DR. DONALD KEITH WILKERSON (NPI# 1922045541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922045541 |
| Entity Type | Individual |
| Full Name | DR. DONALD KEITH WILKERSON |
| Credential | M.D. |
| Practice Address |
3407 Wilkens Ave Ste 400 Baltimore MD 21229-5074 |
| Practice Telephone | 4106464888 |
| Practice Fax Number | 4106462828 |
| Mailing Telephone | 4106464888 |
| Mailing Fax Number | 4106462828 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2018-04-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
D0053875 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 165501900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952577553 | Donald Keith Wilkerson | Psychiatry & Neurology | 4505 Wasatch Blvd, Suite 380, Salt Lake City, UT 84124-4709 | 2008-05-03 |
| Street Address |
3407 WILKENS AVE STE 400 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21229-5074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558351825 | Viney R Setya | Surgery | 3407 Wilkens Ave Ste 400, Baltimore, MD 21229-5074 | 2005-10-26 |
| 1972531952 | Gopal Chandru Kowdley | Surgery | 3407 Wilkens Ave Ste 400, Baltimore, MD 21229-5074 | 2006-06-29 |
| 1376592923 | Michael Anthony Zatina | Surgery | 3407 Wilkens Ave Ste 400, Baltimore, MD 21229-5074 | 2006-05-10 |
| 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 | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285815530 | Bay Vascular Surgery, LLC | Surgery | 3623 Falls Rd, Baltimore, MD 21211-1815 | 2007-11-15 |
| 1811042641 | Kevin Arthur Brown | Surgery | 3333 N Calvert St Ste 325, Baltimore, MD 21218-2866 | 2007-01-24 |
| 1881625564 | Brajesh Kumar Lal | Surgery | 22 S Greene St # N4w66, Baltimore, MD 21201-1544 | 2006-07-05 |
| 1790757847 | Fayyaz Haider Hashmi | Surgery | 2435 W Belvedere Ave Ste 35, Baltimore, MD 21215-5224 | 2006-02-03 |
| 1528402252 | Sarasijhaa K Desikan | Surgery | 419 W Redwood St Ste 300, Baltimore, MD 21201 | 2013-04-24 |
| 1710245931 | Jason Andrew Chin | Surgery | 3333 N Calvert St, Johnston Professional Building 325, Baltimore, MD 21218-2850 | 2012-04-25 |
| 1356607139 | Caitlin Whitney Hicks | Surgery | 600 N Wolfe St, Halsted 668, Baltimore, MD 21287-0005 | 2012-04-06 |
| 1043530553 | Michael R Hall | Surgery | 22 S Greene St, Baltimore, MD 21201-1544 | 2010-06-07 |
| 1568694875 | The Good Samaritan Hospital of Maryland, Inc. | Surgery | 5601 Loch Raven Blvd, Baltimore, MD 21239-2905 | 2009-08-20 |
| 1629208749 | Alain Tanbe | Surgery | 301 Saint Paul St, Baltimore, MD 21202-2102 | 2009-07-23 |
| 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.