INFANT JESUS CHILDREN'S CLINIC – NPI #1891714911
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.

INFANT JESUS CHILDREN'S CLINIC is a provider located in PETERSBURG, VA. NPPES has assigned the NPI number 1891714911 to INFANT JESUS CHILDREN'S CLINIC on July 19, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “INFANT JESUS CHILDREN'S CLINIC” is a dba name, the actual legal business name for this organization is PEDIATRIC ASSOCIATES OF PETERSBURG PLC. 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 INFANT JESUS CHILDREN'S CLINIC below.

NPI Profile for
PEDIATRIC ASSOCIATES OF PETERSBURG PLC

NPI Number
1891714911
Enumeration Date

(about 20 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
PEDIATRIC ASSOCIATES OF PETERSBURG PLC
Doing Business As (dba): INFANT JESUS CHILDREN'S CLINIC
Primary location
5 HOLLY HILL DR
PETERSBURG, VA 23805-2559
Phone: (804) 733-4131 Fax: (804) 862-1362
Mailing address
PO BOX 1837
PETERSBURG, VA 23805
Phone: (804) 733-4131 Fax: (804) 862-1362
Organization Subpart
No
Authorized Official
PATRICIA GONZALEZ
PRESIDENT
Phone: (804) 733-4131
Updated
Identifiers

Identifiers for INFANT JESUS CHILDREN'S CLINIC

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.

See identifiers
DescriptionIssuerStateIdentifier
OTHERANTHEM204646
OTHERCARENET529
OTHERCIGNA PPC1243417
OTHERSANTARA13767
OTHERUNITED HEALTH CARE1201542
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.