NPIMap

Individual provider Active NPI

Wendla K Citron, M.D.

  • Radiation Oncology Physician
  • Glen Burnie, MD
National Provider Identifier
1477588846
Registry record updated Dec 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
D0063808 Issued in MD
Practice address
305 Hospital Dr
Tate Cancer Center
Glen Burnie, MD 21061-5805
Phone
(410) 553-8100
NPI assigned
Jul 12, 2006
Last updated
Dec 16, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X D0063808 MD Primary

Addresses

Primary practice location

305 Hospital Dr
Tate Cancer Center
Glen Burnie, MD 21061-5805

Mailing address

305 Hospital Drive
Tate Cancer Center
Glen Burnie, MD 21061
Phone (410) 553-8100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20061020000071 MD Practitioner - Radiation Oncology 1951307602 Reassigns benefits to 4 organizations
I20250304001259 DC Practitioner - Radiation Oncology 1951307602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryland Proton Treatment Center, LLCGroup PAC ID 5597070524, 23 clinicians

Practice addresses (Care Compare)

22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-6080

850 W Baltimore St
Baltimore, MD 21201-1154
Phone (410) 227-7434

9333 Healthcare Way
Suite 1 A100
Upper Marlboro, MD 20774-5484
Phone (667) 225-3130

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Baltimore Washington Medical Center Inc. Radiation Oncology Current Accepting new patients
Maryland Proton Treatment Center, LLC CurrentSince Nov 1, 2015 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Sep 16, 2018 Accepting new patients
University of Maryland Radiation Oncology Associates PA Radiation Oncology CurrentSince Jan 1, 2016 Accepting new patients
Baltimore Washington Medical Center Inc. CurrentSince Oct 2, 2008 Accepting new patients
Radiation Oncology Services of Northwest Baltimore, LLC Radiation Oncology Past Accepting new patients
Arundel Physicians Associates, LLC Past Accepting new patients
Northwest Baltimore Radiation Therapy Regional Center, LLC Radiation Oncology Past Accepting new patients
Baltimore Washington Medical Center Inc. Past Accepting new patients

Locations

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

850 W Baltimore St
Baltimore, MD 21201
Phone (410) 227-7434

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

219 S Washington St
Easton, MD 21601

300 Hospital Dr
Ste 136
Glen Burnie, MD 21061

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

305 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 553-8100

7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150

9333 Healthcare Way
Ste 1A100
Uppr Marlboro, MD 20774

Interoperability endpoints

  • Direct secure messaging: wcitron20752@direct.umm.edu

Organizations & group practices 9

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229385600000",
    "number": "1477588846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 HOSPITAL DRIVE",
            "address_2": "TATE CANCER CENTER",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "21061",
            "telephone_number": "410-553-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 HOSPITAL DR",
            "address_2": "TATE CANCER CENTER",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615805",
            "telephone_number": "410-553-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CITRON",
        "first_name": "WENDLA",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2008-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MD",
            "license": "D0063808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.