Provider Type Icon

WILSON MEDICAL ASSOCIATES LLC NPI 1427489863


NPI Information

NPI: 1427489863
Provider Name: WILSON MEDICAL ASSOCIATES, LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 21D2069129

Address:
15200 SHADY GROVE RD STE 306
ROCKVILLE, MD
ZIP 20850
Phone: (301) 330-8011
Get Directions

WILSON MEDICAL ASSOCIATES, LLC is an internal medicine in Rockville, MD. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. WILSON MEDICAL ASSOCIATES, LLC NPI is 1427489863. The provider is registered as an organization entity type.

The provider's business location address is:

15200 SHADY GROVE RD STE 306
ROCKVILLE, MD
ZIP 20850-218
Phone: (301) 330-8011
Fax: (301) 330-8014

The provider's authorized official is Anne Silberger Wilson .
The authorized official title is President and has the following contact phone number (301) 330-8011.

The CLIA number assigned to this NPI record is 21D2069129 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/11/2013 and was last updated on 5/22/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterD53365MARYLANDNo
2207R00000XInternal MedicineD53365MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G85180MEDICARE UPINMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.