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RENAISSANCE PEDIATRICS PC
NPI 1427061340
Pediatrics in Chesapeake, VA

Active since August 14, 2006CLIA 49D0896535 · Waiver
4012 RAINTREE RD, SUITE 200A, CHESAPEAKE, VA 23321(757) 488-2223(757) 488-8398 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Renaissance Pediatrics Pc NPPES

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

RENAISSANCE PEDIATRICS PC (NPI 1427061340) is a healthcare organization registered as a pediatrics in Chesapeake, Virginia and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through June 1, 2028 and lists Sandra S Baucom, President, as its authorized official.

NPPES Registry Identity

NPI1427061340
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameRENAISSANCE PEDIATRICS PC
Location Address4012 RAINTREE RD, SUITE 200AChesapeake, VA 23321-3741
Mailing Address4012 Raintree Rd, Suite 200aChesapeake, VA 23321-3741 · (757) 488-2223 · Fax (757) 488-8398
Phone(757) 488-2223
Fax(757) 488-8398
Organization SubpartNo
Authorized OfficialSandra S BaucomPresident · (757) 488-2223
Enumeration DateAugust 14, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1427061340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
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.
4012 RAINTREE RD, Chesapeake, VA 23321
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D0896535

Renaissance Pediatrics, PC · Chesapeake, VA
Active · expires Jun 1, 2028
CLIA Number49D0896535
Laboratory TypePhysician Office
Certificate Effective DateJune 2, 2026
Certificate Expiration DateJune 1, 2028
Laboratory DirectorDavid Dorbad
Laboratory Phone(757) 488-2223
Laboratory LocationRenaissance Pediatrics, PC4012 Raintree Road Suite 200A, Chesapeake, VA 23321
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

DIONNE N HAREWOOD MD
Pediatrics
4012 RAINTREE RD, SUITE 200A
CHESAPEAKE, VA 23321
Chesapeake City (757) 488-2223
MICHAEL P SCACCIA MD
Pediatrics
4012 RAINTREE RD, SUITE 200A
CHESAPEAKE, VA 23321
Chesapeake City (757) 488-2223
MRS. CASSANDRA LEIGH ROBERTS CPNP
Nurse Practitioner (Pediatrics)
4012 RAINTREE RD
CHESAPEAKE, VA 23321
Chesapeake City (757) 288-6863
MRS. JENNIFER S O'CONNORS NP
Nurse Practitioner
4012 RAINTREE RD, RENAISSANCE PEDIATRICS
CHESAPEAKE, VA 23321
Chesapeake City (757) 488-2223
DAVID G DORBAD MD
Pediatrics
4012 RAINTREE RD, SUITE 200A
CHESAPEAKE, VA 23321
Chesapeake City (757) 488-2223
ANITHA MALAISAMY M.D.
Pediatrics
4012 RAINTREE RD, SUITE 200A
CHESAPEAKE, VA 23321
Chesapeake City (757) 488-2223
MRS. CRYSTAL NICOLE ASKINS FNP
Nurse Practitioner (Family)
4012 RAINTREE RD, SUITE 200A
CHESAPEAKE, VA 23321
Chesapeake City (757) 488-2223
DR. RHONDA SPRING MANGRUM M.D.
Pediatrics
4012 RAINTREE RD, SUITE 200A
CHESAPEAKE, VA 23321
Chesapeake City (757) 488-2223

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 Renaissance Pediatrics PC's NPI number?

The NPI number for Renaissance Pediatrics PC is 1427061340. It was assigned to this organization in the NPPES registry on August 14, 2006.

Where is Renaissance Pediatrics PC located?

Renaissance Pediatrics PC is located at 4012 Raintree Rd Suite 200A, Chesapeake, VA 23321. The listed phone number is (757) 488-2223.

What is Renaissance Pediatrics PC's specialty?

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

Does Renaissance Pediatrics PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D0896535) is associated with this NPI, valid through June 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Renaissance Pediatrics PC was last updated on August 22, 2020. 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.