Van Dorn Pediatrics, PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

0101232408 Issued in VA

Legal business name

VAN DORN PEDIATRICS, PC

Practice address

2500 N Van Dorn St Ste 102
Alexandria, VA 22302-1601

Phone

(703) 933-0555

Fax

(703) 933-0999

NPI assigned

Jul 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Moheb Andrawis, MD

Title

Director

Phone

(703) 933-0555

Specialties & licenses 1

Addresses

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 6

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

• Maureen Theresa Banta, MD

  • Pediatrics Physician
  • Alexandria, VA
  • NPI 1871676122
  NPD
• Hannah B Buchanan, MD

  • Pediatrics Physician
  • Alexandria, VA
  • NPI 1104386887
  NPD
• Anna Senese, PA-C

  • Physician Assistant
  • Alexandria, VA
  • NPI 1649985920
  NPD
• Sarah Elizabeth Huston, MD

  • Pediatrics Physician
  • Alexandria, VA
  • NPI 1790089480
  NPD (past)
• Parisa Razi, MD

  • Pediatrics Physician
  • Alexandria, VA
  • NPI 1871557512
  NPD (past)
• Bianca Tribley, CPNP

  • Pediatric Neurodevelopmental Disabilities Physician
  • Norfolk, VA
  • NPI 1780142893
  NPD (past)

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593043200000",
    "number": "1639379159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N VAN DORN ST STE 102",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223021601",
            "telephone_number": "703-933-0555",
            "fax_number": "703-933-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N VAN DORN ST STE 102",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223021601",
            "telephone_number": "703-933-0555",
            "fax_number": "703-933-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN DORN PEDIATRICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A",
        "authorized_official_last_name": "ANDRAWIS",
        "authorized_official_first_name": "MOHEB",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "703-933-0555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "VA",
            "license": "0101232408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitsu Vaidya, PHYSICAL THERAPIST
• Beryl Faustina Valentine, MD
• Madison Harris Valentine
• Rachel Elizabeth Valerio
• Value Home Care , LLC
• Hannah Van Nostrand
• Saskia Van Terheyden, MD
• Ashley Marie Van Tromp, MS, SLP
• Truong Son Van, M.D.
• Mary Vandevanter, L.C.S.W.

• Primary Care Clinic/Center in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Primary Care Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.