Active NPI
Pediatric Specialists for CJW LLC
- Pediatrics Physician
- Richmond, VA
National Provider Identifier
1215093703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- PEDIATRIC SPECIALISTS FOR CJW LLC
- Practice address
- 7157 Jahnke Rd
Richmond, VA 23225-4017 - Phone
- (804) 523-8061
- Fax
- (804) 523-8066
- NPI assigned
- Dec 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carol Smith
- Title
- Vice President
- Phone
- (800) 661-3365
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | VA | Primary |
Addresses
Primary practice location
7157 Jahnke Rd
Richmond, VA 23225-4017
Mailing address
7157 Jahnke Rd
Richmond, VA 23225-4017
Phone (804) 523-8061
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215093703 | Medicaid | VA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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": "1167350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1215093703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7157 JAHNKE RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232254017",
"telephone_number": "804-523-8061",
"fax_number": "804-523-8066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7157 JAHNKE RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232254017",
"telephone_number": "804-523-8061",
"fax_number": "804-523-8066"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRIC SPECIALISTS FOR CJW LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-29",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "CAROL",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "800-661-3365"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "VA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1215093703",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.