NPIMap

Organization Active NPI

Virginia Pediatrics PC

  • Pediatrics Physician
  • Colonial Heighs, VA
National Provider Identifier
1649446535
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101054319 Issued in VA
Legal business name
VIRGINIA PEDIATRICS PC
Practice address
301Jennick Drive
Suite a
Colonial Heighs, VA 23834
Phone
(804) 524-0055
Fax
(804) 524-0069
NPI assigned
May 1, 2008
Last updated
May 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Authorized official

Name
Amabel Viniegra Sibal, MD
Title
President
Phone
(804) 524-0055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0101054319 VA Primary

Addresses

Primary practice location

301Jennick Drive
Suite a
Colonial Heighs, VA 23834

Mailing address

301Jennick Drive
Suite a
Colonial Heighs, VA 23834
Phone (804) 524-0055

National Provider Directory

National Provider Directory

Locations

301 Jennick Dr
Ste A
Colonial Heights, VA 23834
Phone (804) 524-0055

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6906/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1649446535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301JENNICK DRIVE",
            "address_2": "SUITE A",
            "city": "COLONIAL HEIGHS",
            "state": "VA",
            "postal_code": "23834",
            "telephone_number": "804-524-0055",
            "fax_number": "804-524-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301JENNICK DRIVE",
            "address_2": "SUITE A",
            "city": "COLONIAL HEIGHS",
            "state": "VA",
            "postal_code": "23834",
            "telephone_number": "804-524-0055",
            "fax_number": "804-524-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "SIBAL",
        "authorized_official_first_name": "AMABEL",
        "authorized_official_middle_name": "VINIEGRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-524-0055",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101054319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.