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PEDIATRIC PARTNERSHIP
NPI 1629266812
Point of Service in Glen Allen, VA

Active since October 12, 2007CLIA 49D1042477 · Waiver
100 CONCOURSE BLVD, SUITE 111, GLEN ALLEN, VA 23059(804) 377-8981(804) 377-8984 Get Directions Write a Review

NPPES record last updated: October 12, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Pediatric Partnership NPPES

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

PEDIATRIC PARTNERSHIP (NPI 1629266812) is a healthcare organization registered as a point of service in Glen Allen, Virginia and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through June 29, 2027 and lists Jill E Ryland, Owner, as its authorized official.

NPPES Registry Identity

NPI1629266812
Entity TypeOrganization
Primary Taxonomy305S00000X
Legal Business NamePEDIATRIC PARTNERSHIP
Location Address100 CONCOURSE BLVD, SUITE 111Glen Allen, VA 23059-5642
Mailing Address100 Concourse Blvd, Suite 111Glen Allen, VA 23059-5642 · (804) 377-8981 · Fax (804) 377-8984
Phone(804) 377-8981
Fax(804) 377-8984
Organization SubpartNo
Authorized OfficialJill E RylandOwner · (804) 377-8981
Enumeration DateOctober 12, 2007
✔ NPI 1629266812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
Definition

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

100 CONCOURSE BLVD, Glen Allen, VA 23059
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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 49D1042477

Pediatric Partners, PC · Glen Allen, VA
Active · expires Jun 29, 2027
CLIA Number49D1042477
Laboratory TypePhysician Office
Certificate Effective DateJune 30, 2025
Certificate Expiration DateJune 29, 2027
Laboratory DirectorJill E. Ryland, MD
Laboratory Phone(804) 377-8981
Laboratory LocationPediatric Partners, PC5207 C Hickory Park Drive, Glen Allen, VA 23059
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

NICHOLAS TATE TOMLINSON MSW, LCSW
Social Worker (Clinical)
100 CONCOURSE BLVD
GLEN ALLEN, VA 23059
Hanover County (804) 374-9484
SARAH G DANKYI
Nurse Practitioner (Family)
100 CONCOURSE BLVD
GLEN ALLEN, VA 23059
Hanover County (080) 435-5980
GORADIA ORTHOPAEDICS, PLLC
Orthopaedic Surgery
100 CONCOURSE BLVD, SUITE 150
GLEN ALLEN, VA 23059
Hanover County (804) 678-9000

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 Pediatric Partnership's NPI number?

The NPI number for Pediatric Partnership is 1629266812. It was assigned to this organization in the NPPES registry on October 12, 2007.

Where is Pediatric Partnership located?

Pediatric Partnership is located at 100 Concourse Blvd Suite 111, Glen Allen, VA 23059. The listed phone number is (804) 377-8981.

What is Pediatric Partnership's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

Does Pediatric Partnership hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D1042477) is associated with this NPI, valid through June 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pediatric Partnership was last updated on October 12, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.