Edward Ellison Wing, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

0101240033 Issued in VA

Practice address

1037 Champions Way
Suite 300
Suffolk, VA 23435-3764

Phone

(757) 335-7165

Fax

(757) 335-7167

NPI assigned

Jun 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lifetime Women's Health and Fitness Centers P.C.Group PAC ID 8022243583, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sentara Obici Hospital Hospital, Suffolk, VA, CCN 490044

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Lifetime Women's Health & Fitness Centers P.C.

  • Specialist
  • Suffolk, VA
  • NPI 1093068371
  Medicare reassignment Care Compare group NPD Authorized official
• Obhg Virginia, LLC

  • Obstetrics & Gynecology Physician
  • Midlothian, VA
  • NPI 1972807394
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sentara Hospitals

  dba Sentara Obici Hospital

  • General Acute Care Hospital
  • Suffolk, VA
  • NPI 1376540138
  Care Compare affiliation

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1598792525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 CHAMPIONS WAY",
            "address_2": "SUITE 300",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353764",
            "telephone_number": "757-335-7165",
            "fax_number": "757-335-7167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 CHAMPIONS WAY",
            "address_2": "SUITE 300",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353764",
            "telephone_number": "757-335-7165",
            "fax_number": "757-335-7167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Oak St",
            "address_purpose": "LOCATION",
            "city": "Farmville",
            "state": "VA",
            "postal_code": "239011199",
            "country_code": "US",
            "telephone_number": "434-315-2950",
            "fax_number": "434-315-2959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WING",
        "first_name": "EDWARD",
        "middle_name": "ELLISON",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101240033",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101240033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vershawnia Wilson
• Ymirah Wilson
• Isabella Winemiller
• Chaniece Winfield, LPC
• Jaidyn Winfield
• John E Wing, M.D.
• Jamie B Winner, N.P.
• Annderria Winston, LMT
• Dorothy M T Wise, CCC-SLP
• Wishing Well Counseling Center, PLLC

• Obstetrics & Gynecology Physician in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Obstetrics & Gynecology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.

Verify at the official NPI Registry.