Dr. Edward Wilson , MD
Specialist • Largo, MD
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Edward Wilson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Edward Wilson, MD was a registered Specialist practicing in Largo, MD. Throughout an active medical career spanning 12 years, Dr. Wilson provided care at the practice location at 1221 MERCANTILE LN until profile deactivation on 2019-09-09.
Practice Location & Contact Primary Location
1221 Mercantile Ln
Largo, MD 207745374
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Largo, MD
Practicing in Largo, MD (1034 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Internal Medicine
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant
Urology
Doctor of Medicine (M.D.)
Obstetrics & Gynecology
Otolaryngology
Doctor of Medicine (M.D.)
Pharmacist
Doctor of Pharmacy (Pharm.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on September 09, 2019
NPI status registered as active in NPPES database
Registered at 1221 MERCANTILE LN, LARGO, MD 207745374 (Tel: 3016185500)
Registered at 2101 E JEFFERSON ST, KAISER PERMANTE MEDICARE ENROLLMENT, ROCKVILLE, MD 208524908 (Tel: 3018162424)
Recorded as EDWARD WILSON, M.D.
Specialist (License #D19322 in MD)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
2101 E Jefferson St, Kaiser Permante Medicare Enrollment
Rockville, MD 208524908
Phone: 3018162424
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