Organization Active NPI

Milan Wister, M.D., LLC

  • Internal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1619370376
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MILAN WISTER, M.D., LLC
Practice address
2 Hamill Rd
Suite 222
Baltimore, MD 21210-1806
Phone
(410) 653-0000
Fax
(443) 627-8308
NPI assigned
Oct 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2016

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

Authorized official

Name
Dr. Milan Wister, M.D.
Title
Owner
Phone
(443) 438-4925

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2 Hamill Rd
Suite 222
Baltimore, MD 21210-1806

Mailing address

1838 Greene Tree Rd
Suite 535
Pikesville, MD 21208-6391
Phone (443) 438-4925

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467072000000",
    "number": "1619370376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1838 GREENE TREE RD",
            "address_2": "SUITE 535",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212086391",
            "telephone_number": "443-438-4925",
            "fax_number": "667-239-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HAMILL RD",
            "address_2": "SUITE 222",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212101806",
            "telephone_number": "410-653-0000",
            "fax_number": "443-627-8308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILAN WISTER, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-08",
        "last_updated": "2016-06-28",
        "status": "A",
        "authorized_official_last_name": "WISTER",
        "authorized_official_first_name": "MILAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-438-4925",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "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 Jun 28, 2016; 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.