Organization Active NPI

Children's Surgical Specialty Group, Inc

  • Pediatric Surgery Physician
  • Norfolk, VA
National Provider Identifier
1245248947
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
Legal business name
CHILDREN'S SURGICAL SPECIALTY GROUP, INC
Practice address
601 Childrens LN
Norfolk, VA 23507-1910
Phone
(757) 668-8850
NPI assigned
Aug 4, 2006
Last updated
Nov 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Authorized official

Name
Kathryn J Abshire
Title
Senior VP/Cfo
Phone
(757) 668-8565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery Physician 2086S0120X NU Primary

Addresses

Primary practice location

601 Childrens LN
Norfolk, VA 23507-1910

Mailing address

601 Childrens LN
Norfolk, VA 23507-1910
Phone (757) 668-7017

Other practice location 1

171 Kempsville Rd
Suite 201
Norfolk, VA 23502-4700
Phone (757) 668-6550

Other practice location 2

2021 Concert Dr
Virginia Beach, VA 23456-8082
Phone (757) 668-2711

Other practice location 3

6425 Richmond Rd
Williamsburg, VA 23188-7202
Phone (757) 668-2711

Other practice location 4

825 Fairfax Ave
Norfolk, VA 23507-1914
Phone (757) 668-6550

Other practice location 5

1924 Landstown Centre Way
Virginia Beach, VA 23456-1624
Phone (757) 668-4900

Other practice location 6

301 Riverview Ave Ste 300
Norfolk, VA 23510-1066
Phone (757) 668-4578

Other practice location 7

500 Discovery Dr
Chesapeake, VA 23320-3871
Phone (757) 668-2311

Other practice location 8

11783 Rock Landing Dr
Newport News, VA 23606-4431
Phone (757) 668-6260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050315000329 VA Part B Supplier - Clinic/Group Practice 0244288470 Receives reassigned benefits from 80 practitioners
Practice locations: Norfolk, VA

National Provider Directory

National Provider Directory

Locations

171 Kempsville Rd
Norfolk, VA 23502
Phone (757) 668-6550

171 Kempsville Rd
Ste 201
Norfolk, VA 23502
Phone (757) 668-6550

301 Riverview Ave
Ste 300
Norfolk, VA 23510
Phone (757) 668-4578

400 Gresham Dr
Norfolk, VA 23507
Phone (757) 627-7301

2021 Concert Dr
Virginia Beach, VA 23456
Phone (757) 668-2754

Practitioners & affiliated clinicians

Practitioners 132

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.

View all 132

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1245248947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 CHILDRENS LN",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071910",
            "telephone_number": "757-668-7017",
            "fax_number": "757-668-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 CHILDRENS LN",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071910",
            "telephone_number": "757-668-8850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "171 Kempsville Rd",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235024700",
            "country_code": "US",
            "telephone_number": "757-668-6550",
            "fax_number": "757-893-6024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2021 Concert Dr",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234568082",
            "country_code": "US",
            "telephone_number": "757-668-2711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6425 Richmond Rd",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231887202",
            "country_code": "US",
            "telephone_number": "757-668-2711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "825 Fairfax Ave",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235071914",
            "country_code": "US",
            "telephone_number": "757-668-6550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1924 Landstown Centre Way",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234561624",
            "country_code": "US",
            "telephone_number": "757-668-4900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Riverview Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235101066",
            "country_code": "US",
            "telephone_number": "757-668-4578",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Discovery Dr",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233203871",
            "country_code": "US",
            "telephone_number": "757-668-2311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11783 Rock Landing Dr",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236064431",
            "country_code": "US",
            "telephone_number": "757-668-6260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHILDREN'S SURGICAL SPECIALTY GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "ABSHIRE",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SENIOR VP/CFO",
        "authorized_official_telephone_number": "757-668-8565"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.