John M Wing, MD, MPH&TM

Primary specialty

Aerospace Medicine PhysicianTaxonomy code 2083A0100X

License

MD429016 Issued in PA

Practice address

Eaats-M
Care of Dmva
Annville, PA 17003-5004

Phone

(717) 861-9175

Fax

(717) 861-8235

NPI assigned

Feb 20, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497890354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 2 BOX 469",
            "city": "ANNVILLE",
            "state": "PA",
            "postal_code": "170039206",
            "telephone_number": "717-865-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EAATS-M",
            "address_2": "CARE OF DMVA",
            "city": "ANNVILLE",
            "state": "PA",
            "postal_code": "170035004",
            "telephone_number": "717-861-9175",
            "fax_number": "717-861-8235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WING",
        "first_name": "JOHN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD, MPH&TM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "VA",
            "license": "0101044296",
            "primary": false
        },
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "PA",
            "license": "MD429016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Weck
• Wellspan Medical Group
• Alyssa Michelle Wene
• Barry H. Wexler, DDS
• White Woods Counseling Services LLC
• Audrea Zechman, LMT, MMP
• David M Zielinski, PA-C

• Aerospace Medicine Physician in Annville, PA
• Providers in Annville, PA by specialty
• Aerospace Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.