Alyson Wychozowycz, PHYSICIAN ASSISTANT

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

23160 Moakley St
Leonardtown, MD 20650-2922

Phone

(301) 475-5511

NPI assigned

Aug 31, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alyson.wychozowyczpa.p2@direct.msmg.nextgenshare.com

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.

• Montefiore Medical Center

  • Anesthesiology Physician
  • Bronx, NY
  • NPI 1063525152
  Medicare reassignment NPD
• Montefiore Medical Center

  • Community/Retail Pharmacy
  • Bronx, NY
  • NPI 1194183715
  NPD
• St. Mary'S County Public Schools

  • Local Education Agency (LEA)
  • Leonardtown, MD
  • NPI 1437292216
  NPD (past)
• St.Marys County Public Schools/Infants and Toddlers Program

  • Local Education Agency (LEA)
  • Leonardtown, MD
  • NPI 1770915498
  NPD (past)
• NH Camp Pendleton

  • Military General Acute Care Hospital
  • Camp Pendleton, CA
  • NPI 1386604387
  NPD (past)

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1316465214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23160 MOAKLEY ST",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206502922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23160 MOAKLEY ST",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206502922",
            "telephone_number": "301-475-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYCHOZOWYCZ",
        "first_name": "ALYSON",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-31",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00571400",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA",
            "identifier": "1144384",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Pauline Wilt, MS, CCC-SLP
• Erica Audrey Winter, PA-C
• Karin Elisabeth Witte, M.D.
• Heather Wales Wolfe, LCMFT
• Sarah Justine Woodward, LCSW-C
• Anastasia Marie Newberry Wynn, LCSW-C
• Alissa Xavier
• Lisa Anne Yager, CRNP
• John Yazdan-Parasti, D.M.D
• Justin Patrick Yelverton, CRNA

• Medical Physician Assistant in Leonardtown, MD
• Providers in Leonardtown, MD by specialty
• Medical Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.