DR. WANDA M PATTERSON (NPI# 1255301412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255301412 |
| Entity Type | Individual |
| Full Name | DR. WANDA M PATTERSON |
| Credential | M.D. |
| Practice Address |
11445 Sunset Hills Rd Kaiser Permanente Reston Medical Center Reston VA 20190-5276 |
| Mailing Address |
2101 E Jefferson St Kaiser Permanente Medicare Enrollment Rockville MD 20852-4908 |
| Practice Telephone | 7037091550 |
| Practice Fax Number | 7037091516 |
| Mailing Telephone | 3018162424 |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2011-11-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | D70346 | MD | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | MD038619 | DC | Allopathic & Osteopathic Physicians |
| Y | 207N00000X | Dermatology | 0101246626 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | AMERIHEALTH | 2351569000 | 01 |
| NJ | AETNA | 7565692 | 01 |
| NJ | CIGNA | 6234651 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548363625 | Wanda Sue Patterson | Counselor | 14961 W Bell Rd Ste A125, Surprise, AZ 85374-3200 | 2006-09-06 |
| 1316212764 | Wanda Michelle Patterson | Nurse Practitioner | 44 Aliant Pkwy, Alexander City, AL 35010-3426 | 2012-03-19 |
| Street Address |
11445 SUNSET HILLS RD KAISER PERMANENTE RESTON MEDICAL CENTER |
| City | RESTON |
| State | VA |
| Zip Code | 20190-5276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770824401 | Quynh Vu | Pharmacist | 11445 Sunset Hills Rd, Reston, VA 20190-5276 | 2013-03-05 |
| 1679875538 | Laura Magane Goyer | Physician Assistant | 11445 Sunset Hills Rd, Reston, VA 20190-5276 | 2010-11-29 |
| 1184925083 | Ann Sundaresan | Social Worker | 11445 Sunset Hills Rd, Reston, VA 20190-5276 | 2010-11-09 |
| 1588892335 | Jooyon Bae | Pharmacist | 11445 Sunset Hills Rd, Reston, VA 20190-5276 | 2009-06-30 |
| 1124265897 | Yvette Roberson | Internal Medicine | 11445 Sunset Hills Rd, Reston, VA 20190-5276 | 2009-01-16 |
| 1700049186 | Lawrence F.x. Kelly | Pediatrics | 11445 Sunset Hills Rd, Reston, VA 20190-5276 | 2008-07-07 |
| 1265604482 | Won Sook Hong | Pharmacist | 11445 Sunset Hills Rd, Reston, VA 20190-5276 | 2008-03-27 |
| 1407026743 | Mihi J. Park | Pharmacist | 11445 Sunset Hills Rd, Suite 300, Reston, VA 20190-5276 | 2008-03-03 |
| 1255549416 | Amy Daniels Thompson | Internal Medicine | 11445 Sunset Hills Rd, Reston, VA 20190-5276 | 2007-05-20 |
| 1376661124 | Margaret Kopelman | Dermatology | 11445 Sunset Hills Rd, Kaiser Permanente Reston Medical Center, Reston, VA 20190-5276 | 2007-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912548470 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1906 Reston Metro Plaza, Suite 100, Reston, VA 20190 | 2019-10-04 |
| 1205483260 | Northern Virginia Applied Behavior Analysis, L.L.C. | Behavioral Analyst | 1984 Issac Newton Square West, Suite 204, Reston, VA 20190 | 2019-08-23 |
| 1336796481 | Sandra Chiunda | Nurse Practitioner | 11484 Washington Plaza W 3rd Floor, Reston, VA 20190 | 2019-08-23 |
| 1891357232 | Beyond Counseling, Inc. | Clinic/Center | 11250 Roger Bacon Dr., Atrium 5, Reston, VA 20190 | 2019-07-06 |
| 1003470063 | Sarah Katharina Jungnitsch | Registered Nurse | Reston Anesthesia Associates, 11341 Sunset Hills Road, Reston, VA 20190 | 2019-04-25 |
| 1194202341 | May Health Care Services Inc | Home Health | 12110 Sunset Hills Road Suite 600, Reston, VA 20190 | 2018-07-20 |
| 1245739895 | Carlee B. Genung | Physician Assistant | 1760 Reston Parkway Suite 306, Reston, VA 20190 | 2018-02-09 |
| 1760901045 | Kristen Kelly | Dietitian, Registered | 11703 Bowman Green Drive, Lower Level, Reston, VA 20190 | 2017-09-18 |
| 1245778992 | Sarah Christine Bernstein | Occupational Therapist | 1860 Town Center Drive Ste, Suite 300, Reston, VA 20190 | 2017-02-02 |
| 1023495298 | Phillip Nguyen | Dentist | 1800 Town Center Dr Ste 116, Reston, VA 20190 | 2015-04-27 |
| Find all providers in zip 20190 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487186466 | Integrated Dermatology of Reston, LLC | Dermatology | 1886 Metro Center Dr Ste 650, Reston, VA 20190-5294 | 2017-03-30 |
| 1174589212 | Robert Gurney | Dermatology | 11315 Sunset Hills Rd, Reston, VA 20190-5205 | 2006-04-26 |
| 1568433860 | Theodore Stewart Sebastien | Dermatology | 1800 Town Center Drive, Ste 415, Reston, VA 20190 | 2006-01-27 |
| 1912464595 | Arnela Zukanovic | Dermatology | 1800 Town Center Dr Ste 212, Reston, VA 20190-3238 | 2019-03-01 |
| 1043423577 | Robert W. Gurney,m.d.,ltd. | Dermatology | 11315 Sunset Hills Rd, Reston, VA 20190-5205 | 2007-05-08 |
| 1376661124 | Margaret Kopelman | Dermatology | 11445 Sunset Hills Rd, Kaiser Permanente Reston Medical Center, Reston, VA 20190-5276 | 2007-03-27 |
| 1396815031 | Syed Amiry | Dermatology | 1830 Town Center Dr, Suite 410, Reston, VA 20190 | 2006-11-09 |
| 1083688238 | Dermatology Specialists of Virginia PC | Dermatology | 1800 Town Center Dr, Ste 415, Reston, VA 20190 | 2006-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902428709 | Clinical Dermatology Center, LLC | Dermatology | 14500 Avion Pkwy Ste 100, Chantilly, VA 20151-1108 | 2020-05-14 |
| 1760029904 | Loudoun Medical Group . P.c | Dermatology | 24560 Southpoint Dr Ste 230, Aldie, VA 20105-3504 | 2019-12-06 |
| 1588210330 | Brandi M Horner | Dermatology | 7650 E Parham Road, Ste 110, Richmond, VA 23294-4367 | 2019-08-16 |
| 1194383372 | Clarity Acne and Aesthetics LLC | Dermatology | 3345 Bridge Rd Ste 900, Suffolk, VA 23435-1848 | 2019-06-03 |
| 1356821235 | Sdm Virginia LLC | Dermatology | 4198 Cox Rd Ste 109, Glen Allen, VA 23060-3328 | 2018-08-20 |
| 1851877336 | Keri Church | Dermatology | 19455 Deerfield Ave Ste 311, Lansdowne, VA 20176-8102 | 2018-07-17 |
| 1972095974 | Verum Cutis Dermatology | Dermatology | 44110 Ashburn Shopping Plz Unit 237, Ashburn, VA 20147 | 2018-06-05 |
| 1710479936 | Integrated Dermatology of Gloucester, LLC | Dermatology | 6790 Wood Ridge Dr, Gloucester, VA 23061-4377 | 2018-06-04 |
| 1477077071 | Dulles Dermatology Associates, Pllc | Dermatology | 24430 Stone Springs Blvd Ste 275, Dulles, VA 20166-2247 | 2017-07-26 |
| 1336697093 | Seven Hills Dermatology, LLC | Dermatology | 119 Tradewynd Dr Ste A, Lynchburg, VA 24502-5288 | 2016-09-12 |
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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.