Individual provider Active NPI

John M Wysong, B.S., L.AC.

  • Acupuncturist
  • Columbia, MD
National Provider Identifier
1699974592
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U00962 Issued in MD
Practice address
9145 Guilford Rd Ste 100
Columbia, MD 21046-2576
Phone
(410) 880-4215
NPI assigned
Jul 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X U00962 MD Primary

Addresses

Primary practice location

9145 Guilford Rd Ste 100
Columbia, MD 21046-2576

Mailing address

9145 Guilford Rd Ste 100
Columbia, MD 21046-2576
Phone (410) 880-4215

Other names 1

  • No Other Name Other name

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
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
U00962MDMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1699974592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9145 GUILFORD RD STE 100",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462576",
            "telephone_number": "410-880-4215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9145 GUILFORD RD STE 100",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462576",
            "telephone_number": "410-880-4215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYSONG",
        "first_name": "JOHN",
        "middle_name": "M",
        "name_prefix": "Prof.",
        "credential": "B.S., L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U00962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NO",
            "last_name": "NAME",
            "middle_name": "OTHER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.