Medidoctors Pediatric Services, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MEDIDOCTORS PEDIATRIC SERVICES, LLC

Practice address

1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453

Phone

(540) 741-4006

Fax

(540) 741-4692

NPI assigned

Jun 8, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Sean T. Barden

Title

Executive Vice President, Cfo

Phone

(540) 741-1494

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Mary Washington Healthcare Clinical Services, Inc.

  • Community Based Hospice Care Agency
  • Fredericksburg, VA
  • NPI 1891017141

  Member Of

  NPD member

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1265472021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SAM PERRY BLVD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014453",
            "telephone_number": "540-741-4006",
            "fax_number": "540-741-4692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SAM PERRY BLVD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014453",
            "telephone_number": "540-741-4006",
            "fax_number": "540-741-4692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIDOCTORS PEDIATRIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "BARDEN",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT, CFO",
        "authorized_official_telephone_number": "540-741-1494",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Imaging of Fredericksburg, LLC
• Medical Imaging of Fredericksburg, LLC
• Medical Massage Clinic, Inc
• Medical Specialists of Fredericksburg Inc
• Medicorp Health System
• Medidoctors Primary Care LLC
• Thomas Medsker, M.D.
• Medstar Medical Group II LLC
• Christie Lynn Meek, PA-C
• Thomas Benjamin Meeusen, PT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; 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.