Active NPI
Wisdom Care
- Primary Care Clinic/Center
- Midlothian, VA
National Provider Identifier
1548764483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- WISDOM CARE
- Practice address
- 3306 Barkham Dr
Midlothian, VA 23112-4578 - Phone
- (904) 728-0329
- NPI assigned
- Mar 23, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sumaira Malik, MD
- Title
- President
- Phone
- (904) 728-0329
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
3306 Barkham Dr
Midlothian, VA 23112-4578
Mailing address
3306 Barkham Dr
Midlothian, VA 23112-4578
Phone (904) 728-0329
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521763200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1521763200000",
"number": "1548764483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3306 BARKHAM DR",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231124578",
"telephone_number": "904-728-0329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3306 BARKHAM DR",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231124578",
"telephone_number": "904-728-0329"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WISDOM CARE",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-23",
"last_updated": "2018-03-23",
"status": "A",
"authorized_official_last_name": "MALIK",
"authorized_official_first_name": "SUMAIRA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "904-728-0329",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midlothian, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.