Wellness Pediatrics, P.C.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101255280 Issued in VA

Legal business name

WELLNESS PEDIATRICS, P.C.

Practice address

3930 Pender Dr Ste 215
Fairfax, VA 22030-0992

Phone

(703) 356-7882

Fax

(703) 356-4850

NPI assigned

Nov 10, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Tina Emoungu Floy, M.D.NPI 1558590729

Title

Physician/Owner

Phone

(703) 356-7882

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15007/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Tina Floy, MD.

  • Pediatrics Physician
  • New Market, MD
  • NPI 1558590729
  NPD Authorized official

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

{
    "created_epoch": "1478736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1083156855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 PENDER DR STE 215",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220300992",
            "telephone_number": "703-356-7882",
            "fax_number": "703-356-4850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 PENDER DR STE 215",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220300992",
            "telephone_number": "703-356-7882",
            "fax_number": "703-356-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS PEDIATRICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-10",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "FLOY",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "EMOUNGU",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "703-356-7882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101255280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Well Being Adult Day Care Inc
• Wellcorp Inc
• Saundra Weller, MSW, LCSW, OSW-C
• Wellington Chang, M.D., LLC
• Wellness and Preventative Care Centers LLC
• Wellness Program, LLC
• Wellnessmode LLC
• Brenda Wells, DNP, APRN-CNS
• Karen M. Wells, LCSW
• Kelley Wells

• Pediatrics Physician in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.