OLD DOMINION PEDIATRICS, PLLC
NPI 1710233788
Clinic/Center - Primary Care in North Chesterfield, VA

NPI Status: Active since July 27, 2012

Contact Information

9323 MIDLOTHIAN TPKE
SUITE E
NORTH CHESTERFIELD, VA
ZIP 23235
Phone: (804) 212-1144
Fax: (888) 681-1473

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  • Organization
  • Clinic/Center
  • Primary Care
  • CLIA Number: 49D2043752
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-09-2026

About OLD DOMINION PEDIATRICS, PLLC

This page provides the complete NPI Profile along with additional information for Old Dominion Pediatrics, Pllc, a primary care provider established in North Chesterfield, Virginia operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1710233788 assigned on July 2012. The practitioner's primary taxonomy code is 261QP2300X with license number 0101238680 (VA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Dr. Eric Bernard Freeman Md (President)

NPI
1710233788
Provider Name
OLD DOMINION PEDIATRICS, PLLC
Entity Type
Organization
Location Address
9323 MIDLOTHIAN TPKE SUITE E NORTH CHESTERFIELD, VA 23235
Location Phone
(804) 212-1144
Location Fax
(888) 681-1473
Mailing Address
9323 MIDLOTHIAN TPKE SUITE E NORTH CHESTERFIELD, VA 23235
Mailing Phone
(804) 212-1144
Mailing Fax
(888) 681-1473
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-27-2012
Last Update Date
07-27-2012
Code Navigator

A primary care provider (PCP) like Old Dominion Pediatrics, Pllc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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

Clinic/Center Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities
License No.
0101238680
License State
VA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

DR. ERIC BERNARD FREEMAN MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(804) 212-1144

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1578577086MEDICAID (05)VA 
010213720MEDICAID (05)VA 

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
49D2043752
Facility Type
Physician Office
Certificate Effective Date
July 10, 2024
Certificate Expiration Date
July 09, 2026
Laboratory Director
ERIC B. FREEMAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Old Dominion Pediatrics, Pllc 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.
1710233788
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2720436716
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 4 + 3 + 6 + 7 + 1 + 6 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1710233788 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1578577086DR. ERIC BERNARD FREEMAN M.D.
Individual
Pediatrics9323 MIDLOTHIAN TPKE SUITE E
NORTH CHESTERFIELD, VA 23235
(804) 212-1144
1306224241 DAVID BANKS
Individual
Non-emergency Medical Transport (VAN)9323 MIDLOTHIAN TPKE
NORTH CHESTERFIELD, VA 23235
(804) 353-3585
1568485050ALLIANCE FAMILY HEALTH CARE, PC
Organization
Family Medicine9323 MIDLOTHIAN TPKE SUITE E
RICHMOND, VA 23235
(804) 323-5575

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710233788, enumerated in the NPI registry as an "organization" on July 27, 2012

The provider is located at 9323 Midlothian Tpke Suite E North Chesterfield, Va 23235 and the phone number is (804) 212-1144

This medical organization specializes in Clinic/Center with taxonomy code 261QP2300X with a focus in Primary Care

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 49D2043752 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..

This NPI record was last updated on July 27, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.