Virginia Pediatric and Adolescent Medicine

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

VIRGINIA PEDIATRIC AND ADOLESCENT MEDICINE

Practice address

5275 Lee Highway
Suite 200
Arlington, VA 22207

Phone

(703) 717-4090

Fax

(703) 717-4091

NPI assigned

Aug 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Marijana C Ducic, MDNPI 1871584797

Title

Owner

Phone

(703) 717-4090

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marijana C Ducic, MD

  • Pediatrics Physician
  • Arlington, VA
  • NPI 1871584797
  NPD (past) Authorized official
• Jessica T. Briscoe-Coleman, P.T.

  • Physical Therapist
  • Arlington, VA
  • NPI 1124054523
  NPD (past)
• Gary Edward Kaplan, D.O.

  • Family Medicine Physician
  • McLean, VA
  • NPI 1669400362
  NPD (past)
• Kathryn A. Lemmerman, M.D.

  • Family Medicine Physician
  • McLean, VA
  • NPI 1134165954
  NPD (past)
• Janet C. Nicholson, ED.D.

  • Group Psychotherapy Psychologist
  • Arlington, VA
  • NPI 1326075045
  NPD (past)
• Andrea Marie O'Daniel, M.D.

  • Community Health Worker
  • Arlington, VA
  • NPI 1619142163
  NPD (past)
• Emily Elizabeth Pagan, MD

  • Pediatrics Physician
  • Arlington, VA
  • NPI 1023001443
  NPD (past)
• C. Jeanne Scheele, P.T.

  • Physical Therapist
  • Arlington, VA
  • NPI 1760411011
  NPD (past)
• Jevene Marie Summers, MSPT

  • Physical Therapist
  • Arlington, VA
  • NPI 1306091210
  NPD (past)
• Michelle Talbert, FNP

  • Family Nurse Practitioner
  • Arlington, VA
  • NPI 1225477540
  NPD (past)
• Patrice Marie Winter, PT

  • Physical Therapist
  • Fairfax, VA
  • NPI 1417037367
  NPD (past)
• Caroline Selee Choppa, PT

  • Physical Therapist
  • Huntsville, AL
  • NPI 1114042900
  NPD (past)

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399593600000",
    "number": "1376733782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5275 LEE HIGHWAY",
            "address_2": "SUITE 200",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "22207",
            "telephone_number": "703-717-4090",
            "fax_number": "703-717-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5275 LEE HIGHWAY",
            "address_2": "SUITE 200",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "22207",
            "telephone_number": "703-717-4090",
            "fax_number": "703-717-4091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA PEDIATRIC AND ADOLESCENT MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2014-05-09",
        "status": "A",
        "authorized_official_last_name": "DUCIC",
        "authorized_official_first_name": "MARIJANA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-717-4090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "VA",
            "license": "0101057772",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Kids Pediatric Dentistry PLLC
• Virginia Mission Health Acquisition LLC (A Mission for Michael)
• Virginia Neurosurgeons, PC
• Virginia Pain & Rehab, LLC
• Virginia Pain Specialists Inc
• Virginia Periodontics and Implants PLLC
• Virginia Physician Associates, LLC
• Virginia Physicians Associates, LLC
• Virginia Plastic Surgery Institute
• Virginia Radiological Associates PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.