Childrens Specialty Group PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

CHILDRENS SPECIALTY GROUP PLLC

Practice address

601 Childrens LN
Norfolk, VA 23507-1910

Phone

(757) 668-7007

Fax

(757) 668-8658

NPI assigned

Jul 25, 2006

Last updated

Jun 19, 2019By 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

Mr. Brad Marino

Title

Chief Executive Officer

Phone

(757) 668-7007

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CSG - Pediatrics Other name

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 690

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.

• Cassyanne L Aguiar Lapsia, MD

  • Pediatric Rheumatology Physician
  • Norfolk, VA
  • NPI 1508028515

  Pediatrics

  Medicare reassignment Care Compare group NPD
• Tracy M Alderson, M.D.

  • Pediatric Cardiology Physician
  • Norfolk, VA
  • NPI 1649340845

  Pediatrics

  Medicare reassignment Care Compare group NPD
• Orhan Kahraman Atay, M.D.

  • Pediatric Gastroenterology Physician
  • Norfolk, VA
  • NPI 1497924625
  Medicare reassignment Care Compare group NPD
• Cristina Marie Baldassari, MD

  • Otolaryngology Physician
  • Norfolk, VA
  • NPI 1922219435
  Medicare reassignment Care Compare group NPD
• Alice A Basinger, MD

  • Clinical Biochemical Genetics Physician
  • Norfolk, VA
  • NPI 1790716595

  Pediatrics

  Medicare reassignment Care Compare group NPD
• Amy Bautista, FNP-C

  • Family Nurse Practitioner
  • Richmond, VA
  • NPI 1548652928
  Medicare reassignment Care Compare group NPD
• Matthew Donald Bernens, M.D.

  • Pulmonary Disease Physician
  • Norfolk, VA
  • NPI 1083913339
  Medicare reassignment Care Compare group NPD
• Nina Abhay Bhatt, M.B.; B.S.

  • Pediatric Allergy/Immunology Physician
  • Norfolk, VA
  • NPI 1669665881

  Pediatrics

  Medicare reassignment Care Compare group NPD
• Joel S Brenner, M.D.

  • Pediatric Sports Medicine Physician
  • Norfolk, VA
  • NPI 1538103346

  Pediatrics

  Medicare reassignment Care Compare group NPD
• Julia Gusev Burden, MD

  • Dermatology Physician
  • Norfolk, VA
  • NPI 1619107901
  Medicare reassignment Care Compare group NPD
• James Edward Burhop Jr., D.O.

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Norfolk, VA
  • NPI 1114156155
  Medicare reassignment Care Compare group NPD
• James B Carmody, MD

  • Pediatric Nephrology Physician
  • Norfolk, VA
  • NPI 1598927030

  Multi-Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560902400000",
    "number": "1255354130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 REDGATE AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071515",
            "telephone_number": "757-668-7007",
            "fax_number": "757-668-8658"
        },
        {
            "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": "757-668-7007",
            "fax_number": "757-668-8658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS SPECIALTY GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2019-06-19",
        "status": "A",
        "authorized_official_last_name": "MARINO",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "757-668-7007",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GRP PIN",
            "identifier": "CG6353",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CSG - Pediatrics",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "CSG - Pediatrics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Childrens Medical Group Inc (Tidewater Children's Associates)
• Childrens Medical Group Inc (Norfolk Pediatrics)
• Childrens Physician Group Inc (Norfolk Pediatrics)
• Childrens Physician Group Inc (Pediatric Associates)
• Childrens Physician Group Inc
• Childrens Surgical Specialty Group Inc (Children's Plastic and Maxillofacial Surgery)
• Childs Foundation
• Elizabeth A. Chisholm, M.S., C.G.C.
• Pawankumar Aditya Chitta, MD
• Shripadh Chitta, MD

• Pediatrics Physician in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.