WELL CLINIC PEDIATRICS & FAMILY MEDICINE PC – NPI #1730618091
Clinic/Center

WELL CLINIC PEDIATRICS & FAMILY MEDICINE PC is an AHC clinic located in CHESAPEAKE, VA. NPPES has assigned the NPI number 1730618091 to WELL CLINIC PEDIATRICS & FAMILY MEDICINE PC on June 08, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WELL CLINIC PEDIATRICS & FAMILY MEDICINE PC below.

NPI Profile for
WELL CLINIC PEDIATRICS & FAMILY MEDICINE PC

NPI Number
1730618091
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WELL CLINIC PEDIATRICS & FAMILY MEDICINE PC
Primary location
200 MEDICAL PARKWAY SUITE 315
CHESAPEAKE, VA 23320
Phone: (757) 547-0588 Fax: (757) 548-8572
Mailing address
200 MEDICAL PKWY STE 315
CHESAPEAKE, VA 23320-4911
Phone: (757) 547-0588 Fax: (757) 548-8572
Organization Subpart
No
Authorized Official
LOPITO BUGARIN
DR.
Phone: (757) 547-0588
Updated
Identifiers

Identifiers for WELL CLINIC PEDIATRICS & FAMILY MEDICINE PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICARE OSCAR/CERTIFICATIONVA190000714
OTHERMEDICARE PINVA190000714
OTHERMEDICARE UPINVAH04227
MEDICAIDVA005605423
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)
VA 0101222102

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.