Organization Active NPI

Wynn Kao Dermatology, LLC

  • Dermatology Physician
  • Columbia, MD
National Provider Identifier
1225397458
Registry record updated May 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
D70980 Issued in MD
Legal business name
WYNN KAO DERMATOLOGY, LLC
Practice address
10705 Charter Dr Ste 330
Columbia, MD 21044-2885
Phone
(410) 730-1287
NPI assigned
May 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2012

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

Authorized official

Name
Dr. Wynn Kao, M.D.
Title
Director
Phone
(410) 730-1287

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X D70980 MD Primary

Addresses

Primary practice location

10705 Charter Dr Ste 330
Columbia, MD 21044-2885

Mailing address

10705 Charter Dr Ste 330
Columbia, MD 21044-2885

National Provider Directory

National Provider Directory

Locations

10705 Charter Dr
Ste 330
Columbia, MD 21044
Phone (410) 730-1287

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336435200000",
    "number": "1225397458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10705 CHARTER DR STE 330",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10705 CHARTER DR STE 330",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442885",
            "telephone_number": "410-730-1287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYNN KAO DERMATOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-08",
        "last_updated": "2012-05-08",
        "status": "A",
        "authorized_official_last_name": "KAO",
        "authorized_official_first_name": "WYNN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "410-730-1287",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D70980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.