Caroline Christian Health Center

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101231223 Issued in VA

Legal business name

CAROLINE CHRISTIAN HEALTH CENTER

Practice address

18048 Jefferson Davis Hwy
Ruther Glen, VA 22546-2922

Phone

(804) 448-1380

NPI assigned

Aug 5, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Brandi Graham

Title

Office Manager

Phone

(804) 448-1380

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Daniel P Trementozzi, M.D.01/08/1967

  • Pediatrics Physician
  • Ruther Glen, VA
  • NPI 1821060047
  NPD (past)

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186272000000",
    "number": "1215128590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 216",
            "city": "LADYSMITH",
            "state": "VA",
            "postal_code": "225010216",
            "telephone_number": "804-448-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18048 JEFFERSON DAVIS HWY",
            "city": "RUTHER GLEN",
            "state": "VA",
            "postal_code": "225462922",
            "telephone_number": "804-448-1380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINE CHRISTIAN HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "804-448-1380",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101231223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821060047",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Belmont Cox Group Inc.
• Belmont Day Support LLC
• Marisa Bradbury, PMHNP
• Roberta Ann Bullock, PHARMD
• Calathea Home Health
• Caroline Outpatient Program
• Caroline Pediatrics PLC
• Lane Catlett, ATC, VATL
• Antonio O'Neil Clinkscales
• Christopher J Coleman, LPC, CSAC, MAC, CCDP

• Pediatrics Physician in Ruther Glen, VA
• Providers in Ruther Glen, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.