Active NPI
Scott J Wiesenberger, MD
- Anesthesiology Physician
- Bethesda, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- D0070972
- Practice address
- 4330 E West Hwy
Suite 1100
Bethesda, MD 20814-4408 - Phone
- (301) 986-8010
- NPI assigned
- Feb 14, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD038866 | DC | |
| Anesthesiology Physician | 207L00000X | 0101247880 | VA | |
| Anesthesiology Physician | 207L00000X | D0070972 | MD | Primary |
Addresses
Primary practice location
4330 E West Hwy
Suite 1100
Bethesda, MD 20814-4408
Mailing address
14907 Michele Dr
Glenelg, MD 21737-9419
Phone (954) 594-4950
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Miami, LM Miller School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3407 Olandwood CT
Unit 103
Olney, MD 20832-1447
Phone (301) 570-8671
7120 Minstrel Way
Suite 100
Columbia, MD 21045-5274
Phone (410) 290-6677
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD038866 | DC | MD | Anesthesiology Physician |
| 0101247880 | VA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North American Partners in Anesthesia Maryland LLC | Anesthesiology | Current | Accepting new patients |
| Columbia Outpatient Sedation LLC | Anesthesiology | Current | Accepting new patients |
| Olney Endoscopy Center | Past | Accepting new patients | |
| Home Physicians Baltimore, PC | Past | Accepting new patients |
Locations
1419 Forest Dr
Ste 105
Annapolis, MD 21403
6430 Rockledge Dr
Ste 160
Bethesda, MD 20817
Phone (301) 312-6144
7120 Minstrel Way
Ste 100
Columbia, MD 21045
Phone (571) 210-4828
12200 Annapolis Rd
Ste 220
Glenn Dale, MD 20769
Phone (301) 699-2296
1300 Bellona Ave
Ste A
Lutherville Timonium, MD 21093
Phone 4102964616203
3407 Olandwood Ct
Unit 103
Olney, MD 20832
Phone (301) 570-8671
9 Park Center Ct
Ste 100
Owings Mills, MD 21117
Phone (410) 205-7667
5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727
68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Prince Frederick, MD
- NPI 1093707879
DC
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1952591547
-
- Ambulatory Surgical Clinic/Center
- Olney, MD
- NPI 1225490196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452124800000",
"number": "1811030695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14907 MICHELE DR",
"city": "GLENELG",
"state": "MD",
"postal_code": "217379419",
"telephone_number": "954-594-4950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4330 E WEST HWY",
"address_2": "SUITE 1100",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208144408",
"telephone_number": "301-986-8010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIESENBERGER",
"first_name": "SCOTT",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-14",
"last_updated": "2016-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "DC",
"license": "MD038866",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "VA",
"license": "0101247880",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MD",
"license": "D0070972",
"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 Jan 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.