Kevin D Wilson (NPI# 1992715296, PAC ID# 7810056017) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1992715296 |
| PAC ID by PECOS | 7810056017 |
| Professional Enrollment ID | I20081103000622 |
| Full Name | Kevin D Wilson |
| Organization Legal Name | MARYVIEW HOSPITAL |
| Address |
3537 Airline Blvd Suite 1 Portsmouth VA 23701-2650 |
| Phone Number | 7577381225 |
| Gender | M |
| Medical School | UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 5799685632 |
| Number of Group Practice Members | 142 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490011 | BON SECOURS DEPAUL MEDICAL CENTER |
| 490017 | BON SECOURS MARYVIEW MEDICAL CENTER |
| 490007 | SENTARA NORFOLK GENERAL HOSPITAL |
| 490044 | SENTARA OBICI HOSPITAL |
| 490046 | SENTARA LEIGH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3537 Airline Blvd, Suite 1, Portsmouth, VA 23701-2650 | 7577381225 | MARYVIEW HOSPITAL |
| 3636 High St, Portsmouth, VA 23707-3236 | MARYVIEW HOSPITAL |
| Organization Legal Name | MARYVIEW HOSPITAL |
| Physicians | 155 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Taylor Brockman | Nurse Practitioner | Maryview Hospital | 148 Burnetts Way, Suite 107, Suffolk, VA 23434-6149 |
| Christianne Hayes | Nurse Practitioner | Maryview Hospital | 2897 Bridge Rd, Suffolk, VA 23435-1799 |
| Louisa A Ayafor | Psychiatry | Maryview Hospital | 3636 High St, Portsmouth, VA 23707-3236 |
| Jessica V Wood | Nurse Practitioner | Maryview Hospital | 3315 High St, Portsmouth, VA 23707-3319 |
| Ashley Lans | Nurse Practitioner | Maryview Hospital | 2613 Taylor Rd, Suite 201, Chesapeake, VA 23321-2246 |
| Haresh D Patel | Pulmonary Disease | Maryview Hospital | 1040 University Blvd, Suite 205, Chesapeake, VA 23321 |
| Faisal Siddiqui | Pulmonary Disease | Maryview Hospital | 4053 Taylor Rd N, Chesapeake, VA 23321-5526 |
| Brandee Leigh Winkler | Physician Assistant | Maryview Hospital | 2012 Meade Pkwy, Suffolk, VA 23434-4259 |
| Shannon M Lassiter | Nurse Practitioner | Maryview Hospital | 7185 Harbour Towne Pkwy, Suite 206, Suffolk, VA 23435-3656 |
| Barbara Sarris | Internal Medicine | Maryview Hospital | 301 Goode Way, Portsmouth, VA 23704-2266 |
| Street Address |
3537 AIRLINE BLVD SUITE 1 |
| City | PORTSMOUTH |
| State | VA |
| Zip | 23701-2650 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victor Teodoro Anglin Jr. | Emergency Medicine | Maryview Hospital | 3537 Airline Blvd, Suite 1, Portsmouth, VA 23701-2650 |
| Arinola R Allison | Nurse Practitioner | Maryview Hospital | 3537 Airline Blvd, Portsmouth, VA 23701-2650 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristen Reineke-piper | Family Medicine | Family Medicine Health Care Pllc | 6111 Portsmouth Blvd, Portsmouth, VA 23701-1342 |
| Joseph B Hollis | Gastroenterology | Family Medicine Health Care Pllc | 6111 Portsmouth Blvd, Portsmouth, VA 23701-1342 |
| Samir T Abdelshaheed | Family Medicine | Family Medicine Health Care Pllc | 6111 Portsmouth Blvd, Portsmouth, VA 23701-1342 |
| Kristin D Ramsey | Family Medicine | Family Medicine Health Care Pllc | 6111 Portsmouth Blvd, Portsmouth, VA 23701-1342 |
| Cornelius T Carwile Iii | Chiropractic | Tidewater Chiropractic Group P.C. | 4305 Portsmouth Blvd, Portsmouth, VA 23701-2539 |
| Christopher W Doriani | Clinical Social Worker | Eden Counseling Center | 4401 Portsmouth Blvd, Portsmouth, VA 23701-2541 |
| Doris M Rice | Internal Medicine | 3921 Kingman Ave, Portsmouth, VA 23701-2929 |
| City | PORTSMOUTH |
| Zip Code | 23701 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | PORTSMOUTH + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Kevin D Wilson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.