MRS. RHONDA DANIELS WYNDER (NPI# 1053440453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053440453 |
| Entity Type | Individual |
| Full Name | MRS. RHONDA DANIELS WYNDER |
| Credential | MPAS, PA-C |
| Practice Address |
Jfhq Medical Command Bldg 306 Fort Pickett VA 23824 |
| Mailing Address |
1426a 4th Ave Fort Knox KY 40121-2294 |
| Practice Telephone | 4342925548 |
| Enumeration Date | 2007-03-04 |
| Last Update Date | 2013-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
JFHQ MEDICAL COMMAND BLDG 306 |
| City | FORT PICKETT |
| State | VA |
| Zip Code | 23824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447667753 | William White Jr. | Physician Assistant | Building 1876 Fort Pickett, Virginia Army National Guard, Blackstone, VA 23824 | 2014-07-18 |
| 1114248788 | Precious R. White | Physical Therapy Assistant | 703 Falls St., Blackstone, VA 23824 | 2010-06-18 |
| 1720224991 | Family Preservation Services, Inc | Community/Behavioral Health | 615, Blackstone, VA 23824 | 2008-12-18 |
| 1578651097 | Commonwealth Vision Center P.C. | Optometrist | 1447 South Main Street, Blackstone, VA 23824 | 2006-10-10 |
| 1548293194 | Bon Secours-virginia Healthsource | Family Medicine | 213 N Main St, Blackstone, VA 23824 | 2006-07-08 |
| 1326038720 | Blackstone Life Care, LLC | Skilled Nursing Facility | 900 S Main St, Blackstone, VA 23824 | 2005-10-26 |
| 1134610918 | Bennett Logistics, LLC | Transportation Broker | 212 Gravatt Ave, Blackstone, VA 23824-1210 | 2018-05-28 |
| 1700266277 | Jan's Residential Homes | Community Based Residential Treatment Facility, Mental Illness | 307 N High St, Blackstone, VA 23824-1421 | 2015-05-31 |
| 1982670261 | James L. Bradshaw | Dentist | 131 N Main St, Blackstone, VA 23824-1423 | 2006-02-27 |
| 1235125360 | Spencer's Drug Store, Inc. | Durable Medical Equipment & Medical Supplies | 100 N Main St, Blackstone, VA 23824-1424 | 2005-09-23 |
| Find all providers in zip 23824 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124638986 | Courtney Anne Kassner | Physician Assistant | 2706 Davis Ave, Alexandria, VA 22302-2817 | 2020-08-06 |
| 1295356145 | Nilofar Ariasaif | Physician Assistant | 15401 Bald Eagle Ln, Woodbridge, VA 22191-3782 | 2020-05-01 |
| 1396366555 | Sheelon Aghili | Physician Assistant | 5801 Hampton Forest Way, Fairfax, VA 22030-7254 | 2020-04-29 |
| 1679102347 | Mary Herrera | Physician Assistant | 6353 Center Dr Ste 204, Norfolk, VA 23502-0001 | 2020-04-05 |
| 1720614019 | Andrew James Meyers | Physician Assistant | 229 W Bute St Apt 207, Norfolk, VA 23510-1415 | 2020-03-18 |
| 1902432644 | Madison Alexis Cooper | Physician Assistant | 920 Battlefield Blvd S Ste 101, Chesapeake, VA 23322-4254 | 2020-03-13 |
| 1285296111 | Kimberly Stewart Hugo | Physician Assistant | 10932 Point Grey Road, Henrico, VA 23233-2429 | 2019-07-01 |
| 1558824698 | Jessica Leigh Pacuch | Physician Assistant | 2440 Raphine Rd, Raphine, VA 24472-2541 | 2019-04-06 |
| 1073074431 | Nicholas Alexander Jones | Physician Assistant | 924 Parley Pl, Chesapeake, VA 23323-4135 | 2019-03-28 |
| 1003371410 | Ryan Timothy Pyles | Physician Assistant | 25 Commerce Park Drive, Raphine, VA 24472 | 2019-02-11 |
| Find all providers with the same taxonomy | ||||
| City | FORT PICKETT |
| Zip Code | 23824 |
Please comment or provide details below to improve the information on MRS. RHONDA DANIELS WYNDER.
| 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.