Union Mill Pediatrics,PC

Primary specialty

Legal MedicineTaxonomy code 173000000X

Legal business name

UNION MILL PEDIATRICS,PC

Practice address

13880 Braddock Rd. Ste 201
Centreville, VA 20121

Phone

(703) 802-6304

Fax

(703) 802-6307

NPI assigned

Nov 20, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Wayne Richard Eriksson, MDNPI 1194724740

Title

Business Owner

Phone

(703) 802-6304

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

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 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wayne Richard Eriksson, MD

  • Pediatrics Physician
  • Centreville, VA
  • NPI 1194724740
  NPD (past) Authorized official
• Maura Elser Eriksson, MD

  • Pediatrics Physician
  • Centreville, VA
  • NPI 1740289396
  NPD
• Antonia Evans, NP-C

  • Family Nurse Practitioner
  • Centreville, VA
  • NPI 1821750373
  NPD (past)
• Shoshana Holstein Killian, MD

  • Pediatrics Physician
  • Centreville, VA
  • NPI 1831198480
  NPD (past)
• Sumaira Shakir, DO

  • Pediatrics Physician
  • Centreville, VA
  • NPI 1366174641
  NPD (past)
• Pooja Dhananjayan, MD

  • Pediatrics Physician
  • College Station, TX
  • NPI 1497982789
  NPD (past)
• Sarah Michele Gross, DNP, CRNP

  • Pediatric Nurse Practitioner
  • Frederick, MD
  • NPI 1053920751
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114091931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13880 BRADDOCK RD. STE 201",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "20121",
            "telephone_number": "703-802-6304",
            "fax_number": "703-802-6307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13880 BRADDOCK RD. STE 201",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "20121",
            "telephone_number": "703-802-6304",
            "fax_number": "703-802-6307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION MILL PEDIATRICS,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ERIKSSON",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "703-802-6304",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• William Turner, D.C.
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• Kathleen Ann Tyson
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• V Care Dental
• Carlos Alberto Vargas
• Vaughn Therapy Group LLC (Onco Physical Therapy and Wellness)
• Verma & Nosrat PLLC

• Legal Medicine in Centreville, VA
• Providers in Centreville, VA by specialty
• Legal Medicine in Virginia

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.