Active NPI
Stephen Edward Wiggins, M.D.
- Family Medicine Physician
- Rockville, MD
National Provider Identifier
1568520054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D0025023
- Practice address
- 981 Rollins Ave
Rockville, MD 20852-5615 - Phone
- (301) 943-2400
- NPI assigned
- Dec 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D0025023 | MD | Primary |
Addresses
Primary practice location
981 Rollins Ave
Rockville, MD 20852-5615
Mailing address
9309 Old Georgetown Rd
Bethesda, MD 20814-1620
Phone (301) 493-2400
Other practice location 1
12090 Old Line Ctr
Waldorf, MD 20602-2556
Phone (301) 843-3888
Other practice location 2
19735 Germantown Rd Ste 300
Germantown, MD 20874-1223
Phone (301) 634-9600
Other practice location 3
3300 Briggs Chaney Rd
Silver Spring, MD 20904-4811
Phone (301) 943-2400
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0025023 | MD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
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.
-
dba Frederick Health Hospital
- 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": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1568520054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9309 OLD GEORGETOWN RD",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208141620",
"telephone_number": "301-493-2400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "981 ROLLINS AVE",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208525615",
"telephone_number": "301-943-2400"
}
],
"practiceLocations": [
{
"address_1": "12090 Old Line Ctr",
"address_purpose": "LOCATION",
"city": "Waldorf",
"state": "MD",
"postal_code": "206022556",
"country_code": "US",
"telephone_number": "301-843-3888",
"fax_number": "301-870-6838",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "19735 Germantown Rd Ste 300",
"address_purpose": "LOCATION",
"city": "Germantown",
"state": "MD",
"postal_code": "208741223",
"country_code": "US",
"telephone_number": "301-634-9600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3300 Briggs Chaney Rd",
"address_purpose": "LOCATION",
"city": "Silver Spring",
"state": "MD",
"postal_code": "209044811",
"country_code": "US",
"telephone_number": "301-943-2400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WIGGINS",
"first_name": "STEPHEN",
"middle_name": "EDWARD",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D0025023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.