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BLUE RIDGE PEDIATRICS ASSOCIATES LTD NPI 1265543631


NPI Information

NPI: 1265543631
Provider Name: BLUE RIDGE PEDIATRICS ASSOCIATES LTD
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 49D2297028

Address:
337 WESTSIDE STATION DRIVE
WINCHESTER, VA
ZIP 22601
Phone: (540) 667-5400
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BLUE RIDGE PEDIATRICS ASSOCIATES LTD is a pediatrics in Winchester, VA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. BLUE RIDGE PEDIATRICS ASSOCIATES LTD NPI is 1265543631. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

337 WESTSIDE STATION DRIVE
WINCHESTER, VA
ZIP 22601
Phone: (540) 667-5400
Fax: (540) 722-9516

The provider's authorized official is Daniel C Schiavone .
The authorized official title is President Blue Ridge Pediatric Asso and has the following contact phone number (540) 667-5400.

The CLIA number assigned to this NPI record is 49D2297028 - other - pace with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 3/12/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics0101029741VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
110711397OTHERCIGNA
20112931000MEDICAIDWEST VIRGINIA
3F12457MEDICARE UPIN
442687OTHERVIRGINIACOMMUNITY HEALTH
5010776OTHERVIRGINIAANTHEM
6006779352MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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