Andria Maxine Wiggins

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C02990 Issued in MD

Practice address

7711 Garrison Rd
Landover Hills, MD 20784-1756

Phone

(301) 306-0099

Fax

(301) 306-0059

NPI assigned

Oct 2, 2010

Last updated

Oct 2, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• None None Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Workwell Physicals Inc

  • Occupational Medicine Clinic/Center
  • Silver Spring, MD
  • NPI 1881917383
  NPD (past)

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

{
    "created_epoch": "1285977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285977600000",
    "number": "1285943688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7842 SCOTLAND DR",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208544063",
            "telephone_number": "301-300-1674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7711 GARRISON RD",
            "city": "LANDOVER HILLS",
            "state": "MD",
            "postal_code": "207841756",
            "telephone_number": "301-306-0099",
            "fax_number": "301-306-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGINS",
        "first_name": "ANDRIA",
        "middle_name": "MAXINE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-02",
        "last_updated": "2010-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C02990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NONE",
            "last_name": "NONE",
            "credential": "PA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Cecilia F Turay, CNA/GNA/HHA
• Bani Gabsia Ukeria
• Wal-Mart Stores East LP (Walmart Pharmacy 10-5129)
• Larry Wall
• Roderick Irving Wellington, LCPC, NCC, CFC
• Ayana C Williams, D.D.S.
• Anthony Yindui Wusegho
• Crystal P Yeldell, MD
• Emnet Yibeltal, MD

• Physician Assistant in Landover Hills, MD
• Providers in Landover Hills, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2010; 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.