MIRIAM WILDEMAN (NPI# 1033405089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033405089 |
| Entity Type | Individual |
| Full Name | MIRIAM WILDEMAN |
| Credential | M.D. |
| Practice Address |
1 Hospital Dr Fl 3 Charlottesville VA 22908-2818 |
| Mailing Address |
Po Box 9007 Charlottesville VA 22906-9007 |
| Practice Telephone | 4349824403 |
| Practice Fax Number | 4349240217 |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2017-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
0101258500 | VA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1 HOSPITAL DR FL 3 |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22908-2818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366585952 | Alyssa Benning | Physician Assistant | 1 Hospital Dr Fl 3, Charlottesville, VA 22908-0001 | 2007-02-14 |
| 1801214473 | Chelsea M Frame | Physician Assistant | 1 Hospital Dr Fl 3, Charlottesville, VA 22908-0001 | 2014-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568020410 | Alexis Evans | Physician Assistant | 1215 Lee St Nnicu, Charlottesville, VA 22908 | 2019-06-04 |
| 1649702317 | Ryan Aschenbrener | Student in an Organized Health Care Education/Training Program | 545 Ray C Hunt Drive Suite 2400, Charlottesville, VA 22908 | 2017-03-31 |
| 1215399241 | Katherine Gresham Belote | Student in an Organized Health Care Education/Training Program | 1221 Lee Street Uva Health System, Charlottesville, VA 22908 | 2016-03-29 |
| 1851776215 | Catherine Meller | Student in an Organized Health Care Education/Training Program | 1215 Lee St., Box 800713, Charlottesville, VA 22908 | 2015-07-28 |
| 1295112597 | Breanna Campbell | Internal Medicine | 1220 Lee St Ste 2401, Charlottesville, VA 22908 | 2015-05-06 |
| 1013255637 | Melinda Bowles-childress | Nurse Practitioner | 1 Hospital Dr Fl 1, Charlottesville, VA 22908 | 2013-01-17 |
| 1053521757 | Univeristy of Virginia Health System | General Acute Care Hospital | University of Virginia Health System, 1215 Lee Street, Chalrlottesville, VA 22908 | 2007-05-23 |
| 1730241282 | Imre Noth | Internal Medicine | 1221 Lee St Fl 2, Charlottesville, VA 22908 | 2006-12-14 |
| 1023185394 | Tamer Ghanem | Otolaryngology | Dept. Otolaryngology, University of Virginia, 1 Hospital Dr., 2nd Floor Oms Rm 2747, Charlottesville, VA 22908 | 2006-11-29 |
| 1366401242 | Lisa M Christianson | Obstetrics & Gynecology | Uva Elson Student Health Center, 400 Brandon Avenue, Charlottesville, VA 22908 | 2006-03-21 |
| Find all providers in zip 22908 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215376959 | Angela Yu-jye Wu | Pathology | 1215 Lee Street - Box Number 800214, Charlottesville, VA 22908-0001 | 2013-06-16 |
| 1134298755 | James C. Boyd | Pathology | Hospital Dr, Charlottesville, VA 22908-0001 | 2006-11-07 |
| 1427064252 | Hina Qureshi LLC | Pathology | 2030 Avon Ct Ste 5, Charlottesville, VA 22902-8735 | 2006-08-01 |
| 1518951771 | Thomas H Dudley Jr. | Pathology | 500 Martha Jefferson Dr., Charlottesville, VA 22911 | 2005-09-02 |
| 1992125793 | Chelsea Elizabeth Gottlieb | Pathology | 500 Martha Jefferson Dr, Charlottesville, VA 22911 | 2014-04-18 |
| 1851535363 | Jeffery Tyler Green | Pathology | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 | 2009-04-28 |
| 1760648349 | Lamis A Shatat | Pathology | 1215 Lee St, Charlottesville, VA 22908-9274 | 2008-08-02 |
| 1609996057 | Mani S. Mahadevan | Pathology | 1215 Lee St, Charlottesville, VA 22908-0001 | 2007-03-30 |
| 1447379243 | Helen P. Cathro | Pathology | 1215 Lee St, Charlottesville, VA 22908-0816 | 2007-03-29 |
| 1144360819 | Kenneth Sikkwong Tung | Pathology | Uva Old Medical School, Hospital Drive, Charlottesville, VA 22908-0001 | 2007-02-08 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22908 |
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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.