DR. ROBERT WHITING WILSON JR. (NPI# 1386757482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386757482 |
| Entity Type | Individual |
| Full Name | DR. ROBERT WHITING WILSON JR. |
| Credential | M.D. |
| Practice Address |
1800 Town Center Dr Ste 218 Reston VA 20190-3215 |
| Mailing Address |
1800 Town Center Dr Ste 218 Reston VA 20190-3238 |
| Practice Telephone | 7034378324 |
| Practice Fax Number | 7037090675 |
| Mailing Telephone | 7034378324 |
| Mailing Fax Number | 7035367407 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2012-08-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
MD039356 | DC | Allopathic & Osteopathic Physicians |
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
0101032806 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164957668 | Robert Wilson | Pharmacist | 11950 De Palma Rd, Corona, CA 92883-8499 | 2017-04-22 |
| 1487020566 | Robert Wilson | Acupuncturist | 537 W Washington St, Marquette, MI 49855-4133 | 2015-08-12 |
| 1205247129 | Robert Norman Wilson IIi | Student in an Organized Health Care Education/Training Program | Gru College of Dental Medicine, Augusta, GA 30912-0001 | 2014-05-13 |
| 1477971885 | Robert Borden Wilson | Pediatrics | 2300 Hospital Dr Ste 120, Bossier City, LA 71111-2193 | 2014-04-02 |
| 1922362888 | Robert Travis Wilson | Emergency Medicine | 517 Kerri Cove Ct Apt 104, Midlothian, VA 23113-6873 | 2012-06-26 |
| 1144589458 | Robert Wilson | Chiropractor | 132a N Central Ave, Centerville, TN 37033 | 2012-05-07 |
| 1649575937 | Robert George Wilson | Military Health Care Provider | 515 Tessentee Rd, Franklin, NC 28734 | 2011-01-18 |
| 1396078317 | Robert Max Wilson | Case Manager/Care Coordinator | 618 Manzano Ne, Albuquerque, NM 87110 | 2009-09-09 |
| 1013140672 | Robert James Wilson | Dentist | 1321 N Tennessee St, # 108, Mckinney, TX 75069-2142 | 2009-08-31 |
| 1417189994 | Robert P Wilson Jr. | Physical Therapist | 225 Evergreeen Road, Pottstown, PA 19464 | 2009-08-17 |
| Street Address |
1800 TOWN CENTER DR STE 218 |
| City | RESTON |
| State | VA |
| Zip Code | 20190-3215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528061074 | Kenneth Michael Karlin | Ophthalmology | 1800 Town Center Dr, Ste 317, Reston, VA 20190-3239 | 2005-05-27 |
| 1104352061 | Gwilym Parry Mdpc | Internal Medicine | 1800 Town Center Dr, Suite 212, Reston, VA 20190-3215 | 2017-05-11 |
| 1225564198 | Tessa Cholmondeley Md PC | Internal Medicine | 1800 Town Center Dr, Suite 212, Reston, VA 20190-3215 | 2017-05-11 |
| 1568858116 | Reston Eye Associates | Ophthalmology | 1800 Town Center Dr, Suite 316, Reston, VA 20190-3215 | 2015-04-10 |
| 1871922492 | David Cranford | Psychologist | 1800 Town Center Dr, Ste 420, Reston, VA 20190-3215 | 2013-11-04 |
| 1447684279 | Loudoun Medical Group PC | Obstetrics & Gynecology | 1800 Town Center Dr, Suite 220, Reston, VA 20190-3215 | 2013-08-28 |
| 1518301035 | Nova Medical Center, PC | Chiropractor | 1800 Town Center Dr, Suite 315b, Reston, VA 20190-3215 | 2013-04-26 |
| 1023353976 | Loudoun Medical Group PC | Internal Medicine | 1800 Town Center Dr, Suite 214, Reston, VA 20190-3215 | 2012-12-04 |
| 1811285612 | Stephanie Swanson | Obstetrics & Gynecology | 1800 Town Center Dr, Suite 220, Reston, VA 20190-3215 | 2011-07-13 |
| 1972809960 | Northern Virginia Pelvic Surgery Associates, PC | Obstetrics & Gynecology | 1800 Town Center Dr, Suite 311, Reston, VA 20190-3215 | 2011-02-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912548470 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1906 Reston Metro Plaza, Suite 100, Reston, VA 20190 | 2019-10-04 |
| 1205483260 | Northern Virginia Applied Behavior Analysis, L.L.C. | Behavioral Analyst | 1984 Issac Newton Square West, Suite 204, Reston, VA 20190 | 2019-08-23 |
| 1336796481 | Sandra Chiunda | Nurse Practitioner | 11484 Washington Plaza W 3rd Floor, Reston, VA 20190 | 2019-08-23 |
| 1891357232 | Beyond Counseling, Inc. | Clinic/Center | 11250 Roger Bacon Dr., Atrium 5, Reston, VA 20190 | 2019-07-06 |
| 1003470063 | Sarah Katharina Jungnitsch | Registered Nurse | Reston Anesthesia Associates, 11341 Sunset Hills Road, Reston, VA 20190 | 2019-04-25 |
| 1194202341 | May Health Care Services Inc | Home Health | 12110 Sunset Hills Road Suite 600, Reston, VA 20190 | 2018-07-20 |
| 1245739895 | Carlee B. Genung | Physician Assistant | 1760 Reston Parkway Suite 306, Reston, VA 20190 | 2018-02-09 |
| 1760901045 | Kristen Kelly | Dietitian, Registered | 11703 Bowman Green Drive, Lower Level, Reston, VA 20190 | 2017-09-18 |
| 1245778992 | Sarah Christine Bernstein | Occupational Therapist | 1860 Town Center Drive Ste, Suite 300, Reston, VA 20190 | 2017-02-02 |
| 1023495298 | Phillip Nguyen | Dentist | 1800 Town Center Dr Ste 116, Reston, VA 20190 | 2015-04-27 |
| Find all providers in zip 20190 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619583283 | Michelle Lynn Pope | Family Medicine | 731 Seaton Ave Unit 120, Alexandria, VA 22305-3052 | 2020-09-19 |
| 1821604885 | Lindsay J Callahan | Family Medicine | 13900 Buck Rub Dr, Midlothian, VA 23112-6111 | 2020-09-16 |
| 1376199273 | Senle Care | Family Medicine | 6628 E Wakefield Dr Apt B1, Alexandria, VA 22307 | 2019-08-15 |
| 1861860231 | Ram Singh | Family Medicine | 5637 Powell Valley Rd, Big Stone Gap, VA 24219-4127 | 2015-09-02 |
| 1306257803 | Michelle A Clements | Family Medicine | 5415 Airport Rd, Roanoke, VA 24012-1303 | 2014-05-19 |
| 1538472824 | Monroe Glass Baldwin II | Family Medicine | 2058 Garfield Ave, Lynchburg, VA 24501-6417 | 2010-07-15 |
| 1750618674 | Rafael Angel Roure | Family Medicine | 1304 Glen Burnie Ct, Virginia Beach, VA 23454-6580 | 2009-11-13 |
| 1164676409 | Nasrin Ejtemaee Md PC | Family Medicine | 8375a Greensboro Dr, Mc Lean, VA 22102-3529 | 2008-11-13 |
| 1841459922 | Yeneisha Greene | Family Medicine | 4201 Wilson Boulevard, Arlington, VA 22230 | 2008-06-04 |
| 1801096458 | Richard Detwiler Alderfer | Family Medicine | 137 Nottingham Ln, Waynesboro, VA 22980-6544 | 2007-07-23 |
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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.