Northside Pediatrics Pc
LBN: Northside Pediatrics Pc
Northside Pediatrics Pc is an health care organization with primary practice located at 2008 Bremo Rd Suite 100, Richmond VA 23226-2443. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty.
Northside Pediatrics Pc can be contacted via phone (804) 288-0814, or through Smith, Lakeita Lynne via phone (804) 432-4631.
Contact Information
Primary practice address
2008 Bremo Rd Suite 100
Richmond VA 23226-2443
Phone: (804) 288-0814
Fax: (877) 331-0645
Website:
Authorized official contact:
Name: Smith, Lakeita Lynne Doctor of Medicine (MD)
Phone: (804) 432-4631
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0101231186 | Virginia |
Profile Details
| NPI number | 1992724181 |
|---|---|
| LBN Legal business name | Northside Pediatrics Pc |
| DBA Doing business as | |
| Authorized official | Smith, Lakeita Lynne Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 19th, 2006 |
| Last updated | May 20th, 2009 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992724181 | NPPES |
| Virginia | Other | 0101231186 | VA LICENSE NUMBER |
| Virginia | MEDICAID | 010167175 | VA LICENSE NUMBER |
| Virginia | Other | 1710963582 | VA LICENSE NUMBER |
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