Philip Wisotsky (NPI# 1508862509, PAC ID# 0446387021) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1508862509 |
| PAC ID by PECOS | 0446387021 |
| Professional Enrollment ID | I20100430000354 |
| Full Name | Philip Wisotsky |
| Organization Legal Name | PHILIP WISOTSKY M.D., P.C. |
| Address |
11650 Doolittle Dr Waldorf MD 20602-3804 |
| Phone Number | 3018900660 |
| Gender | M |
| Graduation Year | 1974 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | GERIATRIC MEDICINE |
| Group Practice PAC ID | 2860529443 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210062 | MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER |
| 210035 | UNIVERSITY OF MD CHARLES REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 7520 Surratts Rd, Clinton, MD 20735-3353 | 3018561660 | PHILIP WISOTSKY M.D., P.C. |
| 11370 Pembrooke Sq, Waldorf, MD 20603-4842 | 3018700660 | PHILIP WISOTSKY M.D., P.C. |
| 11650 Doolittle Dr, Waldorf, MD 20602-3804 | 3018900660 | PHILIP WISOTSKY M.D., P.C. |
| Organization Legal Name | PHILIP WISOTSKY M.D., P.C. |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Embarka Chaib | Nurse Practitioner | Philip Wisotsky M.d., P.C. | 11650 Doolittle Dr, Waldorf, MD 20602-3804 |
| Dianne L Nichols | Physician Assistant | Philip Wisotsky M.d., P.C. | 12070 Old Line Ctr, Suite 207, Waldorf, MD 20602-2567 |
| Street Address |
11650 DOOLITTLE DR |
| City | WALDORF |
| State | MD |
| Zip | 20602-3804 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Embarka Chaib | Nurse Practitioner | Philip Wisotsky M.d., P.C. | 11650 Doolittle Dr, Waldorf, MD 20602-3804 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin R Pimentel | General Practice | The Physicians Group Chartered | 601 Post Office Rd, Suite 1a, Waldorf, MD 20602-1912 |
| Patricia Vance | Psychologist, Clinical | Coquus | 601 Post Office Rd, 2d, Waldorf, MD 20602-1912 |
| Paul E Donato | Clinical Social Worker | Coquus | 601 Post Office Rd, 2d, Waldorf, MD 20602-1912 |
| Michael A Pimentel | General Practice | The Physicians Group Chartered | 601 Post Office Rd, Suite 1a, Waldorf, MD 20602-1912 |
| Charles L Ruby | Psychologist, Clinical | Pinnacle Center for Mental Health and Human Relations LLC | 603 Post Office Rd, Suite 210, Waldorf, MD 20602-1914 |
| Lee F Owens | Psychologist, Clinical | Pinnacle Center for Mental Health and Human Relations LLC | 603 Post Office Rd, Suite 210, Waldorf, MD 20602-1914 |
| Mary Beth Voorhees | Clinical Social Worker | Walden Sierra Corporation | 85 High St, Waldorf, MD 20602-2150 |
| Joseph Distefano | Podiatry | Larry S Hotchkiss Dpm PC | 12070 Old Line Ctr, Suite 110, Waldorf, MD 20602-2503 |
| Larry S Hotchkiss | Podiatry | Larry S Hotchkiss Dpm PC | 12070 Old Line Ctr, Suite 110, Waldorf, MD 20602-2503 |
| Justin G Pointer | Podiatry | Larry S Hotchkiss Dpm PC | 12070 Old Line Ctr, Suite 110, Waldorf, MD 20602-2503 |
| Find all physicians in zip 20602 | |||
| City | WALDORF |
| Zip Code | 20602 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | WALDORF + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Philip Wisotsky.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.