ALEXANDRIA LAKE RIDGE PEDIATRICS – NPI #1417053794
Pediatrics

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.

Health Care Provider Taxonomy Code for Pediatrics

ALEXANDRIA LAKE RIDGE PEDIATRICS is a provider located in WOODBRIDGE, VA. NPPES has assigned the NPI number 1417053794 to ALEXANDRIA LAKE RIDGE PEDIATRICS on September 15, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. ALEXANDRIA LAKE RIDGE PEDIATRICS is also known by the name LAKE RIDGE OFFICE. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. 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 ALEXANDRIA LAKE RIDGE PEDIATRICS below.

NPI Profile for
ALEXANDRIA LAKE RIDGE PEDIATRICS

NPI Number
1417053794
Enumeration Date

(more than 19 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
ALEXANDRIA LAKE RIDGE PEDIATRICS
Other Name: LAKE RIDGE OFFICE
Primary location
1990 OLD BRIDGE RD
SUITE 101
WOODBRIDGE, VA 22192-2383
Phone: (703) 212-6600 Fax: (703) 931-0961
Mailing address
4660 KENMORE AVE
SUITE 500
ALEXANDRIA, VA 22304-1313
Phone: (703) 212-6600 Fax: (703) 931-0961
Organization Subpart
No
Authorized Official
DEBORAH WEESE
PRACTICE ADMINISTRATOR
Phone: (703) 212-6600
Updated
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
208000000X
- Pediatrics (Primary)

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.