MEDICARE: DR. ALISSA WON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	D0062438	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7256396	OTHER	MD	AETNA FEE FOR SERVICE
2	4224238	OTHER	MD	CIGNA PIN
3	64356802	OTHER	MD	BCBS
4	3769080	OTHER	MD	AETNA CAPITATED
5	38940011	OTHER	DC	BCBS
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	7605-0068	OTHER	MD	CAREFIRST BLUECHOICE
8	64356803	OTHER	MD	BCBS
9	8565391	OTHER	MD	AETNA HMO
10	8130796	OTHER	MD	MAMSI PRIMARY CARE
11	P16585	OTHER	MD	CAREFIRST MPOS
12	108885	OTHER	MD	JHHC PROVIDER NUMBER
13	2130796	OTHER	MD	MAMSI SPECIALTY
14	643568-01	OTHER	MD	CAREFIRST MD RENDERING
15	P20252	OTHER	MD	BCBS

General Provider Information

NPI Number	:	1023000866
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALISSA WON M.D.

Provider Business Mailing Address
First Line	:	1460 RITCHIE HWY STE 209
Second Line	:
City	:	ARNOLD
State	:	MD
Zip	:	21012-2741
Country	:	US
Telephone Number	:	410-789-7337
Fax Number	:	410-349-1107

Provider Business Practice Location Address
First Line	:	1460 RITCHIE HWY STE 209
Second Line	:
City	:	ARNOLD
State	:	MD
Zip	:	21012-2741
Country	:	US
Telephone Number	:	410-789-7337
Fax Number	:	410-789-0425

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2005
Last Update Date	:	10/12/2022

Similar Medicare Providers

1841070745 — SAJJAD SHAHMORADI
Practice Location Address:

1460 RITCHIE HWY STE 203
ARNOLD, MD
21012-2741

Practice Phone: 443-375-5035
Practice Fax:

1588643589 — DR. REBECCA F VICKERS MD
Practice Location Address:

1460 RITCHIE HWY STE 209
ARNOLD, MD
21012-2741

Practice Phone: 410-789-7337
Practice Fax: 410-349-1107

1265400113 — ARUNDEL PEDIATRICS, PA
Practice Location Address:

1460 RITCHIE HWY STE 209
ARNOLD, MD
21012-2741

Practice Phone: 410-789-7337
Practice Fax: 410-349-1107

1184736712 — MEGHANN L WELLARD CRNP
Practice Location Address:

1460 RITCHIE HWY STE 209
ARNOLD, MD
21012-2741

Practice Phone: 410-789-7337
Practice Fax: 410-349-1107

1659699254 — SHEANITA R HOWARD MD
Practice Location Address:

1460 RITCHIE HWY STE 209
ARNOLD, MD
21012-2741

Practice Phone: 410-789-7337
Practice Fax: 410-349-1107

1649742115 — DENTAL HEALTH PROFESSIONALS OF MARYLAND, BADGER, P.C.
Practice Location Address:

1460 RITCHIE HWY STE 203
ARNOLD, MD
21012-2741

Practice Phone: 410-757-6681
Practice Fax:

Directions to “ DR. ALISSA WON M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.