Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1225017817 Individual Practitioner Male Practitioner

Dr. Wade Wallace Wilde , MD

Pediatrics • Portsmouth, VA

Professional Overview & Biography Verified Profile Summary

Dr. Wade Wilde, MD is a registered healthcare professional specializing in Pediatrics in Portsmouth, VA. Practice services are available at 620 JOHN PAUL JONES CIR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

620 John Paul Jones Cir

Portsmouth, VA 237082111

Telephone 7579537133
Fax 7579537560
Associated Practice Facility / Clinic
🏢 Portsmouth Naval Hospital Facility NPI 1619939089

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Portsmouth, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.3 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
30 Specialists

Practicing in Portsmouth, VA (2079 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-03-09
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License OH 35.074229

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License VA 0101232539

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

37 Associated Practitioners
NPI 1023303583

Doctor of Osteopathic Medicine (D.O.)

Dr. Gordon Markham , MD

Emergency Medicine

NPI 1043447113

Doctor of Medicine (M.D.)

Dr. Grady Fortner , MD

Emergency Medicine

NPI 1043636202

Doctor of Medicine (M.D.)

NPI 1053583443

Doctor of Medicine (M.D.)

NPI 1063935518
Daniel Neubauer

General Practice

NPI 1073938262

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location March 09, 2026

Registered at 620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 237082111 (Tel: 7579537133)

📍
Updated Business Mailing Address March 09, 2026

Registered at 620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 237082111

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 09, 2026

Pediatrics (License #0101232539 in VA)

📍
Updated Practice Location November 23, 2020

Registered at 1029 S TRIMBLE RD, MANSFIELD, OH 449063427 (Tel: 4195212950)

📍
Updated Business Mailing Address November 23, 2020

Registered at 1029 S TRIMBLE RD, MANSFIELD, OH 449063427 (Tel: 4195212950)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 23, 2020

Pediatrics (License #35.074229 in OH)

NPI Profile Active October 03, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location October 03, 2013

Registered at 55 CLAIREDAN DR., POWELL, OH 43065 (Tel: 6148888989)

📍
Updated Business Mailing Address October 03, 2013

Registered at 55 CLAIREDAN DR., POWELL, OH 43065 (Tel: 6148888989)

👤
Provider Name / Credentials Updated October 03, 2013

Recorded as WADE WILDE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2013

Pediatrics (License #18724 in NE)

🟢
Initial NPI Registration & Enumeration January 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225017817
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 11, 2006
Last Update: March 09, 2026
Sole Proprietor: No

Mailing Address

620 John Paul Jones Cir

Portsmouth, VA 237082111

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.