Active NPI
Lyman Dwight Wooster, M.D
- Internal Medicine Physician
- Baltimore, MD
National Provider Identifier
1457378481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D0022043
- Practice address
- 601 N Caroline St
Baltimore, MD 21287-0006 - Phone
- (410) 955-0670
- NPI assigned
- Jul 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D0022043 | MD | Primary |
Addresses
Primary practice location
601 N Caroline St
Baltimore, MD 21287-0006
Mailing address
PO Box 64264
Baltimore, MD 21264-4264
Phone (410) 955-0670
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0002 F288 | Other | DC | BS OF DC |
| 422947-01 | Other | MD | BS OF MD |
| 409013509 | Other | MD | RR MEDICARE |
| 971491000 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Interoperability endpoints
- lwooster35315@direct.hopkinsmedicine.org
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361404800000",
"number": "1457378481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 64264",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212644264",
"telephone_number": "410-955-0670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 N CAROLINE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212870006",
"telephone_number": "410-955-0670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOSTER",
"first_name": "LYMAN",
"middle_name": "DWIGHT",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-16",
"last_updated": "2013-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0022043",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS OF DC",
"identifier": "0002 F288",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS OF MD",
"identifier": "422947-01",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "409013509",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "971491000",
"state": "MD"
}
],
"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 Feb 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.