Organization Active NPI

Children & Adolescents Clinic, Inc

  • Pediatric Adolescent Medicine Physician
  • Hopewell, VA
National Provider Identifier
1750471850
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
0101032006 Issued in VA
Legal business name
CHILDREN & ADOLESCENTS CLINIC, INC
Practice address
308 N 4TH Ave
Hopewell, VA 23860-2506
Phone
(804) 541-8812
Fax
(804) 541-1396
NPI assigned
Oct 13, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Dr. Charuwan Siri, M.D.NPI 1013973676
Title
President
Phone
(804) 541-8812

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
Pediatric Adolescent Medicine Physician 2080A0000X 0101032006 VA Primary

Addresses

Primary practice location

308 N 4TH Ave
Hopewell, VA 23860-2506

Mailing address

308 N 4TH Ave
Hopewell, VA 23860-2506
Phone (804) 541-8812

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D0869008Children & Adolescents Clinic308 North 4TH Avenue, Hopewell, VA 23860Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

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

308 N 4th Ave
Hopewell, VA 23860
Phone (804) 458-1982

Practitioners & affiliated clinicians

Practitioners 9

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": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750471850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 N 4TH AVE",
            "city": "HOPEWELL",
            "state": "VA",
            "postal_code": "238602506",
            "telephone_number": "804-541-8812",
            "fax_number": "804-541-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 N 4TH AVE",
            "city": "HOPEWELL",
            "state": "VA",
            "postal_code": "238602506",
            "telephone_number": "804-541-8812",
            "fax_number": "804-541-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN & ADOLESCENTS CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIRI",
        "authorized_official_first_name": "CHARUWAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-541-8812",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "VA",
            "license": "0101032006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopewell, 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.
  • 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.