Active NPI
Milan Wister, M.D.
- Internal Medicine Physician
- Pikesville, MD
National Provider Identifier
1013971563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D0030339
- Practice address
- 1838 Greene Tree Rd
Suite 535
Pikesville, MD 21208-6391 - Phone
- (443) 438-4925
- Fax
- (667) 239-3970
- NPI assigned
- Apr 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D0030339 | MD | Primary |
Addresses
Primary practice location
1838 Greene Tree Rd
Suite 535
Pikesville, MD 21208-6391
Mailing address
1838 Greene Tree Rd
Suite 535
Pikesville, MD 21208-6391
Phone (443) 438-4925
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0030339 | MD | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467072000000",
"number": "1013971563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1838 GREENE TREE RD",
"address_2": "SUITE 535",
"city": "PIKESVILLE",
"state": "MD",
"postal_code": "212086391",
"telephone_number": "443-438-4925",
"fax_number": "667-239-3970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1838 GREENE TREE RD",
"address_2": "SUITE 535",
"city": "PIKESVILLE",
"state": "MD",
"postal_code": "212086391",
"telephone_number": "443-438-4925",
"fax_number": "667-239-3970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISTER",
"first_name": "MILAN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-13",
"last_updated": "2016-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0030339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pikesville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.