JESSICA WIRE (NPI# 1316478472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316478472 |
| Entity Type | Individual |
| Full Name | JESSICA WIRE |
| Credential | M.D. |
| Practice Address |
2300 Opitz Blvd Woodbridge VA 22191-3311 |
| Practice Telephone | 7035231470 |
| Mailing Telephone | 7035231470 |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2020-10-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 0101269456 | VA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11750 Bird Rd, Miami, FL 331753530 | 3052232000 | 3052275556 |
| Street Address |
2300 OPITZ BLVD |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22191-3311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730180944 | Bestpractices, Inc. | Emergency Medicine | 2300 Opitz Blvd, Woodbridge, VA 22191-3311 | 2005-08-10 |
| 1457967580 | Rodaba Ahmadi Meherzad | Specialist/Technologist, Other | 2300 Opitz Blvd, Woodbridge, VA 22191-3311 | 2020-09-23 |
| 1548800659 | Apsara Aryal | Nurse Practitioner | 2300 Opitz Blvd, Woodbridge, VA 22191-3311 | 2020-01-07 |
| 1255986147 | Premier Anesthesia of Virginia LLC | Nurse Anesthetist, Certified Registered | 2300 Opitz Blvd, Woodbridge, VA 22191-3311 | 2019-08-07 |
| 1457816522 | Imrad of Virginia Pllc | Radiology | 2300 Opitz Blvd, Woodbridge, VA 22191-3311 | 2019-02-04 |
| 1245704022 | Claire Caine | Nurse Anesthetist, Certified Registered | 2300 Opitz Blvd, Woodbridge, VA 22191-3311 | 2019-01-15 |
| 1912479692 | Mohammad Omar Malikasghar | Surgery | 2300 Opitz Blvd, Woodbridge, VA 22191-3311 | 2018-12-19 |
| 1811463086 | New Life Medical LLC | Internal Medicine | 2300 Opitz Blvd, Woodbridge, VA 22191-3311 | 2018-10-16 |
| 1396246732 | Chayamorn Leeraksakiat | Nurse Anesthetist, Certified Registered | 2300 Opitz Blvd, Woodbridge, VA 22191 | 2018-02-21 |
| 1386151587 | Libby Oldenburg | Nurse Anesthetist, Certified Registered | 2300 Opitz Blvd, Woodbridge, VA 22191-3311 | 2018-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861021131 | Bailey Orthodontics Pllc | Dentist | 16446 Navigation Drive, Woodbridge, VA 22191 | 2020-04-07 |
| 1417589326 | Meseret Abate | Registered Nurse | 15608 William Bayliss Ct, Woodbridge, VA 22191 | 2020-02-08 |
| 1992279327 | Velocity Urgent Care, LLC | Clinic/Center | 16422 Navigation Dr, Woodbridge, VA 22191 | 2019-01-18 |
| 1821577263 | Maame Gyasiwah Banahene | Registered Nurse | 1812 Featherstone Rd, Woodbridge, VA 22191 | 2018-08-07 |
| 1235617507 | Yaw P. Baidoo | Nutritionist | 14960 Potomac Heights Pl Apt 503, Woodbridge, VA 22191 | 2018-07-30 |
| 1477048452 | Anahita Abazari | Optometrist | 14901 Potomac Town Pl, Suite 120, Woodbridge, VA 22191 | 2018-06-22 |
| 1619490661 | Misti S Gray | Nurse Practitioner | 2296 Optiz Blvd, Suite 440, About Women Ob/gyn, Woodbridge, VA 22191 | 2017-07-21 |
| 1568991974 | Patrice Whilby | Behavior Technician | 2264 York Drive Apt 302, Woodbridge, VA 22191 | 2017-06-08 |
| 1508395245 | Maria Theresa Lee | Registered Nurse | 2028b Opitz Blvd # 22191, Woodbridge, VA 22191 | 2017-06-07 |
| 1861943763 | A1 Home Care, LLC | Home Health | 13928 Jefferson Davis Hwy, Ste # C, Woodbridge, VA 22191 | 2016-10-17 |
| Find all providers in zip 22191 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770857419 | Waseem El-halabi | Emergency Medicine | 231 S Park Dr, Apartment E3, Woodbridge, NJ 07095-1948 | 2012-02-27 |
| 1639333990 | Leslie Jean Hain | Emergency Medicine | 15 Aldo Dr, Woodbridge, CT 06525-1735 | 2008-07-16 |
| 1659498020 | Kenneth David Steiner | Emergency Medicine | 1 Woodbridge Ctr Ste 400, Woodbridge, NJ 07095-1159 | 2007-03-23 |
| 1447296157 | Madeline Reyes | Emergency Medicine | 12054 Tango Ln, Woodbridge, VA 22193-4194 | 2006-06-21 |
| 1063464113 | Sunday C Uchella | Emergency Medicine | 14904 Jefferson Davis Hwy., #402, Woodbridge, VA 22191-3311 | 2006-05-17 |
| 1881644458 | Mohamed H. El Mawan | Emergency Medicine | 14904 Jefferson Davis Hwy #204, Woodbridge, VA 20109 | 2006-05-12 |
| 1578549135 | Adrienne Marie Buggs | Emergency Medicine | 13792 Smoketown Rd, Woodbridge, VA 22192-4205 | 2005-12-15 |
| 1730180944 | Bestpractices, Inc. | Emergency Medicine | 2300 Opitz Blvd, Woodbridge, VA 22191-3311 | 2005-08-10 |
| 1437513066 | Christina Houser | Emergency Medicine | 2300 Opitz Blvd, Woodbridge, VA 22191-3311 | 2016-04-09 |
| 1851786180 | Marc Hiller | Emergency Medicine | 2300 Opitz Blvd, Woodbridge, VA 22191 | 2015-04-03 |
| Find all providers in WOODBRIDGE | ||||
| City | WOODBRIDGE |
| Zip Code | 22191 |
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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.