Waylan Ables Jr., MD
Individual provider Active NPI Surgery Physician · Springfield, VA
NPI 1811063134 · NPPES record last updated Oct 24, 2011
Key facts
- NPI
- 1811063134
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 0101039629 (VA)
- Practice address
- 6501 Loisdale CT
Kaiser Permanente Springfield Medical Center
Springfield, VA 22150-1826 - Phone
- (703) 922-1000
- NPI assigned
- Nov 28, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD15261 | DC | MD | Surgery Physician |
| D0033962 | MD | MD | Surgery Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | D0033962 | MD | |
| Surgery Physician | 208600000X | MD15261 | DC | |
| Surgery Physician | 208600000X | 0101039629 | VA | Yes |
Addresses
Primary practice location
6501 Loisdale CT
Kaiser Permanente Springfield Medical Center
Springfield, VA 22150-1826
Mailing address
2101 E Jefferson St
Kaiser Permanente Medicare Enrollment
Rockville, MD 20852-4908
Phone (301) 816-2424
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 546538YA9H | Other | DC | MEDICARE ID TYPE UNSPECIFIED |
Other providers in Springfield, VA
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- Leena Abed
- Abf Home Healthcare Services, LLC
- Nadine Abi Jaber
- Tiffany Abohasen
- Effat Abou Hassoun
- Karim Abouelenein
- Sawsan R Abousy
- Hanan Abu Ghannam
All providers in Springfield, VA · Surgery Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.