Aila Co Whiteside, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101279051 Issued in VA

Practice address

2088 Princess Anne Rd
Virginia Beach, VA 23456-4014

Phone

(757) 668-6700

Fax

(757) 668-6680

NPI assigned

Mar 23, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aila.co@pai.gwaydirect.com

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.

• Childrens Medical Group Inc

  dba General Booth Pediatrics

  • Pediatrics Physician
  • Virginia Beach, VA
  • NPI 1366597114
  NPD
• Pediatric Assoicates, Inc.

  • Pediatrics Physician
  • Canal Winchester, OH
  • NPI 1457346090
  NPD
• Oh Independent Medical Group LLC

  • Family Medicine Physician
  • Columbus, OH
  • NPI 1497482111
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1487185187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7750 DILEY RD STE A",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431107758",
            "telephone_number": "614-837-7337",
            "fax_number": "614-837-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2088 PRINCESS ANNE RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234564014",
            "telephone_number": "757-668-6700",
            "fax_number": "757-668-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITESIDE",
        "first_name": "AILA",
        "middle_name": "CO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-23",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "57.030225",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101279051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0409330",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan White, RBT
• Tyswaya Nicole White
• Terasha Whitehead
• Monique Whitehurst, FNP
• Saniyyah Whiters
• Roger Newell Whiteway, CS
• Alexis Whitfield
• Cesha Whitfield
• Dacia Whitfield
• Latifah Whitfield

• Pediatrics Physician in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.