Portsmouth Pediatrics, PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PORTSMOUTH PEDIATRICS, PC

Practice address

446 Effingham St.
Ste 302
Portsmouth, VA 23704

Phone

(757) 673-6277

Fax

(757) 673-6411

NPI assigned

Sep 30, 2010

Organization subpart

No

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

Authorized official

Name

Maria A. Delacruz

Title

Office Manager

Phone

(757) 673-6277

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9232/brand/1/csg/1/fhir/r4

Practitioners 2

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

• Olivia Y Alegre - Ipanag, MD

  • Pediatrics Physician
  • Portsmouth, VA
  • NPI 1437129202

  Pediatrics

  NPD (past)
• Hermes G Dizon, MD

  • Pediatrics Physician
  • Portsmouth, VA
  • NPI 1538131628

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1295044774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 EFFINGHAM ST.",
            "address_2": "STE. 302",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "23704",
            "telephone_number": "757-673-6277",
            "fax_number": "757-673-6411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 EFFINGHAM ST.",
            "address_2": "STE 302",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "23704",
            "telephone_number": "757-673-6277",
            "fax_number": "757-673-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTSMOUTH PEDIATRICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-30",
        "last_updated": "2013-05-22",
        "status": "A",
        "authorized_official_last_name": "DELACRUZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "757-673-6277"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295044774",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Portsmouth Family Dental PLLC
• Portsmouth Naval Hospital
• Portsmouth Nephrology PC
• Portsmouth Orthopaedic Associates, Inc.
• Portsmouth Pediatric Dentistry PLLC
• Portsmouth Public Schools
• Portsmouth VA Opco LLC
• Rodney G Posely II, APRN, FNP-C
• Ericka Isabelle Posey
• Positive Connections, Inc

• All providers in Portsmouth, VA
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; 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.