Pediatric Associates of Northern Virginia, P.C.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

06-00006304 Issued in VA

Legal business name

PEDIATRIC ASSOCIATES OF NORTHERN VIRGINIA, P.C.

Practice address

9324 West St
101
Manassas, VA 20110-5138

Phone

(703) 365-0227

Fax

(703) 365-0332

NPI assigned

Sep 27, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Anastasia Longchamps Williams, M.D.

Title

President/Ceo

Phone

(703) 365-0227

Specialties & licenses 1

Addresses

Other names 1

• OLDE TOWNE PEDIATRICS Doing business as

Locations

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356432934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9324 WEST ST",
            "address_2": "101",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201105138",
            "telephone_number": "703-365-0227",
            "fax_number": "703-365-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9324 WEST ST",
            "address_2": "101",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201105138",
            "telephone_number": "703-365-0227",
            "fax_number": "703-365-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ASSOCIATES OF NORTHERN VIRGINIA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ANASTASIA",
        "authorized_official_middle_name": "LONGCHAMPS",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "703-365-0227",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "06-00006304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OLDE TOWNE PEDIATRICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peace Rain PMH LLC
• Philip R Peacock, DO
• Andrea T Peda, DVM
• Judith C Pederson, MD
• Pediatric Associates of Manassas
• Pediatric Associates of Prince William County, LLC
• Pediatric Practice,PC
• Pediatricare of Northern Virginia, P.C.
• Pediatrix Medical Group PC
• Kevin Edward Peltier I, MD

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

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