MR. DAVID WILSON JR. (NPI# 1609253376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609253376 |
| Entity Type | Individual |
| Full Name | MR. DAVID WILSON JR. |
| Credential | L.M.T. |
| Practice Address |
2904 Odonnell St Baltimore MD 21224-4820 |
| Practice Telephone | 4437105509 |
| Mailing Telephone | 4437105509 |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2015-05-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | M05298 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083828 | David Ephriam Wilson V | Pharmacist | 4099 Red Bluff Rd, Loris, SC 29569-6238 | 2020-11-05 |
| 1265030969 | David Nicholas Wilson | Social Worker | 2419 E Hazzard St, Philadelphia, PA 19125-3112 | 2020-10-14 |
| 1467059527 | David Ray Wilson IIi | Technician | 345 City Ave Apt 1, Beckley, WV 25801-5967 | 2020-10-02 |
| 1609484708 | David Wilson | Technician | 254 Township Road 1110, Proctorville, OH 45669-8437 | 2020-07-15 |
| 1598386856 | David Wilson | Pharmacist | 192 S Dry Creek Ln, Vineyard, UT 84059-5680 | 2020-04-28 |
| 1275982779 | David M. Wilson | Specialist/Technologist | 7510 Madison St, Merrillville, IN 46410-4609 | 2016-06-07 |
| 1992115794 | David Andrew Wilson | Massage Therapist | 1501 E Jefferson St, Seattle, WA 98122-5627 | 2014-05-01 |
| 1184040800 | David Charles Wilson | Counselor | 116 Dumaine Pl, Madison, MS 39110-9234 | 2014-03-06 |
| 1104259167 | David Lawrence Wilson | Counselor | 702 E. Franklin Avenue, Sunnyside, WA 98944-0997 | 2013-08-14 |
| 1760822381 | David Leroy Wilson | Counselor | 975 N Bardstown Rd, Mount Washington, KY 40047-7602 | 2013-06-27 |
| Street Address |
2904 ODONNELL ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21224-4820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710595517 | Lisa Farinelli | Registered Nurse | 251 Bayview Bldv, Baltimore, MD 21224 | 2020-07-17 |
| 1891303038 | Lorenzo Leggio | General Practice | Nih/nida, Bayview Campus, Brc, 251 Bayview Boulevard, Room 01a844, Baltimore, MD 21224 | 2020-07-14 |
| 1922622737 | Johns Hopkins Bayview Medical Center, Inc. | Community/Behavioral Health | 5500 E. Lombard Street, Room 1025, Baltimore, MD 21224 | 2020-06-08 |
| 1558995670 | Myeong Hyun Chae | Dentist | 7839 Eastern Ave, Baltimore, MD 21224 | 2020-02-27 |
| 1720627581 | Johns Hopkins Bayview Medical Center, Inc. | Clinic/Center | 5500 East Lombard Street, Room 1025, Baltimore, MD 21224 | 2019-12-27 |
| 1194288431 | Tawny Meagan Epperson | Counselor | 5500 E Lombard Street, Community Psychiatry, Child Mobile Treatment Services, Baltimore, MD 21224 | 2019-04-12 |
| 1437613163 | Johns Hopkins University | Internal Medicine | 5210 Eastern Avenue, Alpha Center, Baltimore, MD 21224 | 2019-01-28 |
| 1669993606 | Maria Giannas | Pharmacist | 6510 O'donnell St, Baltimore, MD 21224 | 2017-06-29 |
| 1588193437 | Heather Ann Sand | Social Worker | 1501 S Clinton Street, Mailstop Ct 05-13, Baltimore, MD 21224 | 2017-06-05 |
| 1912447822 | Jennifer Ann Maser Hermann | Counselor | 4637 Hudson Street, Baltimore, MD 21224 | 2017-02-27 |
| Find all providers in zip 21224 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850284 | Maxine Nguyen | Massage Therapist | 2725 Theresa Ln, Baltimore, MD 21227-3554 | 2020-10-30 |
| 1740887496 | Ariel Bailey | Massage Therapist | 3600 Northway Dr, Baltimore, MD 21234-7927 | 2020-10-06 |
| 1770190258 | Barbara Bailey | Massage Therapist | 3342 Mondawmin Ave, Baltimore, MD 21216-2319 | 2020-09-28 |
| 1285265892 | Erin Kilduff | Massage Therapist | 1503a Old Eastern Ave, Baltimore, MD 21221-3617 | 2020-02-01 |
| 1568092997 | Michele Renee Solloway | Massage Therapist | 3021 E Baltimore St, Baltimore, MD 21224-1349 | 2020-01-24 |
| 1366000499 | Amanda Carey Everett | Massage Therapist | 1637 Eastern Ave, Baltimore, MD 21231-2333 | 2019-06-04 |
| 1619533718 | Aliya Yasmeen Baskerville | Massage Therapist | 1047 S Charles St, Baltimore, MD 21230-4007 | 2019-05-14 |
| 1356804280 | Bryan Devaughn | Massage Therapist | 1120 N Charles St Ste 400, Baltimore, MD 21201-5594 | 2019-04-08 |
| 1154883544 | Oluwatoyin Amanda Akintilo | Massage Therapist | 3808 Callaway Ave, Apt A, Baltimore, MD 21215-7103 | 2019-04-03 |
| 1346709920 | Lamar Bey Matthews | Massage Therapist | 1120 N Charles St Ste 105-107, Baltimore, MD 21201-5592 | 2019-03-13 |
| Find all providers in BALTIMORE | ||||
Please comment or provide details below to improve the information on MR. DAVID WILSON JR..
| 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.