Organization Active NPI

Kids Choice Pediatrics, P.C.

  • Pediatrics Physician
  • Spotsylvania, VA
National Provider Identifier
1093731689
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101058461 Issued in VA
Legal business name
KIDS CHOICE PEDIATRICS, P.C.
Practice address
10411 Courthouse Rd
Suite a
Spotsylvania, VA 22553-1798
Phone
(540) 710-6006
Fax
(540) 710-6001
NPI assigned
Jul 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

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

Authorized official

Name
Richman Suzanne, M.D.
Title
Physician/Owner
Phone
(540) 710-6006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 0101058461 VA Primary

Addresses

Primary practice location

10411 Courthouse Rd
Suite a
Spotsylvania, VA 22553-1798

Mailing address

10411 Courthouse Rd
Suite a
Spotsylvania, VA 22553-1798
Phone (540) 710-6006

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
49D0998733Kids Choice Pediatrics, PC10411 Courthouse Road - Suite a, Spotsylvania, VA 22553Certificate of waiverApr 22, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1093731689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10411 COURTHOUSE RD",
            "address_2": "SUITE A",
            "city": "SPOTSYLVANIA",
            "state": "VA",
            "postal_code": "225531798",
            "telephone_number": "540-710-6006",
            "fax_number": "540-710-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10411 COURTHOUSE RD",
            "address_2": "SUITE A",
            "city": "SPOTSYLVANIA",
            "state": "VA",
            "postal_code": "225531798",
            "telephone_number": "540-710-6006",
            "fax_number": "540-710-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS CHOICE PEDIATRICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "SUZANNE",
        "authorized_official_first_name": "RICHMAN",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "540-710-6006",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101058461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spotsylvania, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.