Pediatric Associates PC

Primary specialty

Pediatric Clinical Nurse SpecialistTaxonomy code 364SP0200X

License

0017139437 Issued in VA

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

May 26, 2009

Last updated

May 26, 2009By 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

Ms. Kelly Elmore

Title

Practice Manager

Phone

(804) 320-7139

Specialties & licenses 1

Addresses

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

  • Pediatrics Physician
  • Richmond, VA
  • NPI 1295794154
  NPD tax ID

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

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243296000000",
    "number": "1346475076",
    "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": "2009-05-26",
        "last_updated": "2009-05-26",
        "status": "A",
        "authorized_official_last_name": "ELMORE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "804-320-7139",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "364SP0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "VA",
            "license": "0017139437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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
• Pediatric Lung, Allergy and Sleep Specialists, PC

• Pediatric Clinical Nurse Specialist in Richmond, VA
• Providers in Richmond, VA by specialty
• Pediatric Clinical Nurse Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; 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.