Piedmont Pediatrics, PLC
Organization Active NPI Pediatrics Physician · Warrenton, VA
NPI 1205802402 · NPPES record last updated Apr 26, 2016
Key facts
- NPI
- 1205802402
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- Legal business name
- PIEDMONT PEDIATRICS, PLC
- Practice address
- 20 Rock Pointe LN
Warrenton, VA 20186-2679 - Phone
- (540) 347-9900
- Fax
- (540) 349-0920
- NPI assigned
- Feb 27, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Becky Fitzwater
- Title
- Business Manager
- Phone
- (540) 347-3547
Practitioners 6
-
Katherine Bovee, M.D.
-
Diana Chalmeta, M.D.
-
Dennis M Rustom, M.D., F.A.A.P.
-
Candace B Simpson, CPNP
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D1020972 | Piedmont Pediatrics, PLC | Certificate of waiver | Jun 1, 2028 |
National Provider Directory
Locations
20 Rock Pointe Ln
Ste 201
Warrenton, VA 20186
Phone (703) 443-0015
20 Rock Pointe Ln
Warrenton, VA 20186
Phone (540) 347-9900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | Yes |
Addresses
Primary practice location
20 Rock Pointe LN
Warrenton, VA 20186-2679
Mailing address
20 Rock Pointe LN
Warrenton, VA 20186-2679
Phone (540) 347-9900
Other providers in Warrenton, VA
- Anne Herald Phillips
- Piedmont Family Practice, PLC
- Piedmont Home Care
- Piedmont Internal Medicine PLC
- Piedmont Neuropsychology & Counseling PLC
- Kristen Lynn Pierce
- Gina Lyn Pincosy
- Drew Stewart Pinilla
- Naghmeh Pirsaharkhizlangroudi
- Nicole Polster
All providers in Warrenton, VA · Pediatrics Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.