Joanne Rue Wunderlich, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101052372 Issued in VA

Practice address

1005 Commercial LN
Suite 220
Suffolk, VA 23434-8149

Phone

(757) 668-2600

Fax

(757) 668-2620

NPI assigned

Apr 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

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.

• Childrens Specialty Group PLLC

  • Pediatrics Physician
  • Norfolk, VA
  • NPI 1255354130
  Medicare reassignment NPD
• Anrae G. Applewhite, MD, PLLC

  • Primary Care Clinic/Center
  • Franklin, VA
  • NPI 1033531918
  NPD (past)
• Childrens Medical Group Inc

  • Pediatrics Physician
  • Suffolk, VA
  • NPI 1144468836
  NPD (past)
• Childrens Medical Group Inc

  • Pediatrics Physician
  • Virginia Beach, VA
  • NPI 1366597114
  NPD (past)

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403654400000",
    "number": "1821053422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 COMMERCIAL LN",
            "address_2": "SUITE 220",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348149",
            "telephone_number": "757-668-2600",
            "fax_number": "757-668-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 COMMERCIAL LN",
            "address_2": "SUITE 220",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348149",
            "telephone_number": "757-668-2600",
            "fax_number": "757-668-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUNDERLICH",
        "first_name": "JOANNE",
        "middle_name": "RUE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-18",
        "last_updated": "2014-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101052372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890629C",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "370006854",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6712525",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Schuetz Wright, MD
• Meronica Latisha Wright, CNA
• Theresa Marianna Wright, FNP-C
• Tiana M Wright
• WSSH Powerback Rehabilitation Services, LLC
• John Xie, MD
• Rupali Yakhmi, MD
• Rhonda Laruth Yancey, LCSW
• You 1St Healthcare
• Barbara Elizabeth Young, FNPC CDE

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.