Organization Active NPI

Anne S. Wilson, Associates, PC

  • Internal Medicine Physician
  • Rockville, MD
National Provider Identifier
1982866380
Registry record updated Sep 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0053365 Issued in MD
Legal business name
ANNE S. WILSON, ASSOCIATES, PC
Practice address
14804 Physicians LN
Suite 221
Rockville, MD 20850-3941
Phone
(301) 340-8012
Fax
(301) 340-8063
NPI assigned
Jun 26, 2008
Last updated
Sep 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2008

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

Authorized official

Name
Dr. Anne S. Wilson, M.D.
Title
President
Phone
(301) 340-8012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0053365 MD Primary

Addresses

Primary practice location

14804 Physicians LN
Suite 221
Rockville, MD 20850-3941

Mailing address

14804 Physicians LN
Suite 221
Rockville, MD 20850-3941
Phone (301) 340-8012

Other identifiers 2

IdentifierTypeStateIssuer
P266-8462OtherMEDICARE RAILROAD RETIREMENT BOARD
851000800MedicaidMD

National Provider Directory

National Provider Directory

Locations

14804 Physicians Ln
Ste 221
Rockville, MD 20850
Phone (301) 340-8012

NPI Registry JSON

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1982866380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14804 PHYSICIANS LN",
            "address_2": "SUITE 221",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503941",
            "telephone_number": "301-340-8012",
            "fax_number": "301-340-8063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14804 PHYSICIANS LN",
            "address_2": "SUITE 221",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503941",
            "telephone_number": "301-340-8012",
            "fax_number": "301-340-8063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNE S. WILSON, ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-340-8012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0053365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD RETIREMENT BOARD",
            "identifier": "P266-8462",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "851000800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.