DR. KATHLYN VALLEAU WILDE (NPI# 1164683967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164683967 |
Entity Type | Individual |
Full Name | DR. KATHLYN VALLEAU WILDE |
Credential | M.D. |
Practice Address |
620 John Paul Jones Cir Dept Of Portsmouth VA 23708-2111 |
Mailing Address |
620 John Paul Jones Cir Dept of Pediatrics Portsmouth VA 23708-2111 |
Practice Telephone | 7579537716 |
Practice Fax Number | 7579530858 |
Mailing Telephone | (301) 337-5055 |
Mailing Fax Number | 7579530858 |
Enumeration Date | 2008-06-24 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | 0101261046 | VA | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
8901 Wisconsin Ave, Bethesda, MD 208890001 | 4344098249 |
Street Address |
620 JOHN PAUL JONES CIR DEPT OF |
City | PORTSMOUTH |
State | VA |
Zip Code | 23708-2111 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982187696 | Jennifer Lynn Biehl Mayer | Dietitian, Registered | 620 John Paul Jones Cir Dept Of, Portsmouth, VA 23708-2111 | 2018-09-09 |
1295197671 | Katheryn Ryan | Student in an Organized Health Care Education/Training Program | 620 John Paul Jones Cir Dept Of, Portsmouth, VA 23708-2111 | 2016-03-24 |
1205136496 | Ines Stromberg | Urology | 620 John Paul Jones Cir Dept Of, Portsmouth, VA 23708-2111 | 2010-10-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932724754 | William Dowling | Student in an Organized Health Care Education/Training Program | 260 John Paul Jones Circle, Fpo, AA 23708 | 2020-06-09 |
1760003156 | Kylie Miller | Student in an Organized Health Care Education/Training Program | 600 John Paul Jones Circle, Portsmouth, VA 23708 | 2020-04-27 |
1750900304 | Jonathan David Hickman | Student in an Organized Health Care Education/Training Program | Nmcp 620 John Paul Jones Cir., Bldg 3, Portsmouth, VA 23708 | 2020-04-14 |
1447716550 | Nathan Le Holterman | Student in an Organized Health Care Education/Training Program | Navy Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708 | 2019-02-13 |
1467930545 | Jonathan Volland | Dentist | Naval Medical Center - 620 John Paul Jones Cr, Portsmouth, VA 23708 | 2018-08-01 |
1629570171 | Brendan James O'shea | Student in an Organized Health Care Education/Training Program | 690 John Paul Jones Circle, Fpo, AA 23708 | 2018-03-01 |
1467909077 | Patricia Hicks Smith | Nurse Practitioner | 620 John Paul Jones Blvd., Naval Medical Center Portsmouth, Portsmouth, VA 23708 | 2016-09-01 |
1790139392 | Lauren Pitters | Student in an Organized Health Care Education/Training Program | 620 John Paul Jones Circle Drive, Naval Medical Center Portsmouth, Portsmouth, VA 23708 | 2016-04-20 |
1841683745 | Karrie Anne Brondell Walker | Student in an Organized Health Care Education/Training Program | 620 John Paul Jones, Naval Medical Center Portsmouth, Portsmouth, VA 23708 | 2015-03-17 |
1962821967 | Jody Manners | Psychiatry & Neurology | 620 John Paul Jones Cir # 2e, Portsmouth, VA 23708 | 2014-04-08 |
Find all providers in zip 23708 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
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. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134685050 | Tidewater Pediatrics, P.C. | Pediatrics | 301 Goode Way Ste 203, Portsmouth, VA 23704-2266 | 2019-02-15 |
1437235421 | Perla Jamias Soloria | Pediatrics | 3701 South St, Portsmouth, VA 23707-3121 | 2006-10-31 |
1265523310 | Portsmouth Pediatrics | Pediatrics | 1985 E Main Rd, Portsmouth, RI 02871-1225 | 2006-09-27 |
1508884503 | John R Radford | Pediatrics | 1611 27th St Ste 101, Portsmouth, OH 45662-6932 | 2006-07-17 |
1679529424 | Kevin Hodges | Pediatrics | 200 Griffin Rd, Suite 15, Portsmouth, NH 03801-7145 | 2006-05-25 |
1225089196 | Rick David Murphy | Pediatrics | 1405 11th St, Portsmouth, OH 45662 | 2006-05-15 |
1811956204 | 04gloria Villanueva De La Cruz | Pediatrics | 500 Rodman Ave, Portsmouth, VA 23707-3100 | 2006-03-22 |
1205800489 | Lilliam I. Ortiz | Pediatrics | 23030 State Route 73, Portsmouth, OH 45663-8861 | 2006-02-15 |
1528039328 | Caleb John Podraza | Pediatrics | Naval Medical Center Department of Pediatrics, 620 John Paul Jones Circle, Portsmouth, VA 23708 | 2006-01-30 |
1437129202 | Olivia Y Alegre - Ipanag | Pediatrics | 446 Effingham St., Ste 302, Portsmouth, VA 23704-4818 | 2006-01-25 |
Find all providers in PORTSMOUTH |
City | PORTSMOUTH |
Zip Code | 23708 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.