Scott D. Wissman, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

D59935 Issued in MD

Practice address

9601 Blackwell Rd Ste 300
Rockville, MD 20850-3472

Phone

(301) 563-9333

Fax

(240) 800-1950

NPI assigned

Feb 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Scott D Wissman MD MPH PC

  dba Wonder Years Pediatrics

  • Pediatrics Physician
  • Rockville, MD
  • NPI 1144869694
  NPD Authorized official
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598054400000",
    "number": "1326013087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3342 QUESADA ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200151665",
            "telephone_number": "301-563-9333"
        },
        {
            "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": {
        "last_name": "WISSMAN",
        "first_name": "SCOTT",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2020-08-22",
        "certification_date": "2020-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D59935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213221400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ojhanay Wise
• Robert Philip Wise, MD, MPH
• Deja Wiseman
• Ashley Wishard
• Katherine Blair Wissman, LSCW-C
• Arnae Witherspoon
• Coryell Witherspoon
• Dionne Witherspoon
• Patrena K Witherspoon
• Amanda Z Witmer, PA-C

• 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 22, 2020; 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.