Organization Active NPI

Wilton O'R Nedd MD PC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Washington, DC
National Provider Identifier
1821240144
Registry record updated Oct 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
MD14391 Issued in DC
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

Updated by the provider on Oct 17, 2008

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)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
026569100MedicaidDC
536910001MedicaidMD

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.