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NPI Code Detail

MEDICARE: PEDIATRIC PARTNERS OF VIRGINIA, LLC

MEDICARE: PEDIATRIC PARTNERS OF VIRGINIA, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician

General Provider Information

NPI Number : 1336570407
Entity Type Code : Organization
Provider Name (Legal Business Name) : PEDIATRIC PARTNERS OF VIRGINIA, LLC
Provider Business Mailing Address
First Line : 9606 PATTERSON AVE
Second Line :
City : RICHMOND
State : VA
Zip : 23229-6027
Country : US
Telephone Number : 804-740-6171
Fax Number :
Provider Business Practice Location Address
First Line : 9606 PATTERSON AVE
Second Line :
City : RICHMOND
State : VA
Zip : 23229-6027
Country : US
Telephone Number : 804-740-6171
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JESSICA SIMMELINK
Credential : MD
Telephone Number : 571-334-5200
Provider Enumeration Date : 11/27/2013
Last Update Date : 01/13/2026

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Directions to “PEDIATRIC PARTNERS OF VIRGINIA, LLC ” Practice Location

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