CLYDE W WILCOX JR. (NPI# 1578549077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578549077 |
| Entity Type | Individual |
| Full Name | CLYDE W WILCOX JR. |
| Credential | MD |
| Practice Address |
6330 N Center Dr Bldg 13 Ste 220 Norfolk VA 23502-4008 |
| Practice Telephone | 7574660089 |
| Practice Fax Number | 7574668017 |
| Mailing Telephone | 7574660089 |
| Mailing Fax Number | 7574668017 |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
0101028216 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 7229321 | 05 |
| Street Address |
6330 N CENTER DR BLDG 13 STE 220 |
| City | NORFOLK |
| State | VA |
| Zip Code | 23502-4008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770567950 | Patsy J Loiacono | Nuclear Medicine | 6330 N Center Dr, Building 13 Ste 220, Norfolk, VA 23502-4008 | 2005-12-01 |
| 1780986802 | Pathways To Life, Inc. | Community/Behavioral Health | 6330 N Center Dr, Norfolk, VA 23502-4008 | 2010-11-22 |
| 1588838817 | Dwayne R Cook Heritage Mobile X-ray | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6330 N Center Dr, Suite 107, Norfolk, VA 23502-4008 | 2008-04-17 |
| 1225146947 | Farzana Mohtasham | Pathology | 6330 N Center Dr, Bldg 13 Suite 220, Norfolk, VA 23502-4008 | 2006-08-25 |
| 1730101171 | Pediatric Services of America, Inc. | Nursing Care | 6330 N Center Dr, Rappahannock Bldg # 13, Ste 142, Norfolk, VA 23502-4008 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295210706 | Advantage Home Care, LLC | Home Health | 5353 E. Princess Anne Rd., Suite C, Norfolk, VA 23502 | 2018-10-01 |
| 1336627207 | Sentara Medical Group | Emergency Medicine | 844 Kempsville Rd Ste 103, Norfolk, VA 23502 | 2018-08-02 |
| 1548753833 | Murphy's Absolute Home Care LLC | Home Health | 983 Ingleside Rd Ste 6, Norfolk, VA 23502 | 2018-06-11 |
| 1487143939 | Valerie Sowder | Social Worker | 6275 E Virginia Beach Blvd Ste 301, Norfolk, VA 23502 | 2018-05-09 |
| 1164938841 | Accupoint Diagnostics | Clinical Medical Laboratory | 6161 Kempsville Cir Ste 202, Norfolk, VA 23502 | 2017-12-18 |
| 1467979351 | Lakeshia Louise Perryman | Counselor | 6325 N. Center Drive, Bldg 18, Suite 208, Norfolk, VA 23502 | 2017-08-23 |
| 1841536125 | Golden Touch Enterprise | Durable Medical Equipment & Medical Supplies | 5680 Lowey Rd, Unit 410b, Norfolk, VA 23502 | 2012-12-14 |
| 1497029011 | Kristine B Rand | Counselor | 6325 N Center Dr Ste 208, Norfolk, VA 23502 | 2012-02-29 |
| 1427343706 | Erica Leigh Streander | Pharmacist | 471 North Military Hwy, Norfolk, VA 23502 | 2011-06-14 |
| 1215239330 | Atlantic Physical Therapy | Specialist/Technologist | 5610 Lewis Rd, Norfolk, VA 23502 | 2010-11-22 |
| Find all providers in zip 23502 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154928034 | Sentara Advanced Imaging Solutions, LLC | Radiology | 6201 E Virginia Beach Blvd Ste 104, Norfolk, VA 23502-2824 | 2020-10-05 |
| 1275854226 | Mary W. Huff | Radiology | 6478 Kenlake Ct, Norfolk, VA 23518-5326 | 2010-06-14 |
| 1285861708 | Christopher Daniel Maroules | Radiology | 1912 N Brandon Ave, Norfolk, VA 23507-1116 | 2009-06-11 |
| 1194969204 | Jeffrey Ryan Gourley | Radiology | 110 Kingley Lane, Suite 305, Norfolk, VA 23505-4617 | 2009-04-21 |
| 1902829260 | Rohan Anthony Stern | Radiology | 110 Kingsley Ln Ste 305, Norfolk, VA 23505-4617 | 2006-07-26 |
| 1013986413 | Julie Anne Krumreich | Radiology | 218 E 42nd St, Norfolk, VA 23504-1016 | 2006-03-16 |
| 1922077312 | Daniel J Melkus | Radiology | 1603 Bel Air Rd, Norfolk, NE 68701-2663 | 2006-03-16 |
| 1023008240 | Norbertina L Banson | Radiology | 835 Glenrock Rd, Ste 100a, Norfolk, VA 23502-3767 | 2005-10-27 |
| 1467069732 | Sentara Advanced Imaging Solutions, LLC | Radiology | 824 N Military Hwy Ste 100, Norfolk, VA 23502-3652 | 2020-09-30 |
| 1326465220 | Shannon B Wilson | Radiology | 600 Gresham Dr, Norfolk, VA 23507-1904 | 2014-03-28 |
| Find all providers in NORFOLK | ||||
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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.