DR. MARC WILSON (NPI# 1275565251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275565251 |
| Entity Type | Individual |
| Full Name | DR. MARC WILSON |
| Practice Address |
4538 Edmondson Ave Baltimore MD 21229-1506 |
| Mailing Address |
Po Box 64888 Baltimore MD 21264-4888 |
| Practice Telephone | 4103282273 |
| Practice Fax Number | 4103621748 |
| Mailing Telephone | 8008894939 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2008-02-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | D46771 | MD | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | D46771 | MD | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154352060 | Marc A. Wilson | Obstetrics & Gynecology | 323 N Bonnie Brae Street, Denton, TX 76201 | 2006-07-06 |
| 1922479039 | Marc Wilson | Pharmacist | 2022 E 16th St, Wellington, KS 67152-8151 | 2015-10-14 |
| 1053555169 | Marc David Wilson | Occupational Therapist | 1110 6th Ave E, Tuscaloosa, AL 35401-3207 | 2009-04-21 |
| 1811032451 | Marc Wilson | Registered Nurse | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2007-02-21 |
| Street Address |
4538 EDMONDSON AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21229-1506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063473551 | Etosha D Dixon | Family Medicine | 4538 Edmondson Ave, Baltimore, MD 21229-1506 | 2006-04-01 |
| 1851907141 | Time Organization, Inc. | Community/Behavioral Health | 4538 Edmondson Ave, Baltimore, MD 21229-1506 | 2020-09-22 |
| 1629210166 | University Care | Psychologist | 4538 Edmondson Ave, Baltimore, MD 21229-1506 | 2009-03-30 |
| 1063512200 | Catharine Louise Weiss | Psychologist | 4538 Edmondson Ave, Baltimore, MD 21229-1506 | 2006-09-25 |
| 1497760276 | University Care LLC | Internal Medicine | 4538 Edmondson Ave, Baltimore, MD 21229-1506 | 2006-07-30 |
| 1134153034 | Neil Siegel | Emergency Medicine | 4538 Edmondson Ave, Baltimore, MD 21229-1506 | 2006-07-10 |
| 1164454005 | Joyce Evans | Family Medicine | 4538 Edmondson Ave, Baltimore, MD 21229-1506 | 2006-07-07 |
| 1245269018 | Stacy Garrett | Emergency Medicine | 4538 Edmondson Ave, Baltimore, MD 21229-1506 | 2006-07-02 |
| 1306885280 | Ivara Alistair Esege | Specialist | 4538 Edmondson Ave, Baltimore, MD 21229-1506 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265068373 | Bodyworks Medical | Clinic/Center | St. Agnes Medical Center, 3455 Wilkens Ave Suite 100, Baltimore, MD 21229 | 2020-03-20 |
| 1750932430 | Amanda Felix | Nurse Practitioner | 5411 Old Frederick Road, Catonsville, MD 21229 | 2019-09-24 |
| 1497317853 | Wakeelat A Adeoye | Nurse Practitioner | 5411 0ld Fredrick Rd, Suite 7, Baltimore, MD 21229 | 2019-07-05 |
| 1598328080 | Oprah Cherelle Keyes | Social Worker | 4511 Birchwood Drive, Baltimore, MD 21229 | 2019-04-19 |
| 1477051779 | Shahin Vohara | Dentist | Dental Dreams, 4510 Edmondson Avenue, Edmondson Village Shopping Center, Baltimore, MD 21229 | 2018-02-01 |
| 1386179299 | Sharon Mccollough | Counselor | 3219 Phelps Lane, First Floor, Baltimore, MD 21229 | 2017-04-28 |
| 1184175697 | Yekeen Odewale | Registered Nurse | 5411 Old Frederick Rd Ste 7, Baltimore, MD 21229 | 2016-10-19 |
| 1942608070 | Charity Ashe | Social Worker | 4024 Colborne Rd, Baltimore, MD 21229 | 2014-12-05 |
| 1376947127 | Sumanya Venkat Rao | Dentist | 4510 Edmondson Ave, Baltimore, MD 21229 | 2014-10-21 |
| 1497091573 | Anita Phillips | Social Worker | 5110 Frederick Avenue, Baltimore, MD 21229 | 2012-12-18 |
| Find all providers in zip 21229 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225662828 | Federal Hill Medical Center | Family Medicine | 724 A Light Street, Baltimore, MD 21230-3850 | 2020-02-24 |
| 1265071278 | Marketing and Medical Services LLC | Family Medicine | 3001 S Hanover St Ste 201, Baltimore, MD 21225-1233 | 2019-12-23 |
| 1871134783 | Tysheka Cephas | Family Medicine | 5951 Schering Rd, Baltimore, MD 21206-3144 | 2019-10-02 |
| 1740712330 | Julia Sarah Maria Silva | Family Medicine | 29 S Paca St Dept Of, Baltimore, MD 21201-1771 | 2017-04-01 |
| 1275071375 | Martina P Callum M.d., LLC | Family Medicine | 1900 E Northern Pkwy Ste 3a, Baltimore, MD 21239-2113 | 2017-02-08 |
| 1992134738 | Your Health Network, Inc. | Family Medicine | 3000 Falls Rd, Suite 1, Baltimore, MD 21211-2435 | 2013-11-02 |
| 1124370788 | Phung Lieu Levin | Family Medicine | 920 Newington Ave, Baltimore, MD 21217-4631 | 2012-10-08 |
| 1912264441 | Katherine Stolarz | Family Medicine | 9101 Franklin Square Dr Ste 300, Baltimore, MD 21237-3966 | 2012-04-22 |
| 1760758684 | Peter Michael Burkill | Family Medicine | 6535 N Charles St Ste 100, Baltimore, MD 21204-5828 | 2012-03-25 |
| 1083997860 | Manisha A Sharma | Family Medicine | 733 W 40th St, Suite 200, Baltimore, MD 21211-2112 | 2011-09-28 |
| Find all providers in BALTIMORE | ||||
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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.