NPIMap

Organization Active NPI

Pediatric Partners of Virginia, LLC

Doing business as Assocaites in Pediatrics

  • Pediatrics Physician
  • Glen Allen, VA
National Provider Identifier
1417388588
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PEDIATRIC PARTNERS OF VIRGINIA, LLC
Doing business as
Assocaites in Pediatrics
Practice address
11551 Nuckols Rd
Suite F
Glen Allen, VA 23059-5565
Phone
(804) 364-4400
Fax
(804) 364-0120
NPI assigned
Nov 27, 2013
Last updated
Nov 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

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

Authorized official

Name
Samantha Semeja
Title
Corporate Manager
Phone
(804) 464-2018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

11551 Nuckols Rd
Suite F
Glen Allen, VA 23059-5565

Mailing address

11551 Nuckols Rd
Suite F
Glen Allen, VA 23059-5565
Phone (804) 364-4400

Other names 1

  • Assocaites in Pediatrics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pediatric Partners of Virginia6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

11551 Nuckols Rd
Ste F
Glen Allen, VA 23059
Phone (804) 364-4400

NPI Registry JSON

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

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669161600000",
    "number": "1417388588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11551 NUCKOLS RD",
            "address_2": "SUITE F",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230595565",
            "telephone_number": "804-364-4400",
            "fax_number": "804-364-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11551 NUCKOLS RD",
            "address_2": "SUITE F",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230595565",
            "telephone_number": "804-364-4400",
            "fax_number": "804-364-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC PARTNERS OF VIRGINIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-27",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A",
        "authorized_official_last_name": "SEMEJA",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "CORPORATE MANAGER",
        "authorized_official_telephone_number": "804-464-2018"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Assocaites in Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glen Allen, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; 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.