fax_number": "804-285-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC CARDIOLOGY OF VIRGINIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIDWELL",
        "authorized_official_first_name": "PAGE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "804-285-1611"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.