Provider Demographics
NPI:1912901596
Name:WILHITE, ANNE O'BRIEN (MD)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:O'BRIEN
Last Name:WILHITE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10136 CHEROKEE RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23235-1106
Mailing Address - Country:US
Mailing Address - Phone:804-839-6471
Mailing Address - Fax:
Practice Address - Street 1:10136 CHEROKEE RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23235-1106
Practice Address - Country:US
Practice Address - Phone:804-839-6471
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-10
Last Update Date:2016-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101039929207L00000X
NC2012-00483207L00000X
GA66916207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA42512OtherCARENET
VA005720869Medicaid
VA008954828Medicaid
VA001003C37Medicare ID - Type Unspecified
VAC89241Medicare UPIN
VA005720869Medicaid