Organization Active NPI

Largo Pediatrics

  • Pediatrics Physician
  • Landover, MD
National Provider Identifier
1063523280
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0027190 Issued in MD
Legal business name
LARGO PEDIATRICS
Practice address
8700 Central Ave Ste 203
Landover, MD 20785-4868
Phone
(301) 350-0044
Fax
(301) 350-8007
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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

Authorized official

Name
Dr. Victoria Gahol Venida, M.D.
Title
President
Phone
(301) 350-0044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X D0027190 MD Primary

Addresses

Primary practice location

8700 Central Ave Ste 203
Landover, MD 20785-4868

Mailing address

PO Box 1817
Mitchellville, MD 20717-1817
Phone (301) 350-0044

National Provider Directory

National Provider Directory

Locations

8700 Central Ave
Ste 203
Landover, MD 20785
Phone (301) 350-0044

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316563200000",
    "number": "1063523280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1817",
            "city": "MITCHELLVILLE",
            "state": "MD",
            "postal_code": "207171817",
            "telephone_number": "301-350-0044",
            "fax_number": "301-350-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 CENTRAL AVE STE 203",
            "city": "LANDOVER",
            "state": "MD",
            "postal_code": "207854868",
            "telephone_number": "301-350-0044",
            "fax_number": "301-350-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARGO PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-09-21",
        "status": "A",
        "authorized_official_last_name": "VENIDA",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "GAHOL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-350-0044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0027190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Landover, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; 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.