Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PEDIATRIC PRACTICE,PC
Deactivated OrganizationPEDIATRIC PRACTICE,PC is a Pediatrics organization located in MANASSAS, Virginia. NPI 1205034659 is deactivated in the NPPES registry. Verify at CMS.
Pediatrics · MANASSAS, VA
This NPI has been deactivated.
The record was deactivated on February 27, 2020.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1205034659
- Provider Type
- Organization
- NPI Issued
- Jul 6, 2007 (12.644808743169 yrs)
- Last Updated
- Apr 19, 2024
- Deactivated
- Feb 27, 2020
- License
-
0101222057 (VA)
Practice Information
- Address
-
8600 ROLLING RD STE 100MANASSAS, VA, 201103868Browse VA providers · Browse ZIP 20110
- Phone
- 7033613870
- Fax
- 7033613871
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Organizations in MANASSAS, VA
| Name | NPI |
|---|---|
| CRESTWOOD PEDIATRIC ASSOCIATES PC | 1629034897 |
| PEDIATRIC ASSOCIATES OF NORTHERN VIRGINIA, P.C. | 1356432934 |
| MANASSAS PEDIATRICS LTD | 1588747174 |
| PEDIATRICARE OF NORTHERN VIRGINIA, P.C. | 1104994623 |
| PINE GROVE PEDIATRICS | 1346303062 |
| PEDIATRIC ASSOCIATES OF MANASSAS | 1720111016 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.