BLOSSOM PAIN MANAGEMENT
NPI 1922510361
Family Medicine - Sports Medicine in Chesapeake, VA

Active since October 25, 2017CLIA 49D2155510 · Waiver
801 GREENBRIER PKWY STE B, CHESAPEAKE, VA 23320(757) 819-7547(757) 842-6570 Get Directions Write a Review

NPPES record last updated: January 4, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 4, 2022, Oct 25, 2017 (2 updates tracked since 2017).

About Blossom Pain Management NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLOSSOM PAIN MANAGEMENT (NPI 1922510361) is a healthcare organization registered as a sports medicine in Chesapeake, Virginia and active in the NPI registry since October 2017. The organization holds a CLIA Waiver certificate valid through September 30, 2026 and lists Ruth Ann Watson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1922510361
Entity TypeOrganization
Primary Taxonomy207QS0010X
Legal Business NameWZD MANAGEMENT LLC
Location Address801 GREENBRIER PKWY STE BChesapeake, VA 23320-3822
Mailing Address801 Greenbrier Pkwy Ste BChesapeake, VA 23320-3822 · (757) 819-7547 · Fax (757) 842-6570
Fax(757) 842-6570
Organization SubpartNo
Authorized OfficialRuth Ann WatsonExecutive Director · (757) 819-7547
Enumeration DateOctober 25, 2017
Last NPPES UpdateJanuary 4, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2022
NPI 1922510361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedInternal Medicine · Sports MedicineTaxonomy 207RS0010X
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X
801 GREENBRIER PKWY STE B, Chesapeake, VA 23320

Other Names 1

Doing Business AsBlossom Pain Management

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2155510

Wzd Management LLC · Chesapeake, VA
Active · expires Sep 30, 2026
CLIA Number49D2155510
Laboratory TypePhysician Office
Certificate Effective DateOctober 1, 2024
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorSergey Zhitar
Laboratory Phone(757) 819-7547
Laboratory LocationWzd Management LLC801 Greenbrier Parkway, Suite B, Chesapeake, VA 23320
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
801 GREENBRIER PKWY STE B
CHESAPEAKE, VA 23320

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wzd Management LLC's NPI number?

The NPI number for Wzd Management LLC is 1922510361. It was assigned to this organization in the NPPES registry on October 25, 2017.

Where is Wzd Management LLC located?

Wzd Management LLC is located at 801 Greenbrier Pkwy Ste B, Chesapeake, VA 23320. The listed phone number is (757) 819-7547.

What is Wzd Management LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Does Wzd Management LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2155510) is associated with this NPI, valid through September 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wzd Management LLC was last updated on January 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.