Organization Active NPI

Pediatrix Newborn Hearing Screen LLC

  • Neonatal-Perinatal Medicine Physician
  • Glen Allen, VA
National Provider Identifier
1780914085
Registry record updated Jan 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
Legal business name
PEDIATRIX NEWBORN HEARING SCREEN LLC
Practice address
4991 Lake Brook Dr
Suite 300
Glen Allen, VA 23060-9290
Phone
(800) 243-3839
Fax
(954) 858-0434
NPI assigned
Jan 8, 2010
Last updated
Jan 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2010

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

Authorized official

Name
Mr. Arnold Poole
Title
Authorized Signator
Phone
(800) 243-3839

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X NU Primary

Addresses

Primary practice location

4991 Lake Brook Dr
Suite 300
Glen Allen, VA 23060-9290

Mailing address

1301 Concord Ter
Sunrise, FL 33323-2843
Phone (800) 243-3839

National Provider Directory

National Provider Directory

Locations

250 E Superior St
Chicago, IL 60611
Phone (312) 472-2007

Practitioners & affiliated clinicians

Practitioners 3

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": "1262908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262908800000",
    "number": "1780914085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 CONCORD TER",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232843",
            "telephone_number": "800-243-3839",
            "fax_number": "954-858-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4991 LAKE BROOK DR",
            "address_2": "SUITE 300",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230609290",
            "telephone_number": "800-243-3839",
            "fax_number": "954-858-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIX NEWBORN HEARING SCREEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-08",
        "last_updated": "2010-01-08",
        "status": "A",
        "authorized_official_last_name": "POOLE",
        "authorized_official_first_name": "ARNOLD",
        "authorized_official_title_or_position": "AUTHORIZED SIGNATOR",
        "authorized_official_telephone_number": "800-243-3839",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; 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.