Active NPI
Wilson Parrish Daugherty, M.D., PH. D.
- Neurological Surgery Physician
- Norfolk, VA
National Provider Identifier
1023094950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 0101259100
- Practice address
- 301 Riverview Ave Ste 202a
Norfolk, VA 23510-1065 - Phone
- (757) 252-9140
- Fax
- (757) 793-4149
- NPI assigned
- Dec 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 0101259100 | VA | Primary |
| Neurological Surgery Physician | 207T00000X | 2011-01173 | NC |
Addresses
Primary practice location
301 Riverview Ave Ste 202a
Norfolk, VA 23510-1065
Mailing address
301 Riverview Ave Ste 202a
Norfolk, VA 23510-1065
Phone (757) 252-9140
Other practice location 1
600 Gresham Dr
Ste 8630
Norfolk, VA 23507-1904
Phone (757) 388-6105
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Virginia Commonwealth University, School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1080 1St Colonial Rd
Suite 400
Virginia Beach, VA 23454-2406
Phone (757) 395-1880
Hospital & facility affiliations
- Sentara Norfolk General Hospital
- Sentara Leigh Hospital
- Sentara Obici Hospital
- Sentara Virginia Beach General Hospital
- Sentara Princess Anne Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 47 |
| Laminectomy or laminotomy (partial removal of spine bones) | 14 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentara Medical Group | Current | Accepting new patients |
Locations
850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162
600 Gresham Dr
Ste 8630
Norfolk, VA 23507
Phone (757) 388-6105
301 Riverview Ave
Ste 202A
Norfolk, VA 23510
Phone (757) 252-9015
1080 First Colonial Rd
Ste 400
Virginia Beach, VA 23454
Phone (757) 395-1880
Interoperability endpoints
- wdaugherty174016@direct.sentara.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Norfolk, VA
- NPI 1265485270
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Suffolk, VA
- NPI 1376540138
-
- General Acute Care Hospital
- Norfolk, VA
- NPI 1437119310
-
- General Acute Care Hospital
- Virginia Beach, VA
- NPI 1629038336
-
- General Acute Care Hospital
- Norfolk, VA
- NPI 1811957681
-
- General Acute Care Hospital
- Virginia Beach, VA
- NPI 1528028396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728518400000",
"number": "1023094950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 RIVERVIEW AVE STE 202A",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235101065",
"telephone_number": "757-252-9140",
"fax_number": "757-793-4149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 RIVERVIEW AVE STE 202A",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235101065",
"telephone_number": "757-252-9140",
"fax_number": "757-793-4149"
}
],
"practiceLocations": [
{
"address_1": "600 Gresham Dr",
"address_2": "STE 8630",
"address_purpose": "LOCATION",
"city": "Norfolk",
"state": "VA",
"postal_code": "235071904",
"country_code": "US",
"telephone_number": "757-388-6105",
"fax_number": "757-388-6106",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAUGHERTY",
"first_name": "WILSON",
"middle_name": "PARRISH",
"credential": "M.D., PH. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2024-10-10",
"certification_date": "2024-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "VA",
"license": "0101259100",
"primary": true
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "NC",
"license": "2011-01173",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.