Active NPI
Wyndham Hopkins Wilson, MD, PHD
- Medical Oncology Physician
- Bethesda, MD
National Provider Identifier
1679863989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 14230
- Practice address
- Room 4N115 BLDG 10
9000 Rockville Pike
Bethesda, MD 20892-0001 - Phone
- (301) 435-2415
- NPI assigned
- Apr 8, 2011
- 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 |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | 14230 | WV | Primary |
Addresses
Primary practice location
Room 4N115 BLDG 10
9000 Rockville Pike
Bethesda, MD 20892-0001
Mailing address
Room 4N115 BLDG 10
9000 Rockville Pike
Bethesda, MD 20892-0001
Phone (301) 435-2415
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)
- Not enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14230 | WV | MD | Medical Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302220800000",
"number": "1679863989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ROOM 4N115 BLDG 10",
"address_2": "9000 ROCKVILLE PIKE",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208920001",
"telephone_number": "301-435-2415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ROOM 4N115 BLDG 10",
"address_2": "9000 ROCKVILLE PIKE",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208920001",
"telephone_number": "301-435-2415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "WYNDHAM",
"middle_name": "HOPKINS",
"name_prefix": "Dr.",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-08",
"last_updated": "2011-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "WV",
"license": "14230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.