Organization Active NPI

Caroline Pediatrics PLC

  • Pediatrics Physician
  • Ruther Glen, VA
National Provider Identifier
1457373425
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CAROLINE PEDIATRICS PLC
Practice address
17470 Center Dr Ste 4a
Ruther Glen, VA 22546-2881
Phone
(804) 448-5445
Fax
(804) 448-8776
NPI assigned
Jul 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Rebecca S Simes, MD
Title
Owner of Practice
Phone
(804) 448-5445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

17470 Center Dr Ste 4a
Ruther Glen, VA 22546-2881

Mailing address

17470 Center Dr Ste 4a
Ruther Glen, VA 22546-2881
Phone (804) 448-5445

National Provider Directory

National Provider Directory

Locations

17470 Center Dr
Ste 4A
Ruther Glen, VA 22546
Phone (804) 448-5445

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457373425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17470 CENTER DR STE 4A",
            "city": "RUTHER GLEN",
            "state": "VA",
            "postal_code": "225462881",
            "telephone_number": "804-448-5445",
            "fax_number": "804-448-8776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17470 CENTER DR STE 4A",
            "city": "RUTHER GLEN",
            "state": "VA",
            "postal_code": "225462881",
            "telephone_number": "804-448-5445",
            "fax_number": "804-448-8776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINE PEDIATRICS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIMES",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER OF PRACTICE",
        "authorized_official_telephone_number": "804-448-5445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruther Glen, VA

Sources for this page

  • 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.