Active NPI
Gregory S. Wilson, M.S.
- Audiologist
- Pasadena, MD
National Provider Identifier
1831207539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 00658
- Practice address
- 8028 Ritchie Hwy
Suite # 311
Pasadena, MD 21122-1075 - Phone
- (410) 590-9462
- Fax
- (410) 590-9464
- NPI assigned
- Aug 25, 2006
- Last updated
- Apr 3, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 00658 | MD | Primary |
Addresses
Primary practice location
8028 Ritchie Hwy
Suite # 311
Pasadena, MD 21122-1075
Mailing address
8028 Ritchie Hwy
Suite # 311
Pasadena, MD 21122-1075
Phone (410) 590-9462
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86RVHE | Other | MD | CAREFIRST GROUP |
| 8632 | Other | MD | BLUE CHOICE GROUP |
| 413159200 | Medicaid | MD |
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)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A&a Hearing Group, LLC | Audiologist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Audiologist
- Pasadena, MD
- NPI 1629177175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396483200000",
"number": "1831207539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8028 RITCHIE HWY",
"address_2": "SUITE # 311",
"city": "PASADENA",
"state": "MD",
"postal_code": "211221075",
"telephone_number": "410-590-9462",
"fax_number": "410-590-9464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8028 RITCHIE HWY",
"address_2": "SUITE # 311",
"city": "PASADENA",
"state": "MD",
"postal_code": "211221075",
"telephone_number": "410-590-9462",
"fax_number": "410-590-9464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "GREGORY",
"middle_name": "S.",
"name_prefix": "Mr.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-25",
"last_updated": "2014-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MD",
"license": "00658",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST GROUP",
"identifier": "86RVHE",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE GROUP",
"identifier": "8632",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "413159200",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.