WZD Management LLC

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

Legal business name

WZD MANAGEMENT LLC

Doing business as

Blossom Pain Management

Practice address

801 Greenbrier Pkwy Ste B
Chesapeake, VA 23320-3822

Phone

(757) 819-7547

Fax

(757) 842-6570

NPI assigned

Oct 25, 2017

Organization subpart

No

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

Authorized official

Name

Ruth Ann Watson

Title

Executive Director

Phone

(757) 819-7547

Specialties & licenses 3

Addresses

Other names 1

• Blossom Pain Management Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sergey Zhitar, MD

  • Addiction Medicine (Internal Medicine) Physician
  • Virginia Beach, VA
  • NPI 1881639375
  Medicare reassignment NPD

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641254400000",
    "number": "1922510361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 GREENBRIER PKWY STE B",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203822",
            "telephone_number": "757-819-7547",
            "fax_number": "757-842-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 GREENBRIER PKWY STE B",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203822",
            "telephone_number": "757-819-7547",
            "fax_number": "757-842-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WZD MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-25",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "RUTH ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "757-819-7547"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blossom Pain Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Allen Wymer, M.D.
• Sherrell Wynder, LCSW
• Carmen Marie Wynes, NP
• Kenya Shanel Wynne
• Rebecca Taylor Wynne, RPH
• Xcellence Health and Support Services Inc
• Xcellence Home Health Inc
• Y Christian Care LLC
• Scott Lee Yagel, M.D.
• Katelyn Yahne, COTA/L

• Sports Medicine (Family Medicine) Physician in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Sports Medicine (Family Medicine) Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.