Philip Wisotsky M.D., P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D18548 Issued in MD

Legal business name

PHILIP WISOTSKY M.D., P.C.

Practice address

12070 Old Line Centre #207
Waldorf, MD 20602-2567

Phone

(301) 870-0660

Fax

(301) 932-8310

NPI assigned

Mar 14, 2006

Last updated

Jun 21, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Debbie Kipple

Title

Office Manager

Phone

(301) 870-0660

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DBGECD

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1942279039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12070 OLD LINE CENTRE #207",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022567",
            "telephone_number": "301-870-0660",
            "fax_number": "301-932-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12070 OLD LINE CENTRE #207",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022567",
            "telephone_number": "301-870-0660",
            "fax_number": "301-932-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP WISOTSKY M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "KIPPLE",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "301-870-0660"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D18548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peterson & Reddy, D.D.S., P.a.
• Donald P Peterson, DDS, FAGD
• Ashok Pettem, B.PHARMACY
• Daniel Pfannenstein, LCSW-C
• Pharmvue Corporation (Southern Maryland Compounding Center)
• Justin Phillip
• Physical Medicine Associates, LTD
• Erika Nicolette Pierce, LICSW
• Benjamin R Pimentel, M.D.
• Margaret Ann Pimentel, D.O.

• Internal Medicine Physician in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.