NPIMap

Organization Active NPI

Childrens Medical Group Inc

Doing business as Suffolk Pediatrics

  • Pediatrics Physician
  • Suffolk, VA
National Provider Identifier
1790830487
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CHILDRENS MEDICAL GROUP INC
Doing business as
Suffolk Pediatrics
Practice address
1009 Hillpoint Blvd N
Suffolk, VA 23434-8470
Phone
(757) 539-6217
Fax
(757) 934-8535
NPI assigned
Jan 24, 2007
Last updated
Feb 22, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
CHILDRENS MEDICAL GROUP INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Authorized official

Name
Kathryn J Abshire
Title
Senior VP/Cfo
Phone
(757) 668-8565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

1009 Hillpoint Blvd N
Suffolk, VA 23434-8470

Mailing address

601 Childrens LN
Norfolk, VA 23507-1910
Phone (757) 668-7017

Other names 1

  • Suffolk Pediatrics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Children's Medical Group Inc Dba Liberty Pediatrics16 organizations share this tax ID, including this one
Part of
Children's Medical Group Inc Dba Liberty Pediatrics

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

1099 Hillpoint Blvd N
Suffolk, VA 23434

Practitioners & affiliated clinicians

Practitioners 10

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": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677024000000",
    "number": "1790830487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 CHILDRENS LN",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071910",
            "telephone_number": "757-668-7017",
            "fax_number": "757-668-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 HILLPOINT BLVD N",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348470",
            "telephone_number": "757-539-6217",
            "fax_number": "757-934-8535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS MEDICAL GROUP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILDRENS MEDICAL GROUP INC",
        "enumeration_date": "2007-01-24",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A",
        "authorized_official_last_name": "ABSHIRE",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SENIOR VP/CFO",
        "authorized_official_telephone_number": "757-668-8565"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suffolk Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Suffolk Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Suffolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.