Pediatric Associates PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDIATRIC ASSOCIATES PC

Practice address

1001 Hioaks Rd
Richmond, VA 23225-4029

Phone

(804) 320-7139

Fax

(804) 323-0153

NPI assigned

Mar 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Bob A Archuleta, M.D.

Title

President Ceo

Phone

(804) 320-7139

Specialties & licenses 3

Addresses

Other identifiers 1

Tax ID family

Pediatric Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pediatric Associates PC

  • Pediatric Clinical Nurse Specialist
  • Richmond, VA
  • NPI 1346475076
  NPD tax ID

Locations

Practitioners 9

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

• Bobby Arnold Archuleta, MD

  • Pediatrics Physician
  • Richmond, VA
  • NPI 1669435178

  Specialist

  NPD (past)
• Ann Shefferly Cothran, MD

  • Pediatrics Physician
  • Richmond, VA
  • NPI 1962821827
  NPD (past)
• Tracey C Deal, MD

  • Pediatrics Physician
  • Richmond, VA
  • NPI 1275595118

  Specialist

  NPD (past)
• Abigail L Easter, CPNP

  • Pediatric Nurse Practitioner
  • Richmond, VA
  • NPI 1407231582
  NPD (past)
• Catherine Goodall, MD

  • Pediatrics Physician
  • Richmond, VA
  • NPI 1215356126
  NPD (past)
• Jocelyn Marie Kuhns, PA

  • Medical Physician Assistant
  • Richmond, VA
  • NPI 1972802940
  NPD (past)
• Timothy E O'Neil, MD

  • Pediatrics Physician
  • Richmond, VA
  • NPI 1629031133

  Specialist

  NPD (past)
• Dominick J Pastore, M.D.

  • Pediatrics Physician
  • Richmond, VA
  • NPI 1386607778

  Specialist

  NPD (past)
• Carrilynn Greenwood Sykes, MD

  • Pediatrics Physician
  • Richmond, VA
  • NPI 1811155732
  NPD (past)

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600819200000",
    "number": "1295794154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 HIOAKS RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232254029",
            "telephone_number": "804-320-7139",
            "fax_number": "804-323-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 HIOAKS RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232254029",
            "telephone_number": "804-320-7139",
            "fax_number": "804-323-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-20",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A",
        "authorized_official_last_name": "ARCHULETA",
        "authorized_official_first_name": "BOB",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "804-320-7139",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6707882",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Elyse Pedersen, CRNA
• Laura Lee Pedersen, MD, MPH
• Nicole Pederson, O.D.
• Pediatric & Adolescent Medicine, L. L. P.
• Pediatric Associates of Richmond Inc.
• Pediatric Associates PC
• Pediatric Cardiology of Central Virginia PC
• Pediatric Cardiology of Virginia
• Pediatric Gastroenterology of Richmond, P.C.
• Pediatric Headache Center of Richmond, PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.