Henrico Pediatrics, P.C.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

Legal business name

HENRICO PEDIATRICS, P.C.

Practice address

7605 Forest Avenue
Suite 102
Richmond, VA 23229-4936

Phone

(804) 288-3069

Fax

(804) 288-5464

NPI assigned

Oct 17, 2006

Organization subpart

No

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

Authorized official

Name

Cristi S. Wilson, M.D.NPI 1710955505

Title

President

Phone

(804) 288-3069

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

Practitioners 5

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

• Cristi S. Wilson, M.D.

  • Pediatric Adolescent Medicine Physician
  • Richmond, VA
  • NPI 1710955505

  Adolescent Medicine

  NPD (past) Authorized official
• Adam M Falik, MD

  • Pediatric Adolescent Medicine Physician
  • Richmond, VA
  • NPI 1861469942

  Adolescent Medicine

  NPD (past)
• Mary Conaway Hungerford, PNP-PC

  • Pediatric Nurse Practitioner
  • Glen Allen, VA
  • NPI 1356024178
  NPD (past)
• Zakia I Loya, MD

  • Pediatric Adolescent Medicine Physician
  • Richmond, VA
  • NPI 1932176021

  Adolescent Medicine

  NPD (past)
• Kellie Anne Rutherford, NP

  • Pediatric Nurse Practitioner
  • Midlothian, VA
  • NPI 1679049092
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480982400000",
    "number": "1104906841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7605 FOREST AVENUE",
            "address_2": "SUITE 102",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232294936",
            "telephone_number": "804-288-3069",
            "fax_number": "804-288-5464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7605 FOREST AVENUE",
            "address_2": "SUITE 102",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232294936",
            "telephone_number": "804-288-3069",
            "fax_number": "804-288-5464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRICO PEDIATRICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2016-12-06",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "CRISTI",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-288-3069",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henrico Doctors Family Medicine LLC
• Henrico Doctors Hospital
• Henrico Doctors Neurology Associates LLC
• Henrico Doctors OB GYN Specialists LLC
• Henrico Family Physicians, LLC
• Henrico Radiation Oncology LLC
• Henrico Surgical Specialists, LLC
• Henrico Transportation Inc
• Henrico Women'S Health PC
• Laura Del Carmen Henriquez, AGACNP

• All providers in Richmond, VA
• Pediatric Adolescent Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; 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.