Scott D Wissman MD MPH PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

SCOTT D WISSMAN MD MPH PC

Practice address

9601 Blackwell Rd Ste 300
Rockville, MD 20850-3472

Phone

(301) 563-9333

Fax

(240) 800-1950

NPI assigned

Jan 2, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Scott Donald Wissman, MD, MPHNPI 1326013087

Title

Owner

Phone

(301) 563-9333

Specialties & licenses 1

Addresses

Other names 1

• Wonder Years Pediatrics Doing business as

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott D. Wissman, M.D.

  • Pediatrics Physician
  • Rockville, MD
  • NPI 1326013087
  NPD Authorized official
• Masiray Bintia Kamara, MD

  • Pediatrics Physician
  • Takoma Park, MD
  • NPI 1376801498
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597968000000",
    "number": "1144869694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 BLACKWELL RD STE 330",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503472",
            "telephone_number": "202-986-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 BLACKWELL RD STE 300",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503472",
            "telephone_number": "301-563-9333",
            "fax_number": "240-800-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT D WISSMAN MD MPH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-02",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A",
        "authorized_official_last_name": "WISSMAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-563-9333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wonder Years Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wonder Years Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Benjamin L. Schwinke, LCPC, CRC
• Chelsea Scirrotto, COTA/L
• Hannah Scofield
• Kali Scotman
• Rosalia G Scotman, LMSW
• Jacqueline Scott-Smart
• Sian Eleri Scott-Taylor, RN
• Amanda Scott
• Anayla Scott
• Angela Scott

• Pediatrics Physician in Rockville, MD
• Providers in Rockville, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.