Active NPI
Pediatric Neurology Associates, PC
- Specialist
- Richmond, VA
National Provider Identifier
1760447627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0101036179
- Legal business name
- PEDIATRIC NEUROLOGY ASSOCIATES, PC
- Practice address
- 5875 Bremo Rd
Suite 310
Richmond, VA 23226-1934 - Phone
- (804) 288-9898
- Fax
- (804) 673-6616
- NPI assigned
- Apr 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donald Alan Taylor, M.D.
- Title
- President
- Phone
- (804) 288-9898
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 0101036179 | VA | Primary |
Addresses
Primary practice location
5875 Bremo Rd
Suite 310
Richmond, VA 23226-1934
Mailing address
5875 Bremo Rd
Suite 310
Richmond, VA 23226-1934
Phone (804) 288-9898
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6154174 | Medicaid | VA |
National Provider Directory
National Provider DirectoryLocations
5875 Bremo Rd
Ste 310
Richmond, VA 23226
Phone (804) 288-9898
Interoperability endpoints
- https://api.platform.athenahealth.com/20948/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology with Special Qualifications in Child Neurology Physician
- Richmond, VA
- NPI 1700911559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1760447627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5875 BREMO RD",
"address_2": "SUITE 310",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232261934",
"telephone_number": "804-288-9898",
"fax_number": "804-673-6616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5875 BREMO RD",
"address_2": "SUITE 310",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232261934",
"telephone_number": "804-288-9898",
"fax_number": "804-673-6616"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRIC NEUROLOGY ASSOCIATES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "804-288-9898",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "VA",
"license": "0101036179",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6154174",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
- Pediatric Cardiology of Central Virginia PC
- Pediatric Cardiology of Virginia
- Pediatric Gastroenterology of Richmond, P.C.
- Pediatric Headache Center of Richmond, PLLC
- Pediatric Lung, Allergy and Sleep Specialists, PC
- Pediatric Partners of Virginia, LLC (West End Pediatrics)
- Pediatric Partners of Virginia, LLC
- Pediatric Primary Care, PC
- Pediatric Specialists for CJW LLC
- Pediatrix Medical Group
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.