NPIMap

Organization Active NPI

Pediatric Partners of Virginia

Doing business as Flat Rock Pediatrics

  • Pediatrics Physician
  • Powhatan, VA
National Provider Identifier
1841997822
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PEDIATRIC PARTNERS OF VIRGINIA
Doing business as
Flat Rock Pediatrics
Practice address
1583 Standing Ridge Dr
Powhatan, VA 23139-8051
Phone
(804) 464-2018
Fax
(804) 464-2535
NPI assigned
Feb 10, 2023
Organization subpart
Yes
Parent organization
PEDIATRIC PARTNERS OF VIRGINIAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Authorized official

Name
Samantha Semeja
Title
Corporate Operations MGR
Phone
(804) 464-2018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

1583 Standing Ridge Dr
Powhatan, VA 23139-8051

Mailing address

P.O. Box 76354
North Chesterfield, VA 23235-4735
Phone (804) 464-2018

Other names 1

  • Flat Rock Pediatrics Doing business as

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
49D2276791Flat Rock Pediatrics1583 Standing Ridge Dr, Suite E, Powhatan, VA 23139Certificate of waiverFeb 14, 2027

National Provider Directory

National Provider Directory
Tax ID family
Pediatric Associates6 organizations share this tax ID, including this one
Part of
Pediatric Associates

Other organizations with this tax ID 5

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

Locations

1583 Standing Ridge Dr
Powhatan, VA 23139
Phone (804) 464-2018

1583 Standing Ridge Dr
#E
Powhatan, VA 23139
Phone (804) 375-1589

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1841997822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 76354",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354735",
            "telephone_number": "804-464-2018",
            "fax_number": "804-464-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1583 STANDING RIDGE DR",
            "city": "POWHATAN",
            "state": "VA",
            "postal_code": "231398051",
            "telephone_number": "804-464-2018",
            "fax_number": "804-464-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC PARTNERS OF VIRGINIA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEDIATRIC PARTNERS OF VIRGINIA",
        "enumeration_date": "2023-02-10",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-03",
        "status": "A",
        "authorized_official_last_name": "SEMEJA",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "CORPORATE OPERATIONS MGR",
        "authorized_official_telephone_number": "804-464-2018"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flat Rock Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Powhatan, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.