Active NPI
Wilton O'R Nedd MD PC
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Washington, DC
National Provider Identifier
1821240144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- MD14391
- Legal business name
- WILTON O'R NEDD MD PC
- Practice address
- 1160 Varnum St NE
Ste.217
Washington, DC 20017-2107 - Phone
- (202) 529-1303
- Fax
- (301) 390-5699
- NPI assigned
- Oct 17, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Wilton O'Reilly Nedd, M.D
- Title
- President
- Phone
- (202) 529-1303
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | MD14391 | DC | Primary |
Addresses
Primary practice location
1160 Varnum St NE
Ste.217
Washington, DC 20017-2107
Mailing address
11514 Canterbury CT
Mitchellville, MD 20721-2281
Phone (301) 390-7331
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 026569100 | Medicaid | DC | |
| 536910001 | Medicaid | MD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224201600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224201600000",
"number": "1821240144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11514 CANTERBURY CT",
"city": "MITCHELLVILLE",
"state": "MD",
"postal_code": "207212281",
"telephone_number": "301-390-7331",
"fax_number": "301-390-5699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 VARNUM ST NE",
"address_2": "STE.217",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200172107",
"telephone_number": "202-529-1303",
"fax_number": "301-390-5699"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILTON O'R NEDD MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-17",
"last_updated": "2008-10-17",
"status": "A",
"authorized_official_last_name": "NEDD",
"authorized_official_first_name": "WILTON",
"authorized_official_middle_name": "O'REILLY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "202-529-1303",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "DC",
"license": "MD14391",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "026569100",
"state": "DC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "536910001",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.