Pediatric Associates of Manassas

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDIATRIC ASSOCIATES OF MANASSAS

Practice address

9001 Digges Rd
Suite 107
Manassas, VA 20110-4421

Phone

(703) 368-9131

Fax

(703) 368-2038

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Adonia Johnson

Title

Billing

Phone

(703) 368-9131

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1720111016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 DIGGES RD",
            "address_2": "SUITE 107",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104421",
            "telephone_number": "703-368-9131",
            "fax_number": "703-368-2038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 DIGGES RD",
            "address_2": "SUITE 107",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104421",
            "telephone_number": "703-368-9131",
            "fax_number": "703-368-2038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ASSOCIATES OF MANASSAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ADONIA",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "703-368-9131"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriela Merledith Paz Rodriguez
• Peace Rain PMH LLC
• Philip R Peacock, DO
• Andrea T Peda, DVM
• Judith C Pederson, MD
• Pediatric Associates of Northern Virginia, P.C.
• Pediatric Associates of Prince William County, LLC
• Pediatric Practice,PC
• Pediatricare of Northern Virginia, P.C.
• Pediatrix Medical Group PC

• Pediatrics Physician in Manassas, VA
• Providers in Manassas, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.