DR. JOSEPH M WILEY (NPI# 1063455368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063455368 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH M WILEY |
| Credential | M.D. |
| Practice Address |
2401 W Belvedere Ave Dept of Pediatrics Baltimore MD 21215-5216 |
| Mailing Address |
2401 W Belvedere Ave Attn: Credentialing Baltimore MD 21215-5216 |
| Practice Telephone | 4106015303 |
| Practice Fax Number | 4106018766 |
| Mailing Telephone | 4106015524 |
| Mailing Fax Number | 4106018946 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2007-11-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | D32436 | MD | Allopathic & Osteopathic Physicians |
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
D32436 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | R/R MEDICARE GROUP # | CC3778 | 01 |
| MD | 7987380 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215442074 | Joseph Wiley | Pharmacist | 2148 Kaneck Way, Hephzibah, GA 30815-6973 | 2017-12-02 |
| 1699053561 | Joseph Wiley | Behavioral Analyst | 1515 E Tropicana Ave Ste 375, Las Vegas, NV 89119-6520 | 2011-07-26 |
| 1265594196 | Joseph W Wiley | Pediatrics | 1911 Cooks Hill Rd., Centralia, WA 98531 | 2006-12-15 |
| 1295208205 | Joseph Wiley | Community Health Worker | 100 N Broadway, Irvington, NY 10533-1254 | 2019-01-03 |
| 1073058947 | Joseph Zachary Wiley | Family Medicine | 4111 1st Ave Ste 3, Nitro, WV 25143-1345 | 2016-12-30 |
| 1902158124 | Joseph P Wiley | Counselor | 3020 Javier Rd, Fairfax, VA 22031-4609 | 2012-10-11 |
| Street Address |
2401 W BELVEDERE AVE DEPT OF PEDIATRICS |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21215-5216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679576086 | Herbert Graham Mathews IIi | Pharmacist | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2005-05-31 |
| 1245837749 | Lea Rose Foster | Physician Assistant | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2020-10-07 |
| 1912504705 | Cassidy Pickles | Physician Assistant | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2020-10-05 |
| 1023623519 | Evelyn Chavez | Physician Assistant | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2020-09-10 |
| 1265046742 | Nomy Thomas Jacob | Nurse Practitioner | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2020-09-02 |
| 1649880931 | Rebecca Rochowiak | Physician Assistant | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2020-08-03 |
| 1407465446 | Alexander James Morgan | Physician Assistant | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2020-07-27 |
| 1184233181 | Danish Mahmud Jilani | Student in an Organized Health Care Education/Training Program | 2401 W Belvedere Ave, Baltimore, MD 21215-5270 | 2020-07-24 |
| 1821616244 | Alisa N Li | Physician Assistant | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2020-07-13 |
| 1407474281 | Sushrutha Sridhar | Student in an Organized Health Care Education/Training Program | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2020-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639736796 | Talal Abalkhail | Student in an Organized Health Care Education/Training Program | 2401 W. Belvedere Avenue, Baltimore, Md 21215, Baltimore, MD 21215 | 2019-05-23 |
| 1235795410 | Bilal Khan | Student in an Organized Health Care Education/Training Program | 2041 West Belvedere Avenue, Balitmore, MD 21215 | 2019-05-14 |
| 1669036067 | Nasir M Alhamdan | Student in an Organized Health Care Education/Training Program | Of Baltimore, 2401 West Belvedere Ave, Baltimore, MD 21215 | 2019-05-01 |
| 1851863971 | Brittany Michelle O'neill | Specialist/Technologist | Hearing and Speech Agency, 5900 Metro Drive, Baltimore, MD 21215 | 2018-12-31 |
| 1881164432 | Emily Gamma | Social Worker | 4810 Seton Drive, Baltimore, MD 21215 | 2018-11-27 |
| 1518440478 | Benson Baby | Physical Therapist | 2525west Belveder Ave, Baltimore, MD 21215 | 2018-09-07 |
| 1609360817 | Bonnie Kahler | Clinical Nurse Specialist | 2401 Belvedere Avenue, Baltimore, MD 21215 | 2018-06-20 |
| 1932693843 | Kelley Monica Cohill | Social Worker | Sinai Hospital, Department of Psychiatry, 2440 Cylburn Ave., Baltimore, MD 21215 | 2018-06-15 |
| 1497245609 | Kimberly Beth Koerner | Social Worker | 2401 W. Belvedere Avenue, Baltimore, MD 21215 | 2018-05-14 |
| 1184113078 | Mary Jo Kozel | Registered Nurse | 2401 West Belvedere, Baltimore, MD 21215 | 2018-05-07 |
| Find all providers in zip 21215 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851730097 | Abdulhafiz Zakieh | Pediatrics | 1800 Orleans St Ste 11379, Baltimore, MD 21287-0010 | 2013-06-20 |
| 1568605467 | Challice L Bonifant | Pediatrics | 1650 Orleans St # 242, Baltimore, MD 21287-0013 | 2009-04-08 |
| 1023218377 | Francis Jay Mussai | Pediatrics | Pediatric Oncology Johns Hopkins Hospital, Cmsc 800, 600 N. Wolfe Street, Baltimore, MD 21287-0001 | 2007-07-24 |
| 1427194661 | Meredith Chuk | Pediatrics | Johns Hopkins Hospital 600 North Wolfe St, Cmsc 800, Baltimore, MD 21287-0001 | 2007-01-29 |
| 1093287286 | Kathleen Kaspar | Pediatrics | 1800 Orleans St, Baltimore, MD 21287-0010 | 2018-12-28 |
| 1992192249 | Michael Hoffmann Chan | Pediatrics | 1800 Orleans St Ste 11379, Baltimore, MD 21287-0010 | 2015-04-23 |
| 1679919948 | Emily Southard Rao | Pediatrics | 720 Rutland Ave # Ross1125, Baltimore, MD 21205-2109 | 2013-05-14 |
| 1811230048 | Yevgeniya Bamme | Pediatrics | 2401 W Belvedere Ave, Department of Pediatric Hematology/oncology, Baltimore, MD 21215 | 2013-04-06 |
| 1306188206 | John Ligon | Pediatrics | 1800 Orleans St Rm 11379, Baltimore, MD 21287 | 2013-03-19 |
| 1053678409 | Kathryn M Lemberg | Pediatrics | 1800 Orleans St, Bloomberg 11n, Baltimore, MD 21287-0010 | 2012-04-23 |
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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.