DR. BENJAMIN MICHAEL WISOTSKY (NPI# 1316181092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316181092 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN MICHAEL WISOTSKY |
| Credential | MD |
| Practice Address |
2121 Medical Park Dr Ste 3 Silver Spring MD 20902-4054 |
| Mailing Address |
1301 M St Nw Apt 707 Washington DC 20005-4201 |
| Practice Telephone | 3016813003 |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2009-12-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
D69487 | MD | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
236247 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 418075500 | 05 |
| Street Address |
2121 MEDICAL PARK DR STE 3 |
| City | SILVER SPRING |
| State | MD |
| Zip Code | 20902-4054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497720247 | James Jaffe | Radiology | 2121 Medical Park Dr, Suite 1, Silver Spring, MD 20902-4054 | 2006-02-22 |
| 1497778690 | Latasha Nicole Baxter | Nurse Practitioner | 2121 Medical Park Dr, Suite 2, Silver Spring, MD 20902-4054 | 2006-07-26 |
| 1952320459 | Tifani Davis Gilliam | Radiology | 2121 Medical Park Dr, Ste 3, Silver Spring, MD 20902-4054 | 2006-07-18 |
| 1477519403 | Sheela D Modin | Radiology | 2121 Medical Park Dr, Suite 4, Silver Spring, MD 20902-4054 | 2006-04-26 |
| 1891759817 | Daniel H Clarke | Radiology | 2121 Medical Park Dr, Suite 4, Silver Spring, MD 20902-4054 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508463092 | Zhuozhao Mei, LLC | Dentist | 11514 Georgia Avenue, Silver Spring, MD 20902 | 2020-10-07 |
| 1942858923 | Joanne Elizabeth Wachowiak | Speech-Language Pathologist | Speech/language Services, 11721 Kemp Mill Rd., Silver Spring, MD 20902 | 2019-09-03 |
| 1174182893 | Tigist Kasshun Meshesha | Home Health Aide | Cadia Healthcare Wheatob, 4011 Randolph Rd, Silver Spring, MD 20902 | 2019-06-06 |
| 1265097570 | Susan Crawford | Speech-Language Pathologist | Mcps Speech-language Services, 11721 Kemp Mill Rd, Silver Spring, MD 20902 | 2019-05-02 |
| 1912470931 | Andrea Voss | Speech-Language Pathologist | Speech and Language Services, 11721 Kemp Mill Road, Silver Spring, MD 20902 | 2019-01-03 |
| 1003302233 | Zamon Ariel Granger | Private Vehicle | 11633 Veirs Mill Rd, Silver Spring, MD 20902 | 2018-07-11 |
| 1598259830 | Nechama Malka Koretzky | Speech-Language Pathologist | 1205 North Belgrade Rd, Silver Spring, MD 20902 | 2018-06-20 |
| 1396238838 | Chun Yin Jethro Mak | Physical Therapist | 2730 University Blvd W Ste 714, Wheaton, MD 20902 | 2018-06-10 |
| 1942719661 | Right Care Pediatrics Inc | Pediatrics | 2730 University Blvd W Ste 420, Wheaton, MD 20902 | 2017-09-26 |
| 1881112282 | Michael John Ayun Ayun Cruz | Physical Therapist | 10301 Georgia Ave Suite 105b, Silver Spring, MD 20902 | 2017-09-06 |
| Find all providers in zip 20902 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104843887 | Wayne Hwang | Radiology | 2121 Medical Park Drive, Suite 3, Silver Spring, MD 20902 | 2006-07-17 |
| 1992736524 | Ganesh Radiology LLC | Radiology | 10801 Lockwood Dr. Suite 140, Colewood Center, Silver Spring, MD 20901 | 2006-07-05 |
| 1134113442 | David L Bloom Pa | Radiology | 1010 Wayne Ave, Suite 151, Silver Spring, MD 20910-5600 | 2005-09-01 |
| 1801075882 | Clinical Imaging of Silver Spring LLC | Radiology | 1300 Spring St, Suite 120, Silver Spring, MD 20910 | 2007-10-26 |
| 1962412007 | Diagnostic Medical Imaging Pa | Radiology | 1500 Forest Glen Rd, Silver Spring, MD 20910 | 2006-08-09 |
| 1871503912 | Clinical Radiologists Medical Imaging Pa | Radiology | 2121 Medical Park Drive, Suite 3, Silver Spring, MD 20902 | 2006-08-09 |
| 1477567022 | Stewart B Karr | Radiology | 2121 Medical Park Drive, Suite 3, Silver Spring, MD 20902 | 2006-07-28 |
| 1649284209 | Arman C Moshyedi | Radiology | 2121 Medical Park Drive, Suite 3, Silver Spring, MD 20902 | 2006-07-28 |
| 1710991377 | Anil K Narang | Radiology | 2121 Medical Park Drive, Suite 3, Silver Spring, MD 20902 | 2006-07-28 |
| 1487676060 | Ryan J Zucker | Radiology | 2121 Medical Park Drive, Suite 3, Silver Spring, MD 20902 | 2006-07-24 |
| Find all providers in SILVER SPRING | ||||
| City | SILVER SPRING |
| Zip Code | 20902 |
Please comment or provide details below to improve the information on DR. BENJAMIN MICHAEL WISOTSKY.
| 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.