LAWRENCE WOODROW WILSON (NPI# 1639229040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639229040 |
| Entity Type | Individual |
| Full Name | LAWRENCE WOODROW WILSON |
| Credential | MD |
| Practice Address |
5701 Balloon Fiesta Parkway Care of Blue Cross Blue Shield of New Mexico Albuquerque NM 87113 |
| Practice Telephone | 5058162093 |
| Practice Fax Number | 5058163608 |
| Mailing Telephone | 5058162093 |
| Mailing Fax Number | 5058163608 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 4269 | ND | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 99-332 | NM | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902327018 | Lawrence Edward Wilson | Counselor | 1548 Poplar Ave, Memphis, TN 38104-2432 | 2017-06-28 |
| 1386172542 | Lawrence Wilson | Counselor | 49 W 24th St Ste 507, New York, NY 10010-3206 | 2017-05-31 |
| 1841580974 | Lawrence Wilson | Pharmacist | 74 Tanbark Plaza, Lovingston, VA 22949-0318 | 2011-04-11 |
| 1528362662 | Lawrence Wilson | Nutritionist | 4950 S Indian Creek Rd, Prescott, AZ 86303-6180 | 2011-01-04 |
| 1366560518 | Lawrence Joe Wilson | Chiropractor | 10769 Woodside Ave, 109, Santee, CA 92071-3174 | 2007-03-27 |
| 1962633164 | Lawrence Eugene Wilson Jr. | Obstetrics & Gynecology | 535 Coliseum Dr, Macon, GA 31217-0104 | 2009-08-05 |
| 1982846028 | Lawrence Steven Wilson | Psychiatry & Neurology | 4422 E Columbus Dr., Tampa, FL 33605 | 2009-04-06 |
| 1760598940 | Lawrence Wade Wilson | Pharmacist | 275 Cumberland Bnd, Nashville, TN 37228-1805 | 2006-08-21 |
| 1700853439 | Lawrence H Wilson | Family Medicine | 9500 Mentor Ave, Suite 100, Mentor, OH 44060-8713 | 2006-03-01 |
| 1518951342 | Lawrence A Wilson | Emergency Medicine | 2200 W Illinois Ave, Midland, TX 79701-6407 | 2005-09-08 |
| Street Address |
5701 BALLOON FIESTA PARKWAY CARE OF BLUE CROSS BLUE SHIELD OF NEW MEXICO |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952944613 | Wendy Valenciano Flores | Behavior Technician | 9019 Washington St Ne Building A, Albuquerque, NM 87113 | 2019-10-24 |
| 1336608504 | Southwestern Provider Services LLC | Registered Nurse | 6400 Paseo Del Norte, Albuquerque, NM 87113 | 2019-03-18 |
| 1376047795 | Anne K. Hempstead D.d.s., P.C. | Dentist | 6400 Holly Ave Ne Ste M, Albuquerque, NM 87113 | 2018-03-20 |
| 1447769518 | Ethan Grant | Behavior Technician | 8500 Washington St Ste A1, Albuquerque, NM 87113 | 2017-09-21 |
| 1215451083 | Sarah Bartlett | Behavior Technician | 8500 Washington St, Ste A1, Albuquerque, NM 87113 | 2017-08-02 |
| 1396109906 | Cathy A Walters | Specialist/Technologist | 532 Osuna Rd Ne, Albuquerque, NM 87113 | 2016-04-09 |
| 1518389824 | Esther Sanchez | Home Health Aide | 6800 Vista Del Norte Drive, 2814, Albuqerque, NM 87113 | 2014-01-07 |
| 1356775456 | Danielle Juliet Fichera | Social Worker | 315 Alameda Park Dr, Ne, Albuquerque, NM 87113 | 2013-08-26 |
| 1093053340 | Eagle Pointe Dentists and Orthodontics, LLC | Dentist | 6230 Paseo Del Norte Ne, Suite B, Albuquerque, NM 87113 | 2013-01-22 |
| 1922346428 | Keith Levitt | Anesthesiology | 8100 Wyoming Blvd Ne #712, Suite M4, Albuquerque, NM 87113 | 2013-01-18 |
| Find all providers in zip 87113 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063027696 | Comprehensive Gastrostomy Tube Cares, LLC | Family Medicine | 8100 Wyoming Blvd Ne Ste M4-701, Albuquerque, NM 87113-1946 | 2020-09-10 |
| 1740898428 | Dr. Maggie Wilson, PC | Family Medicine | 717 Encino Pl Ne Ste 5, Albuquerque, NM 87102-2624 | 2020-07-17 |
| 1831734813 | Leandra Lee Medina | Family Medicine | 7050 Barstow St Ne Ste B, Albuquerque, NM 87111-1056 | 2019-11-13 |
| 1093374589 | Palliative and Transitional Care of Nm LLC | Family Medicine | 805 Guadalupe Cir Nw, Albuquerque, NM 87114-1710 | 2019-06-10 |
| 1649834904 | Mederi Life LLC | Family Medicine | 4325 Carlisle Blvd Ne Ste B, Albuquerque, NM 87107-4826 | 2019-04-23 |
| 1649733619 | Susan Giron | Family Medicine | 6704 Baker Ave Ne, Albuquerque, NM 87109-2746 | 2019-04-08 |
| 1982163267 | Nm Spirit of Wellness LLC | Family Medicine | 123 Girard Blvd Se, Albuquerque, NM 87106-2227 | 2019-03-18 |
| 1891266458 | Karen Ann Longenecker | Family Medicine | 2300 Menaul Blvd Ne Fl 3, Albuquerque, NM 87107-1851 | 2018-12-07 |
| 1144797135 | Erin Aleisha Langford | Family Medicine | 4588 Paradise Blvd Nw # 100, Albuquerque, NM 87114-4105 | 2018-10-28 |
| 1740761972 | Maria Marcela Colom Bickford | Family Medicine | Msc 09-5040 I University of New Mexico, Albuquerque, NM 87131 | 2018-08-26 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87113 |
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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.