JOHN WILEY (NPI# 1720043755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720043755 |
| Entity Type | Individual |
| Full Name | JOHN WILEY |
| Credential | M.D. |
| Practice Address |
305 Hospital Dr Suite 305 Tate Center Glen Burnie MD 21061-5805 |
| Practice Telephone | 4107683701 |
| Practice Fax Number | 4107660881 |
| Mailing Telephone | 4107683701 |
| Mailing Fax Number | 4107660881 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2008-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
D42388 | MD | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
D0042388 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | BCBS MD RENDERING | 54427404 | 01 |
| BCBS DC RENDERING | 0003 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952711038 | John Wiley | Occupational Therapist | 15600 S. U.S. Hwy 441, B, Summerfield, FL 34491 | 2014-04-29 |
| 1750430021 | John B Wiley | Dentist | 1909 Ne Neff Rd, Bend, OR 97701 | 2007-01-09 |
| 1487612834 | John Arthur Wiley | Internal Medicine | 5300 W Diversey Ave, Chicago, IL 60639-1513 | 2006-05-03 |
| 1093717829 | John Michael Wiley | Social Worker | 1210 10th St, Suite 203, Bellingham, WA 98225-7063 | 2005-08-11 |
| 1164507778 | John W Wiley | Internal Medicine | 1500 East Medical Center Dr, 3rd Floor Taubman Ctr Recp D, Ann Arbor, MI 48109-5362 | 2006-10-25 |
| 1679667406 | John Michael Wiley | Dentist | 4352 Sylvania Ave, Suite E, Toledo, OH 43623 | 2006-10-03 |
| 1568457158 | John R Wiley | Pharmacist | 112 Townsedge Dr, Quarryville, PA 17566-1300 | 2005-09-20 |
| Street Address |
305 HOSPITAL DR SUITE 305 TATE CENTER |
| City | GLEN BURNIE |
| State | MD |
| Zip Code | 21061-5805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881202406 | Aderonke Oluseye | Nurse Practitioner | 305 Hospital Dr, Glen Burnie, MD 21061-5805 | 2020-07-20 |
| 1427539972 | Nicholas Wolfgang Kaufman | Physician Assistant | 305 Hospital Dr, Glen Burnie, MD 21061-5805 | 2018-08-23 |
| 1922510742 | Dharaben Patel | Physician Assistant | 305 Hospital Dr, Glen Burnie, MD 21061-5805 | 2017-11-02 |
| 1639697543 | Sarah Masek | Nurse Practitioner | 305 Hospital Dr, Glen Burnie, MD 21061-5805 | 2017-08-31 |
| 1982010617 | Katharine A Bisordi | Genetic Counselor, MS | 305 Hospital Dr, Suite 304, Glen Burnie, MD 21061-5805 | 2014-07-02 |
| 1164855607 | The Perfect Fit By Maria,llc | Durable Medical Equipment & Medical Supplies | 305 Hospital Dr, 2nd Floor/ Tate Center, Glen Burnie, MD 21061-5805 | 2013-08-20 |
| 1053751867 | Jill Kathleen Logan | Pharmacist | 305 Hospital Dr, Outpatient Anticoagulation Clinic, Glen Burnie, MD 21061-5805 | 2013-06-26 |
| 1568806933 | Baltimore Washington Professional Services Inc | Dietitian, Registered | 305 Hospital Dr, 2nd Floor, Glen Burnie, MD 21061-5805 | 2013-04-29 |
| 1447522198 | Pegah Parvizian | Pharmacist | 305 Hospital Dr, Suite B101, Glen Burnie, MD 21061-5805 | 2012-01-27 |
| 1306120340 | Tiffany Anne Matonak | Physician Assistant | 305 Hospital Dr, Glen Burnie, MD 21061-5805 | 2011-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255814422 | Lotus Behavioral Health and Rehabilitation Services Inc. | Behavior Technician | 6426 Harrison Square, Glen Burnie, MD 21061 | 2018-09-12 |
| 1942795315 | Tina Brown | Behavior Technician | Rise for Autism, 510 Mccormick Drive, Ste. U-w, Glen Burnie, MD 21061 | 2018-06-27 |
| 1205351905 | Digna Emerita Sanchez De Vasquez | Specialist/Technologist, Other | 201 Fernglen Ave, Glen Burnie, MD 21061 | 2017-08-03 |
| 1255780300 | Rachel Cutts | Physical Therapist | 7711 Quarterfield Rd Ste C2, Glen Burnie, MD 21061 | 2016-06-09 |
| 1295181170 | Gaudenzia, Inc. | Counselor | 5 Crain Highway North - Rear Suite Entrance, Glen Burnie, MD 21061 | 2016-05-10 |
| 1023499548 | Mary Bourbon | Nurse Practitioner | 1600 S. Cain Highway, Suite 401, Glen Burnie, MD 21061 | 2015-06-10 |
| 1972997724 | Robert Oladeinde | Physician Assistant | 6934 Aviation Blvd Suite B, Glen Burnie, MD 21061 | 2015-03-18 |
| 1205248069 | Cathy Qing He | Anesthesiology | 1600 Crain Hwy S Ste 301, Glen Burnie, MD 21061 | 2014-05-28 |
| 1477974764 | Shannon Holder | Nurse Practitioner | 1916 Crain Hwy S Ste 2, Glen Burnie, MD 21061 | 2014-01-03 |
| 1629404207 | Marla Ann Muha | Physician Assistant | 301 Hospital Dr # 803, Glen Burnie, MD 21061 | 2013-09-16 |
| Find all providers in zip 21061 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790724052 | Michael Patrick Coppola | Internal Medicine | 801 Cromwell Park Dr, Suite 108, Glen Burnie, MD 21061-2539 | 2006-06-05 |
| 1679507297 | Maryland Pulmonary & Critical Care Group, P.a. | Internal Medicine | 1600 Crain Hwy S, Suite 308, Glen Burnie, MD 21061-5577 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962034918 | Breathe360 LLC | Internal Medicine | 211 West High Street, Suite 211, Elkton, MD 21921 | 2020-02-07 |
| 1215577077 | Anne Arundel Physicians Group, LLC | Internal Medicine | 2003 Medical Pkwy Ste 310, Annapolis, MD 21401-7944 | 2020-01-09 |
| 1063890036 | Albert Shan-ching Sun Estate Chen Chih Sun, Per Rep | Internal Medicine | 1200 Temfield Rd., Towson, MD 21286 | 2015-05-11 |
| 1851637276 | Joel Moss | Internal Medicine | Room 6d05 Bldg 10, National Institutes of Health, Bethesda, MD 20892-1590 | 2012-12-13 |
| 1013276591 | Maryland Pulmonary Associates LLC | Internal Medicine | 10307 Fleming Ave, Bethesda, MD 20814-2162 | 2012-05-03 |
| 1407158389 | Victor Hrehorovich | Internal Medicine | 10913 Tony Dr, Lutherville, MD 21093-3618 | 2010-11-26 |
| 1700103231 | Robert Edward Walker | Internal Medicine | 3902 Blackthorn St, Chevy Chase, MD 20815-5056 | 2010-04-23 |
| 1679766950 | Maryland Lung Associates Pa | Internal Medicine | 3449 Wilkens Avenue, Suite 207, Balitimore, MD 21229 | 2007-08-21 |
| 1669670618 | John C Huetsch | Internal Medicine | 5501 Hopkins Bayview Cir Fl 4, Baltimore, MD 21224-6821 | 2007-07-10 |
| 1316067929 | Lev Agarunov | Internal Medicine | 12154 Darnestown Rd, Ste 625, Gaithersburg, MD 20878-2206 | 2007-03-29 |
| Find all providers with the same taxonomy | ||||
| City | GLEN BURNIE |
| Zip Code | 21061 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.