RENAISSANCE PEDIATRICS PC
NPI 1427061340
Pediatrics in Chesapeake, VA

NPI Status: Active since August 14, 2006

Contact Information

4012 RAINTREE RD
SUITE 200A
CHESAPEAKE, VA
ZIP 23321
Phone: (757) 488-2223
Fax: (757) 488-8398

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  • Organization
  • Pediatrics
  • CLIA Number: 49D0896535
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-01-2026

About RENAISSANCE PEDIATRICS PC

This page provides the complete NPI Profile along with additional information for Renaissance Pediatrics Pc, a pediatrician established in Chesapeake, Virginia operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1427061340 assigned on August 2006. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Sandra S Baucom Md (President)

NPI
1427061340
Provider Name
RENAISSANCE PEDIATRICS PC
Entity Type
Organization
Location Address
4012 RAINTREE RD SUITE 200A CHESAPEAKE, VA 23321
Location Phone
(757) 488-2223
Location Fax
(757) 488-8398
Mailing Address
4012 RAINTREE RD SUITE 200A CHESAPEAKE, VA 23321
Mailing Phone
(757) 488-2223
Mailing Fax
(757) 488-8398
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-14-2006
Last Update Date
08-22-2020
Code Navigator

A pediatrician like Renaissance Pediatrics Pc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SANDRA S BAUCOM MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(757) 488-2223

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
49D0896535
Facility Type
Physician Office
Certificate Effective Date
June 02, 2024
Certificate Expiration Date
June 01, 2026
Laboratory Director
DAVID DORBAD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Renaissance Pediatrics Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1427061340
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
244706238
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 0 + 6 + 2 + 3 + 8 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1427061340 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

MRS. JENNIFER S O'CONNORS NP

Nurse Practitioner

4012 RAINTREE RD
RENAISSANCE PEDIATRICS
CHESAPEAKE, VA
ZIP 23321

(757) 488-2223

DAVID G DORBAD MD

Pediatrics

4012 RAINTREE RD
SUITE 200A
CHESAPEAKE, VA
ZIP 23321

(757) 488-2223

MICHAEL P SCACCIA MD

Pediatrics

4012 RAINTREE RD
SUITE 200A
CHESAPEAKE, VA
ZIP 23321

(757) 488-2223

ANITHA MALAISAMY M.D.

Pediatrics

4012 RAINTREE RD
SUITE 200A
CHESAPEAKE, VA
ZIP 23321

(757) 488-2223

DR. RHONDA SPRING MANGRUM M.D.

Pediatrics

4012 RAINTREE RD
SUITE 200A
CHESAPEAKE, VA
ZIP 23321

(757) 488-2223

JULI ANNE GRANICA FNP

Nurse Practitioner

(Family)

4012 RAINTREE RD
SUITE 200 A
CHESAPEAKE, VA
ZIP 23321

(757) 488-2223

MRS. CASSANDRA LEIGH ROBERTS CPNP

Nurse Practitioner

(Pediatrics)

4012 RAINTREE RD
CHESAPEAKE, VA
ZIP 23321

(757) 288-6863

DIONNE N HAREWOOD MD

Pediatrics

4012 RAINTREE RD
SUITE 200A
CHESAPEAKE, VA
ZIP 23321

(757) 488-2223

MRS. CRYSTAL NICOLE ASKINS FNP

Nurse Practitioner

(Family)

4012 RAINTREE RD
SUITE 200A
CHESAPEAKE, VA
ZIP 23321

(757) 488-2223

MR. JAMES EDWARD MEEKINS CPNP

Nurse Practitioner

(Pediatrics)

4012 RAINTREE RD
SUITE 200A
CHESAPEAKE, VA
ZIP 23321

(757) 488-2223

JAEMIE KATIPUNAN CPNP

Nurse Practitioner

(Pediatrics)

4012 RAINTREE RD
CHESAPEAKE, VA
ZIP 23321

(757) 488-2223

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427061340, enumerated as an "organization" on August 14, 2006.

The provider is located at 4012 RAINTREE RD SUITE 200A CHESAPEAKE, VA 23321 and the phone number is (757) 488-2223.

Pediatrics with taxonomy code 208000000X.