DR. PHILIP WAYNE PERDUE (NPI# 1851353981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851353981 |
| Entity Type | Individual |
| Full Name | DR. PHILIP WAYNE PERDUE |
| Credential | M.D. |
| Practice Address |
8901 Wisconsin Avenue Department of Surgery, National Naval Medical Center Bethesda MD 20889-0001 |
| Practice Telephone | 3013194293 |
| Practice Fax Number | 3012950959 |
| Mailing Telephone | 3013194293 |
| Mailing Fax Number | 3012950959 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
16996 | OK | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417941923 | Philip Sutherland Perdue Jr. | Orthopaedic Surgery | 810 W H Smith Blvd, Greenville, NC 27834-3763 | 2005-09-12 |
| Street Address |
8901 WISCONSIN AVENUE DEPARTMENT OF SURGERY, NATIONAL NAVAL MEDICAL CENTER |
| City | BETHESDA |
| State | MD |
| Zip Code | 20889-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417951088 | Daniel Ricardo Elizondo | Ophthalmology | 8901 Wisconsin Avenue, Bethesda, MD 20889-5000 | 2005-06-10 |
| 1801418439 | Walter Guillory II | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2020-05-18 |
| 1952920720 | Aditya Patel | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Avenue, Walter Reed Military Medical Center, Bethesda, MD 20889-0001 | 2020-04-13 |
| 1366094294 | Julia Lynn Collazo | Dentist | 8901 Wisconsin Avenue, Building 9, 2nd Floor, Bethesda, MD 20889 | 2019-07-11 |
| 1417410515 | Samuel Woodle | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Avenue, Walter Reed Neurosurgery Residency, Bethesda, MD 20889 | 2019-04-08 |
| 1508328808 | Benjamin Ficke | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Avenue, Walter Reed National Medical Center, Bethesda, MD 20889-0001 | 2019-04-04 |
| 1740763093 | Kattie Khadar | Nurse Practitioner | 8901 Wisconsin Avenue, Bethesda, MD 20814 | 2018-09-12 |
| 1528559945 | Jonathan David Vignali | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2018-05-21 |
| 1669974150 | Maria Park | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Avenue, Pediatrics Walter Reed National Military Medical Center, Bethesda, MD 20889 | 2018-03-01 |
| 1265933949 | Amanda Cain | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Avenue, Walter Reed National Military Medical Center, Bethesda, MD 20889 | 2018-02-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457987034 | Michael Franco | Student in an Organized Health Care Education/Training Program | Internal Medicine - Walter Reed Nmmc, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2020-03-16 |
| 1245862135 | Kay Tomashek | Pediatrics | National Military Medical Center, 8901 Rockville Pike, Bethesda, MD 20889 | 2020-02-07 |
| 1104470657 | Adam Pink | Dentist | 8901 Wisconsin Ave Building 9 Floor 2, Bethesda, MD 20889 | 2019-08-01 |
| 1659939155 | Matthew Heller | Student in an Organized Health Care Education/Training Program | Psychiatry Walter Reed National Military Medica, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2019-05-30 |
| 1891258034 | Jane Ann Crotteau | Student in an Organized Health Care Education/Training Program | Pediatrics Walter Reed National Military Medical Center, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2019-04-12 |
| 1417434341 | Andrea Baeder | Dentist | 8901 Wisconsin Ave Bldg 9, Floor 2, Bethesda, AA 20889 | 2018-07-24 |
| 1942741723 | John Vance | Orthotist | Wrnmmc Orthotics, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2017-03-14 |
| 1790225704 | Sylvia Best | Pharmacist | 8901 Wisconsin Avenue Wrnmmc-, Americas Building 19- Internal Medicine Suite 2820, Bethesda, MD 20889 | 2017-02-24 |
| 1255783767 | Ryan Kaye | Student in an Organized Health Care Education/Training Program | Nsa Bethesda, 8901 Wisconsin Ave, Bethesda, Md 20889, Fpo, AA 20889 | 2016-07-08 |
| 1366861221 | Tara Elizabeth Brown | Internal Medicine | 8901 Wisconsin Avenue Walter Reed Nmmc, Bethesda, MD 20889 | 2014-04-08 |
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| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952942666 | Reza Moghaddasnia | Surgery | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 | 2019-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649613845 | Howard R Champion | Surgery | 954 Melvin Rd, Annapolis, MD 21403-1316 | 2013-04-08 |
| 1669730081 | Christian Damone Cain | Surgery | 22 S Greene St Dept Of, Baltimore, MD 21201 | 2012-04-24 |
| 1033485289 | Marcie Feinman | Surgery | 2435 W. Belvedere Ave. Suite 42, Hoffberger Building, Baltimore, MD 21215 | 2012-03-31 |
| 1962506436 | Vicki Elaine Reese | Surgery | 12146 Sweet Clover Dr, Silver Spring, MD 20904-1866 | 2006-09-12 |
| 1093725301 | Jeffrey Paul Muench | Surgery | 11119 Rockville Pike Ste 409, Rockville, MD 20852 | 2006-08-09 |
| 1285661314 | Eldon Leon Hawbaker | Surgery | 11912 Indian Ln, Hagerstown, MD 21742-4204 | 2006-06-26 |
| 1003311754 | Evan Wong | Surgery | 1800 Orleans St Ste 6107, Baltimore, MD 21287 | 2018-03-26 |
| 1639684434 | Jonathan James Morrison | Surgery | 22 S Greene St, Baltimore, MD 21201-1544 | 2017-12-04 |
| 1700256559 | Dimensions Healthcare Associates, Inc | Surgery | 2900 Mercy Ln, 2nd Floor, Cheverly, MD 20785-1157 | 2015-10-05 |
| 1124448162 | Patrick Franklin Walker | Surgery | 22 S Greene St, Baltimore, MD 21201-1544 | 2014-04-17 |
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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.