Healthcare Provider Details

I. General information

NPI: 1265597967
Provider Name (Legal Business Name): ALEXANDRA L PINON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALEXANDRA L SMITH MD

II. Dates (important events)

Enumeration Date: 12/25/2006
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1009 HILLPOINT BOULEVARD S
SUFFOLK VA
23434
US

IV. Provider business mailing address

1009 HILLPOINT BOULEVARD S.
SUFFOLK VA
23434
US

V. Phone/Fax

Practice location:
  • Phone: 757-668-2250
  • Fax: 757-668-2255
Mailing address:
  • Phone: 757-668-2250
  • Fax: 757-668-2255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA102834
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0101282326
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberS1680
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: