Organization Active NPI

Wondwosen Abdi, MD,PA

  • Gastroenterology Physician
  • Baltimore, MD
National Provider Identifier
1386839637
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
WONDWOSEN ABDI, MD,PA
Practice address
5411 Old Frederick Rd
Suite 11
Baltimore, MD 21229-2195
Phone
(410) 747-5520
Fax
(410) 747-5521
NPI assigned
Sep 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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

Authorized official

Name
Dr. Wondwosen Abdi, MD
Title
Physician
Phone
(410) 747-5520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

5411 Old Frederick Rd
Suite 11
Baltimore, MD 21229-2195

Mailing address

5411 Old Frederick Rd
Suite 11
Baltimore, MD 21229-2195
Phone (410) 747-5520

National Provider Directory

National Provider Directory

Locations

5411 Old Frederick Rd
Ste 11
Baltimore, MD 21229
Phone (410) 205-9013

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1386839637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5411 OLD FREDERICK RD",
            "address_2": "SUITE 11",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212292195",
            "telephone_number": "410-747-5520",
            "fax_number": "410-747-5521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5411 OLD FREDERICK RD",
            "address_2": "SUITE 11",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212292195",
            "telephone_number": "410-747-5520",
            "fax_number": "410-747-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WONDWOSEN ABDI, MD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "ABDI",
        "authorized_official_first_name": "WONDWOSEN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "410-747-5520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.