DR. BEVERLY WADDELL-JIGGETTS (NPI# 1073671988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073671988 |
| Entity Type | Individual |
| Full Name | DR. BEVERLY WADDELL-JIGGETTS |
| Credential | MD |
| Practice Address |
14139 Potomac Mills Road Woodbridge VA 22192-4644 |
| Mailing Address |
Kaiser Permanente Mid Atlantic Permanente Medical Group 2101 E Jefferson St Ppqa Medicare Compliance Unit 6 W Rockville MD 20852-4908 |
| Practice Telephone | 7034908400 |
| Practice Fax Number | 7034907701 |
| Mailing Telephone | 3018162424 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2011-11-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | MD039469 | DC | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | D0071877 | MD | Allopathic & Osteopathic Physicians |
| Y | 207V00000X | Obstetrics & Gynecology | 0101045183 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
14139 POTOMAC MILLS ROAD |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22192-4644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447224167 | Bethanne K Miller | Obstetrics & Gynecology | 14139 Potomac Mills Road, Kaiser Permanente Woodbridge Center, Woodbridge, VA 22192-4644 | 2006-02-17 |
| 1235496811 | Ebony Makeda Richards | Pediatrics | 14139 Potomac Mills Road, Pediatrics, Woodbridge, VA 22192 | 2012-04-19 |
| 1265577753 | Deepshikha Goyal | Pediatrics | 14139 Potomac Mills Road, Woodbridge, VA 22192 | 2007-02-21 |
| 1013062926 | Lisa A Pauls | Pediatrics | 14139 Potomac Mills Road, Woodbridge, VA 22192 | 2007-01-24 |
| 1689724437 | David Alan Dickey | Nurse Practitioner | 14139 Potomac Mills Road, Woodbridge, VA 22192-4644 | 2007-01-12 |
| 1033269790 | Herbert Norman Furst | Optometrist | 14139 Potomac Mills Road, Woodbridge, VA 20192-4644 | 2007-01-12 |
| 1962569996 | Stuart Q Hopkins | Internal Medicine | 14139 Potomac Mills Road, Woodbridge, VA 22192-4644 | 2007-01-02 |
| 1881759124 | Cynthia L Heins | Internal Medicine | 14139 Potomac Mills Road, Woodbridge, VA 22192-4644 | 2006-12-27 |
| 1295895746 | Clementina F Battad | Pediatrics | 14139 Potomac Mills Road, Woodbridge, VA 22192-4644 | 2006-12-12 |
| 1366503708 | Douglas Kiessling | Optometrist | 14139 Potomac Mills Road, Woodbridge, VA 20192-4644 | 2006-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245873645 | Ursula Jackson | Technician | 3500 Commission Ct, Woodbridge, VA 22192 | 2019-10-18 |
| 1205480779 | Ki Soo Park | Physical Therapy Assistant | 12825 Minnieville Road Suite 201, Lake Ridge, VA 22192 | 2019-08-01 |
| 1801448329 | Karen Lee Trivett | Specialist/Technologist, Other | 12584 Darby Brook Court, Woodbridge, VA 22192 | 2019-07-15 |
| 1407313166 | Nichele Amelia Thompson | Behavioral Analyst | 2731 Marblestone Dr, 101, Woodbridge, VA 22192 | 2019-02-28 |
| 1952877870 | Kimberly Ann Rojas Vazquez | Behavioral Analyst | 12531 Clipper Dr, Suite 203, Woodbridge, VA 22192 | 2018-10-18 |
| 1104391614 | Ykim Dental | Dentist | 2680 Optiz Blvd., Suite 120, Woodbridge, VA 22192 | 2018-10-11 |
| 1013418755 | Arm Transport | Non-emergency Medical Transport (VAN) | 13000 Harbor Center Dr Ste 132d, Woodbridge, VA 22192 | 2018-02-27 |
| 1811496813 | Francesca Nasi | Behavioral Analyst | 12531 Clipper Dr Ste 203, Woodbridge, VA 22192 | 2018-02-05 |
| 1942729504 | Bismark Transportation Service LLC | Non-emergency Medical Transport (VAN) | 12341 Woodlawn Court, Woodbridge, VA 22192 | 2017-09-14 |
| 1992226344 | Arm Baby Eldery Home Health LLC | Home Health | 13000 Harbor Center Dr # 312c, Woodbridge, VA 22192 | 2017-07-06 |
| Find all providers in zip 22192 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598158107 | Frederick Naftolin | Obstetrics & Gynecology | 4 Stonewall Ln, Woodbridge, CT 06525-1413 | 2015-03-07 |
| 1023277027 | Lloyd Kenneth Mitler | Obstetrics & Gynecology | 56 Brookwood Dr, Woodbridge, CT 06525-2635 | 2008-06-04 |
| 1033382049 | Brad B Swelstad | Obstetrics & Gynecology | 13580 Groupe Dr Ste 105, Woodbridge, VA 22192-4163 | 2008-04-10 |
| 1043499205 | Zohreh Nikkhah Abyaneh | Obstetrics & Gynecology | 2026 Opitz Blvd Ste A, Woodbridge, VA 22191-3332 | 2007-10-24 |
| 1013939040 | Grigor Khachikian | Obstetrics & Gynecology | 1950 Opitz Blvd, Woodbridge, VA 22191-3304 | 2006-07-25 |
| 1467416305 | Douglas Edwin Heritage | Obstetrics & Gynecology | 2026a Opitz Blvd, Woodbridge, VA 22191-3306 | 2006-04-17 |
| 1518928696 | Jocelyn Kehinde Ajala | Obstetrics & Gynecology | 2296 Opitz Blvd Ste 440, Woodbridge, VA 22191-3355 | 2006-03-29 |
| 1447224167 | Bethanne K Miller | Obstetrics & Gynecology | 14139 Potomac Mills Road, Kaiser Permanente Woodbridge Center, Woodbridge, VA 22192-4644 | 2006-02-17 |
| 1790775625 | Maggie L Ray | Obstetrics & Gynecology | 12690 Catawba Dr, Woodbridge, VA 22192-6414 | 2005-10-22 |
| 1669932265 | Stephanie E Taber | Obstetrics & Gynecology | 2296 Opitz Blvd Ste 440, Woodbridge, VA 22191-3355 | 2019-03-21 |
| Find all providers in WOODBRIDGE | ||||
| City | WOODBRIDGE |
| Zip Code | 22192 |
Please comment or provide details below to improve the information on DR. BEVERLY WADDELL-JIGGETTS.
| 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.