Organization Active NPI

Wisdom Care

  • Primary Care Clinic/Center
  • Midlothian, VA
National Provider Identifier
1548764483
Registry record updated Mar 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
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

Updated by the provider on Mar 23, 2018

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

Authorized official

Name
Sumaira Malik, MDNPI 1528362746
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20180904002208 VA Part B Supplier - Clinic/Group Practice 4688924178 Receives reassigned benefits from 1 practitioner
Practice locations: Richmond, VA

National Provider Directory

National Provider Directory

Practitioners & 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.

Verify at the official NPI Registry.