NPIMap

Organization Active NPI

Primecare Pedsxpress

  • Pediatrics Physician
  • Fredericksburg, VA
National Provider Identifier
1891102158
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PRIMECARE PEDSXPRESS
Practice address
2511 Salem Church Rd
Fredericksburg, VA 22407-6466
Phone
(540) 786-1200
Fax
(540) 786-3195
NPI assigned
Jul 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Authorized official

Name
Mr. Dana P Tate
Title
Operations Director
Phone
(540) 371-4488

Specialties & licenses 1

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

Addresses

Primary practice location

2511 Salem Church Rd
Fredericksburg, VA 22407-6466

Mailing address

2511 Salem Church Rd
Fredericksburg, VA 22407-6466
Phone (540) 786-1200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490572800000",
    "number": "1891102158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 SALEM CHURCH RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224076466",
            "telephone_number": "540-786-1200",
            "fax_number": "540-786-3195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 SALEM CHURCH RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224076466",
            "telephone_number": "540-786-1200",
            "fax_number": "540-786-3195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMECARE PEDSXPRESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-18",
        "last_updated": "2017-03-27",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "540-371-4488",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.