Kathleen J Wild (NPI# 1184897670, PAC ID# 2163670662) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1184897670 |
| PAC ID by PECOS | 2163670662 |
| Professional Enrollment ID | I20120906000736 |
| Full Name | Kathleen J Wild |
| Organization Legal Name | VIRGINIA HIGHLANDS ANESTHESIA PC |
| Address |
100 15th St Nw Norton VA 24273-1616 |
| Phone Number | 2766799600 |
| Gender | F |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 0648266437 |
| Number of Group Practice Members | 28 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490053 | JOHNSTON MEMORIAL HOSPITAL |
| 490001 | NORTON COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 100 15th St Nw, Norton, VA 24273-1616 | 2766799600 | VIRGINIA HIGHLANDS ANESTHESIA PC |
| Organization Legal Name | VIRGINIA HIGHLANDS ANESTHESIA PC |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward B Boyd | Certified Registered Nurse Anesthetist (crna) | Virginia Highlands Anesthesia PC | 100 15th St Nw, Norton, VA 24273-1616 |
| Geraud B Moyers | Certified Registered Nurse Anesthetist (crna) | Virginia Highlands Anesthesia PC | 100 15th St Nw, Norton, VA 24273-1616 |
| Bruce E Mcnulty | Certified Registered Nurse Anesthetist (crna) | Virginia Highlands Anesthesia PC | 100 15th St Nw, Norton, VA 24273-1616 |
| Steve A Worrell | Certified Registered Nurse Anesthetist (crna) | Virginia Highlands Anesthesia PC | 100 15th St Nw, Norton, VA 24273-1616 |
| Justin Scott Rose | Certified Registered Nurse Anesthetist (crna) | Virginia Highlands Anesthesia PC | 16000 Johnston Memorial Dr, Abingdon, VA 24211-7664 |
| Mark W Simcox | Anesthesiology | Virginia Highlands Anesthesia PC | 16000 Johnston Memorial Dr, Abingdon, VA 24211-7664 |
| Valerie A Bruce | Certified Registered Nurse Anesthetist (crna) | Virginia Highlands Anesthesia PC | 16000 Johnston Memorial Dr, Abingdon, VA 24211-7664 |
| Carrie Lee Sheppard | Certified Registered Nurse Anesthetist (crna) | Virginia Highlands Anesthesia PC | 16000 Johnston Memorial Dr, Abingdon, VA 24211-7664 |
| Michael A Ratliff | Certified Registered Nurse Anesthetist (crna) | Virginia Highlands Anesthesia PC | 16000 Johnston Memorial Dr, Abingdon, VA 24211-7664 |
| Michael J Rosenfeld | Anesthesiology | Virginia Highlands Anesthesia PC | 100 15th St Nw, Norton, VA 24273-1616 |
| Street Address |
100 15TH ST NW |
| City | NORTON |
| State | VA |
| Zip | 24273-1616 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward B Boyd | Certified Registered Nurse Anesthetist (crna) | Virginia Highlands Anesthesia PC | 100 15th St Nw, Norton, VA 24273-1616 |
| Geraud B Moyers | Certified Registered Nurse Anesthetist (crna) | Virginia Highlands Anesthesia PC | 100 15th St Nw, Norton, VA 24273-1616 |
| Bruce E Mcnulty | Certified Registered Nurse Anesthetist (crna) | Virginia Highlands Anesthesia PC | 100 15th St Nw, Norton, VA 24273-1616 |
| Steve A Worrell | Certified Registered Nurse Anesthetist (crna) | Virginia Highlands Anesthesia PC | 100 15th St Nw, Norton, VA 24273-1616 |
| Renee May Miranda | Family Medicine | Western Virginia Regional Emergency Physicians LLC | 100 15th St Nw, Norton, VA 24273-1616 |
| Aaron Cho | Emergency Medicine | Western Virginia Regional Emergency Physicians LLC | 100 15th St Nw, Norton, VA 24273-1616 |
| Ethel Longmire O'neal | Diagnostic Radiology | Mountain Empire Radiology Inc PC | 100 15th St Nw, Norton, VA 24273-1616 |
| Jane Shaw | Emergency Medicine | Western Virginia Regional Emergency Physicians LLC | 100 15th St Nw, Norton, VA 24273-1616 |
| Michael J Rosenfeld | Anesthesiology | Virginia Highlands Anesthesia PC | 100 15th St Nw, Norton, VA 24273-1616 |
| Amy H Erickson | Certified Registered Nurse Anesthetist (crna) | Virginia Highlands Anesthesia PC | 100 15th St Nw, Norton, VA 24273-1616 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian S Newberry | Internal Medicine | Norton Community Physician Services LLC | 96 15th Nwst, Suite 111, Norton, VA 24273 |
| Jody B Bentley | Internal Medicine | Norton Community Physician Services LLC | 96 15th Nwst, Suite 111, Norton, VA 24273 |
| James Matthew Wilson | Family Medicine | Norton Community Physician Services LLC | 96 15th Nwst, Suite 111, Norton, VA 24273 |
| Isam T Zibdeh | Obstetrics/gynecology | Norton Community Physician Services LLC | 96 15th Nwst, Suite 111, Norton, VA 24273 |
| Nicanor B Concepcion | Urology | Nicanor B. Concepcion, M.d. P.C. | 624 Park Ave, Norton, VA 24273-0909 |
| Leslie A Davis | Nurse Practitioner | Family Preservation Services Inc | 340 Anderson Hollow Rd, Norton, VA 24273-1100 |
| Revonda C Watts | Nurse Practitioner | Family Preservation Services Inc | 340 Anderson Hollow Rd, Suite 200, Norton, VA 24273-1100 |
| Jonathan M. Hutchins | Nurse Practitioner | Wellmont Medical Associates Inc | 310 3rd St Ne, Norton, VA 24273-1137 |
| Elizabeth C Cooperstein | Family Medicine | App of Tennessee Ed Pllc | 310 3rd St Ne, Norton, VA 24273-1137 |
| Ismael H Tura | Internal Medicine | Wellmont Medical Associates Inc | 310 3rd St Ne, Norton, VA 24273-1137 |
| Find all physicians in zip 24273 | |||
| City | NORTON |
| Zip Code | 24273 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | NORTON + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Kathleen J Wild.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.