ILI WATHEN PA-C
NPI 1063722577
Physician Assistant in Waldorf, MD
NPI Status: Active since October 18, 2010
Contact Information
3500 OLD WASHINGTON RD STE 201
WALDORF, MD
ZIP 20602
Phone: (301) 396-2003
Fax: (240) 222-3134
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
- Individual
- Female
- Physician Assistant
About ILI WATHEN
This page provides the complete NPI Profile along with additional information for Ili Wathen, a primary care provider established in Waldorf, Maryland with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1063722577 assigned on October 2010. The practitioner's primary taxonomy code is 363A00000X with license number C0004349 (MD). The provider is registered as an individual and her NPI record was last updated July 2025.
- NPI
- 1063722577
- Provider Name
- ILI WATHEN PA-C
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3500 OLD WASHINGTON RD STE 201 WALDORF, MD 20602
- Location Phone
- (301) 396-2003
- Location Fax
- (240) 222-3134
- Mailing Address
- 11565 FARM DR LA PLATA, MD 20646
- Mailing Phone
- (301) 752-3667
- Mailing Fax
- (240) 222-3134
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-18-2010
- Last Update Date
- 07-28-2025
- Code Navigator
A primary care provider (PCP) like Ili Wathen sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- C0004349
- License State
- MD
- Taxonomy Description
- A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 6 | 3 | 7 | 2 | 2 | 5 | 7 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 12 | 3 | 14 | 2 | 4 | 5 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 2 + 3 + 1 + 4 + 2 + 4 + 5 + 1 + 4 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1063722577 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
DONNA COLACO LAC
Acupuncturist
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WALDORF, MD
ZIP 20602
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063722577, enumerated as an "individual" on October 18, 2010.
The provider is located at 3500 OLD WASHINGTON RD STE 201 WALDORF, MD 20602 and the phone number is (301) 396-2003.
Physician Assistant with taxonomy code 363A00000X.
