PEDIATRIC CARE CENTER
NPI 1619186087
Pediatrics in Christiansted, VI
- Organization
- Pediatrics
- CLIA Number: 48D0989614
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-30-2027
About PEDIATRIC CARE CENTER
This page provides the complete NPI Profile along with additional information for Pediatric Care Center, a pediatrician established in Christiansted, Virgin Islands operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1619186087 assigned on May 2007. The practitioner's primary taxonomy code is 208000000X with license number 1103 (VI). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's other name is Pediatric Care Center. The authorized official of this NPI record is Mrs. Sharon Ricketts (Practice Coordiator)
- NPI
- 1619186087 Verify this NPI
- Provider Legal Name
- PEDIATRIC CARE CENTER LLC
- Other Organization Name
- PEDIATRIC CARE CENTER
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 4504 ESTATE DIAMOND RUBY SUITE #3 FLAGSTAR PROFESSIONAL BUILDING CHRISTIANSTED, VI 00820
- Location Phone
- (340) 719-0681
- Location Fax
- (340) 719-9023
- Mailing Address
- PO BOX 7462 CHRISTIANSTED, VI 00823
- Mailing Phone
- (340) 719-0681
- Mailing Fax
- (340) 719-9023
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-22-2007
- Last Update Date
- 06-29-2008
- Code Navigator
A pediatrician like Pediatric Care Center 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
- License No.
- 1103
- License State
- VI
- 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.
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
- 48D0989614
- Facility Type
- Physician Office
- Certificate Effective Date
- July 31, 2025
- Certificate Expiration Date
- July 30, 2027
- Laboratory Director
- ANTHONY RICKETTS
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Pediatric Care Center in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619186087, enumerated as an "organization" on May 22, 2007.
The provider is located at 4504 ESTATE DIAMOND RUBY SUITE #3 FLAGSTAR PROFESSIONAL BUILDING CHRISTIANSTED, VI 00820 and the phone number is (340) 719-0681.
Pediatrics with taxonomy code 208000000X.
