DR. DOUGLAS WILLIAM WISOR (NPI# 1902874449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902874449 |
Entity Type | Individual |
Full Name | DR. DOUGLAS WILLIAM WISOR |
Credential | MD |
Practice Address |
13700 St Francis Blvd Ste 501 Midlothian VA 23114 |
Mailing Address |
11350 Mccormick Road Executive Plaza 1, Suite 501 Hunt Valley MD 21031 |
Practice Telephone | 7039148000 |
Practice Fax Number | 7036421876 |
Mailing Telephone | 4103291071 |
Mailing Fax Number | 4103291054 |
Enumeration Date | 2006-03-10 |
Last Update Date | 2019-07-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation | 010152685 | VA | Allopathic & Osteopathic Physicians |
Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
0101052685 | VA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 6802966 | 05 |
Street Address |
13700 ST FRANCIS BLVD STE 501 |
City | MIDLOTHIAN |
State | VA |
Zip Code | 23114 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295370252 | Janel Lee Reynolds | Nurse Practitioner | 13700 St Francis Blvd Ste 501, Midlothian, VA 23114-3223 | 2019-11-14 |
1396266524 | Physical Medicine Associates Ltd | Physical Medicine & Rehabilitation | 13700 St Francis Blvd Ste 501, Midlothian, VA 23114-3223 | 2017-06-28 |
1518226000 | Erik Anthony Davis | Physical Medicine & Rehabilitation | 13700 St Francis Blvd Ste 501, Midlothian, VA 23114 | 2012-05-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174122162 | Jotava | In Home Supportive Care | 1607 Titanium Avenue, 202, Midlothian, VA 23114 | 2020-10-20 |
1104393735 | Shelley Hurwitz | Occupational Therapist | 13800 Bon Secours Drive, Midlothian, VA 23114 | 2018-11-01 |
1316412182 | Snehal Manmeet Mahajan | Physical Therapist | 13800 Bon Secours Dr., Midlothian, VA 23114 | 2018-10-09 |
1154814796 | Bon Secours St Francis Medical Center Inc. | Clinic/Center | 13700 St Francis Blvd Ste 105, Midlothian, VA 23114 | 2018-06-08 |
1023516630 | Leah Reed | Occupational Therapist | 13800 Bon Secours Dr, Midlothian, VA 23114 | 2018-01-29 |
1689122012 | Momentum Counseling and Wellness LLC | Social Worker | 431 Walton Park Road, Midlothian, VA 23114 | 2016-09-14 |
1750765996 | Arlene Roper | Physical Therapy Assistant | 1700 Redbourne Ct, Apt 101, Midlothian, VA 23114 | 2015-07-17 |
1518353937 | Tamaika Floy | Podiatrist | 611 Watkins Centre Pkwy Ste 170, Midlothian, VA 23114 | 2015-04-13 |
1760790489 | Markita Wolf | Psychologist | 831 Grove Rd Ste C, Midlothian, VA 23114 | 2010-09-15 |
1306153119 | Jacinda Beth Chaisson | Physical Therapist | 13700 St. Francis Blvd., Suite 103, Midlothian, VA 23114 | 2010-09-01 |
Find all providers in zip 23114 |
Taxonomy Code | 208VP0014X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pain Medicine |
Specialization | Interventional Pain Medicine |
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891787354 | Peyman Nazmi | Pain Medicine | 14404 Sommerville Ct, Midlothian, VA 23113-6835 | 2005-08-19 |
1417421975 | Solar Health, P.a | Pain Medicine | 110 Roundabout Dr Ste A, Midlothian, TX 76065-1990 | 2019-01-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215561493 | Margaret Ann Rickman | Pain Medicine | 80 College St Ste E, Christiansburg, VA 24073-2985 | 2020-02-27 |
1730749102 | Physical Medicine Associates, Ltd | Pain Medicine | 24560 Southpoint Drive, Ste. 120, Aldie, VA 20105 | 2019-06-18 |
1821561382 | Barton Joseph Adams | Pain Medicine | 1899 Oracle Way Apt 428, Reston, VA 20190-6735 | 2019-01-08 |
1114496734 | Coastal Virginia Spine and Pain Center LLC | Pain Medicine | 329 Edwin Dr Ste 100, Virginia Beach, VA 23462-4522 | 2018-11-14 |
1538427844 | Killpain LLC | Pain Medicine | 45929 Maries Road, Suite 100, Sterling, VA 20166 | 2012-04-25 |
1851617120 | Teresa Marie Kerge | Pain Medicine | 2549 Cowan Blvd, Fredericksburg, VA 22401-8440 | 2010-04-12 |
1114253366 | Spinal Atrs Institute, Pllc | Pain Medicine | 11412 Georgetown Pike, Great Falls, VA 22066-1316 | 2009-10-22 |
1538314208 | Qi Lin | Pain Medicine | 1356 Sir Richard Rd, Virginia Beach, VA 23455-4917 | 2008-11-22 |
1871767459 | Mark W Newman | Pain Medicine | 223 Bulifants Blvd Ste C, Williamsburg, VA 23188-5734 | 2008-04-15 |
1306940028 | Blue Ridge Pain Treatment Centers | Pain Medicine | 2034 Pro Pointe Ln, Harrisonburg, VA 22801-8021 | 2006-09-12 |
Find all providers with the same taxonomy |
City | MIDLOTHIAN |
Zip Code | 23114 |
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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.