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SANDRA S BAUCOM MD
NPI 1184673584
Pediatrics in Smithfield, VA

Active since May 10, 2006
1809 S CHURCH ST STE 302, SMITHFIELD, VA 23430(757) 780-8400(757) 432-3279 Get Directions Write a Review

NPPES record last updated: June 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sandra S Baucom Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANDRA S BAUCOM MD (NPI 1184673584) is an individual pediatrics provider in Smithfield, Virginia, licensed in Virginia (0101043663) and active in the NPI registry since May 2006. She maintains a secondary practice location in Chesapeake.

NPPES Registry Identity

NPI1184673584
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSANDRA S BAUCOMCredential: MD
Location Address1809 S CHURCH ST STE 302Smithfield, VA 23430-1861
Mailing Address1809 S Church St Ste 302Smithfield, VA 23430-1861 · (757) 780-8400 · Fax (757) 432-3279
Phone(757) 780-8400
Fax(757) 432-3279
Sole ProprietorNo
Enumeration DateMay 10, 2006
Last NPPES UpdateJune 2, 2021
NPPES CertifiedJune 2, 2021
✔ NPI 1184673584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in VA · 0101043663
Definition
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.
1809 S CHURCH ST STE 302, Smithfield, VA 23430
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Secondary Practice Location 1

Location 14012 Raintree Rd, Suite 200AChesapeake, VA 23321-3741 · Phone (757) 488-2223 · Fax (757) 488-8398

Other Identifiers 1

Medicaid006706631VA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INFINITY PEDIATRIC AND ADOLESCENT MEDICINE LLC
Pediatrics
1809 S CHURCH ST STE 302
SMITHFIELD, VA 23430
Isle of Wight County (757) 780-8400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sandra Baucom's NPI number?

The NPI number for Sandra Baucom is 1184673584. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Sandra Baucom located?

Sandra Baucom practices at 1809 S Church St Ste 302, Smithfield, VA 23430. The listed phone number is (757) 780-8400.

What is Sandra Baucom's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Sandra Baucom was last updated on June 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.