NPIMap

Individual provider Active NPI

Janet L Wasson, MD

  • Surgery Physician
  • Upper Marlboro, MD
National Provider Identifier
1790767069
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
D0044979 Issued in MD
Practice address
9658 Marlboro Pike
Upper Marlboro, MD 20772
Phone
(240) 788-7502
Fax
(301) 485-8467
NPI assigned
Nov 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X D0044979 MD Primary

Addresses

Primary practice location

9658 Marlboro Pike
Upper Marlboro, MD 20772

Mailing address

9658 Marlboro Pike
Upper Marlboro, MD 20772
Phone (241) 788-7502

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Potomac Center for Chronic Pain Management and Wellness, LLC Current Accepting new patients
Peninsula Surgical Group, P.a. Surgery Past Accepting new patients
Center for Vascular Medicine NJ, LLC Past Accepting new patients
Southern Maryland Professional Rad Past Accepting new patients
Southern Radiology MRI Partnership Past Accepting new patients
Center for Vein Restoration MD LLC Past Accepting new patients
Medical & Surgical Clinics of Southern Maryland Inc Surgery Past Accepting new patients
Peninsula Surgical Group, P.a. Past Accepting new patients

Locations

9658 Marlboro Pike
Upper Marlboro, MD 20772
Phone (240) 788-7502

Interoperability endpoints

  • Direct secure messaging: janet.wasson.p3@direct.cvr.nextgenshare.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477612800000",
    "number": "1790767069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9658 MARLBORO PIKE",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "20772",
            "telephone_number": "241-788-7502",
            "fax_number": "240-838-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9658 MARLBORO PIKE",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "20772",
            "telephone_number": "240-788-7502",
            "fax_number": "301-485-8467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSON",
        "first_name": "JANET",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-14",
        "last_updated": "2016-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D0044979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

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