NPIMap

Organization Active NPI

Fall Hill Pediatrics

  • Pediatrics Physician
  • Fredericksburg, VA
National Provider Identifier
1619906286
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101235168 Issued in VA
Legal business name
FALL HILL PEDIATRICS
Practice address
2300 Fall Hill Ave
Suite 290
Fredericksburg, VA 22401-3342
Phone
(540) 899-2555
Fax
(540) 899-3554
NPI assigned
Jul 3, 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
Claudia Sussdorf, M.D.NPI 1053302919
Title
Physician
Phone
(540) 899-2555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X 0101237777 VA
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X 0101049316 VA
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X 0101230344 VA
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X 0101235168 VA Primary

Addresses

Primary practice location

2300 Fall Hill Ave
Suite 290
Fredericksburg, VA 22401-3342

Mailing address

2300 Fall Hill Ave
Suite 290
Fredericksburg, VA 22401-3342
Phone (540) 899-2555

National Provider Directory

National Provider Directory

Locations

1123 Heatherstone Dr
Fredericksburg, VA 22407
Phone (540) 899-2555

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619906286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 FALL HILL AVE",
            "address_2": "SUITE 290",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013342",
            "telephone_number": "540-899-2555",
            "fax_number": "540-899-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 FALL HILL AVE",
            "address_2": "SUITE 290",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013342",
            "telephone_number": "540-899-2555",
            "fax_number": "540-899-3554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALL HILL PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUSSDORF",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "540-899-2555",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101237777",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101049316",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101230344",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101235168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, 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.