Active NPI
Virginia C Wiley, M.D.
- Family Medicine Physician
- Walkersville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D0063227
- Practice address
- 19 W Frederick St
Walkersville, MD 21793-8230 - Phone
- (301) 845-6336
- Fax
- (240) 578-4478
- NPI assigned
- Nov 7, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D0063227 | MD | Primary |
Addresses
Primary practice location
19 W Frederick St
Walkersville, MD 21793-8230
Mailing address
610 Solarex CT
Frederick, MD 21703-8624
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 926580505 | Medicaid | MD | |
| 926580506 | Medicaid | MD |
Other names 1
- Ginger C Wiley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0063227 | MD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Family Medicine | Current | Accepting new patients |
| Privia Care Center LLC | Current | Accepting new patients | |
| Menocal Medical Services PA | Family Medicine | Current | Accepting new patients |
| Privia Care Center LLC | Current | Accepting new patients | |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140
301 Saint Paul St
Ste 409
Baltimore, MD 21202
Phone (410) 659-7041
610 Solarex Ct
Frederick, MD 21703
Phone (301) 663-6162
110 Baughmans Ln
Ste 140
Frederick, MD 21702
Phone (240) 215-1138
610 Solarex Ct
#2
Frederick, MD 21703
11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810
19 W Frederick St
Walkersville, MD 21793
Phone (301) 662-8541
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Arlington, VA
- NPI 1013042480
Family Medicine, MD
-
- Family Medicine Physician
- Frederick, MD
- NPI 1083795918
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1730664012
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470096000000",
"number": "1023099033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 SOLAREX CT",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217038624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 W FREDERICK ST",
"city": "WALKERSVILLE",
"state": "MD",
"postal_code": "217938230",
"telephone_number": "301-845-6336",
"fax_number": "240-578-4478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILEY",
"first_name": "VIRGINIA",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-07",
"last_updated": "2016-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D0063227",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "926580505",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "926580506",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GINGER",
"last_name": "WILEY",
"middle_name": "C",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Walkersville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.