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PEDIATRIC PARTNERS OF STAFFORD PC NPI 1457381766


NPI Information

NPI: 1457381766
Provider Name: PEDIATRIC PARTNERS OF STAFFORD PC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 49D1052366

Address:
110 SOARING EAGLE DRIVE
STAFFORD, VA
ZIP 22556
Phone: (540) 720-2126
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PEDIATRIC PARTNERS OF STAFFORD PC is a pediatrics in Stafford, 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. PEDIATRIC PARTNERS OF STAFFORD PC NPI is 1457381766. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

110 SOARING EAGLE DRIVE
STAFFORD, VA
ZIP 22556
Phone: (540) 720-2126
Fax: (540) 720-1002

The provider's authorized official is Tamara Loving .
The authorized official title is Physician and has the following contact phone number (540) 720-2126.

The CLIA number assigned to this NPI record is 49D1052366 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/3/2006 and was last updated on 12/20/2007.


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
1208000000XPediatricsYes

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
1C09855MEDICARE PINVIRGINIA

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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