John Everett Wilson Jr.


Address: 113 W Rd, Suite 103, Towson, MD 21204-2303

John Everett Wilson Jr. (NPI# 1003803057, PAC ID# 1557254554) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.

Physician Overview

Nation Provider ID (NPI) 1003803057
PAC ID by PECOS 1557254554
Professional Enrollment ID I20110128000200
Full Name John Everett Wilson Jr.
Address 113 W Rd
Suite 103
Towson
MD 21204-2303
Gender M
Medical School PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year 1992
Primary Specialty PHYSICAL MEDICINE AND REHABILITATION
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
113 W Rd, Suite 103, Towson, MD 21204-2303

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PHCDRR_2 Syndromic Surveillance Reporting %
ACI_EC_TRANS_PHCDRR_3 Specialized Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
MIPS_EC_047_overall Care Plan 45%

Organization Information

Office Location

Street Address 113 W RD
SUITE 103
City TOWSON
State MD
Zip 21204-2303

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Brittney Elizabeth Ziskind Clinical Psychologist Medop Behavioral Health Associates of Maryland PC 901 Dulaney Valley Rd, Towson, MD 21204-0614
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Tracy O Cress Certified Registered Nurse Anesthetist Warren H Macleod C R N A Pa 901 Dulaney Valley Rd, Suite 220, Towson, MD 21204-0621
Emily M. Samuelson Psychologist, Clinical 28 Allegheny Ave, Suite 1305, Towson, MD 21204-1379
Charlotte E Coates Wilkes Psychiatry 8417 Bellona Ln, Suite 102, Towson, MD 21204-2014
Adolfo L Lopez Internal Medicine 8415 Bellona Ln, Suite 109, Towson, MD 21204-2015
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Competitor

Search similar physicians

City TOWSON
Zip Code 21204
Specialty PHYSICAL MEDICINE AND REHABILITATION
City + Specialty TOWSON + PHYSICAL MEDICINE AND REHABILITATION

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Dataset Information

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.

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