Organization Active NPI

Springfield Pediatric Associates, LTD, P.C.

  • Pediatrics Physician
  • Springfield, VA
National Provider Identifier
1699863498
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
SPRINGFIELD PEDIATRIC ASSOCIATES, LTD, P.C.
Practice address
8348 Traford LN
Suite 301
Springfield, VA 22152-1663
Phone
(703) 451-5200
Fax
(703) 451-0044
NPI assigned
Oct 10, 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
Mrs. Dobe (Deborah) Mayergoyz, M.D.NPI 1851489637
Title
President
Phone
(703) 451-5200

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 1

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

Addresses

Primary practice location

8348 Traford LN
Suite 301
Springfield, VA 22152-1663

Mailing address

8348 Traford LN
Suite 301
Springfield, VA 22152-1663
Phone (703) 451-5200

National Provider Directory

National Provider Directory

Locations

8348 Traford Ln
Ste 301
Springfield, VA 22152
Phone (703) 451-5200

Practitioners & affiliated clinicians

Practitioners 2

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": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699863498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8348 TRAFORD LN",
            "address_2": "SUITE 301",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521663",
            "telephone_number": "703-451-5200",
            "fax_number": "703-451-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8348 TRAFORD LN",
            "address_2": "SUITE 301",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521663",
            "telephone_number": "703-451-5200",
            "fax_number": "703-451-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD PEDIATRIC ASSOCIATES, LTD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAYERGOYZ",
        "authorized_official_first_name": "DOBE (DEBORAH)",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-451-5200",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, 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.