Dr. Theodore Ernest Wilson

M.D. | Pediatrics | Male

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Complete Profile:

Dr. Theodore Ernest Wilson basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics
Provider Name :	Dr. Theodore Ernest Wilson
Credential :	M.D.
Gender :	Male
Sole Proprietor :	Yes

Business Address:

Dr. Theodore Ernest Wilson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	2401 W Belvedere Ave Baltimore, MD, 21215-5216 United States
Phone Number :	410-601-6308

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1699035030
NPI Entity Type :	Individual
First Enrolment Date :	18 May, 2012
Last Updated On :	18 May, 2012

Medicare Participation:

Dr. Theodore Ernest Wilson participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	0941438568
Medicare Enrollment ID :	I20171031002674
Primary Specialty :	Pediatric Medicine
Medical School :	University Of Colorado School Of Medicine, Denver
Graduation Year :	2012
Accepts Medicare?	Yes. Dr. Theodore Ernest Wilson accepts medicare insurance.

Group Practice Association:

Dr. Theodore Ernest Wilson is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Theodore Ernest Wilson is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
University Family Physicians, Inc.	7911992797	403	1520 N Senate Ave Iu Health Physicians Indianapolis, IN - 462022213 Ph: 3179628893	Yes
University Family Physicians, Inc.	7911992797	403	1040 Wishard Blvd Indianapolis, IN - 462022872 Ph: 3179628893	Yes
University Family Physicians, Inc.	7911992797	403	550 University Blvd Indianapolis, IN - 462025149	Yes
University Family Physicians, Inc.	7911992797	403	1060 S Main St Iu Health Physicians Urology Tipton, IN - 462025149 Ph: 3179623700	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Theodore Ernest Wilson are as mentioned. Primary taxonomy code for Dr. Theodore Ernest Wilson, M.D. is 208000000X (Pediatrics).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	Yes	P27658	MD

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	2401 W Belvedere Ave Baltimore, MD, 21215-5216 United States
Phone Number :	303-882-3912

Business Location:

Patients can refer following map for directions to Dr. Theodore Ernest Wilson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.