DR. LAWRENCE DOUGLAS WILKERSON (NPI# 1679646871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679646871 |
| Entity Type | Individual |
| Full Name | DR. LAWRENCE DOUGLAS WILKERSON |
| Credential | MD |
| Practice Address |
830 Old Lancaster Road Suite 309 Bryn Mawr PA 19010 |
| Practice Telephone | 6105278290 |
| Practice Fax Number | 6105273281 |
| Mailing Telephone | 6105278290 |
| Mailing Fax Number | 6105273281 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0008X |
Pediatrics Specialization: Neurodevelopmental Disabilities |
MD014053E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CIGNA | 2019431050000 | 01 | |
| AUSMC | 3715793 | 01 |
| Street Address |
830 OLD LANCASTER ROAD SUITE 309 |
| City | BRYN MAWR |
| State | PA |
| Zip Code | 19010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801836598 | Carty Eye Associates, Ltd. | Ophthalmology | 830 Old Lancaster Road, Suite 100, Bryn Mawr, PA 19010 | 2006-06-08 |
| 1932438439 | Inge A Thickening | Nurse Practitioner | 830 Old Lancaster Road, Bryn Mawr Medical Office Building North, Suite 210, Bryn Mawr, PA 19010 | 2009-12-11 |
| 1124189766 | Bryn Mawr Wound Care & Vascular Center | Specialist | 830 Old Lancaster Road, Suite 202, Bryn Mawr, PA 19010 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003462169 | Nada Farag | Dentist | 275 S Bryn Mawr Ave., #d04, Bryn Mawr, PA 19010 | 2019-08-14 |
| 1841764669 | For Eyes Optical of Pa | Optometrist | 1211 W Lancaster Ave, Rosemont, PA 19010 | 2019-01-15 |
| 1205355617 | Julia Peyton Vollmer | Student in an Organized Health Care Education/Training Program | 415 S Ithan Ave, Bryn Mawr, PA 19010 | 2017-09-18 |
| 1235657081 | Megan Christine Rosenblatt | Nurse Practitioner | 925 W Lancaster Ave Ste 210, Bryn Mawr, PA 19010 | 2017-08-31 |
| 1720511561 | Victoria Mckenna | Nurse Practitioner | 830 Old Lancaster Rd Ste 300, Bryn Mawr, PA 19010 | 2017-04-08 |
| 1922544014 | Andrew John D'amico | Behavioral Analyst | 1030 East Lancaster Ave., Suite L-10, Bryn Mawr, PA 19010 | 2017-01-12 |
| 1487105615 | Primal Physical Therapy,llc | Physical Therapist | 1111 E Lancaster Ave, Bryn Mawr, PA 19010 | 2016-10-24 |
| 1730636234 | Denise Lindsay Currier | Optometrist | 1062 E. Lancaster Ave, Suite 15d, Rosemont, PA 19010 | 2016-09-01 |
| 1518353754 | Elise Paquin | Student in an Organized Health Care Education/Training Program | 135 S Bryn Mawr Ave Ste 205, Bryn Mawr, PA 19010 | 2015-04-14 |
| 1679980064 | Main Line Counseling Partners | Social Worker | 1084 E. Lancaster Avenue, Bryn Mawr, PA 19010 | 2014-07-17 |
| Find all providers in zip 19010 | ||||
| Taxonomy Code | 2080P0008X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neurodevelopmental Disabilities |
| A pediatrician who treats children having developmental delays or learning disorders including those associated with visual and hearing impairment, mental retardation, cerebral palsy, spina bifida, autism and other chronic neurologic conditions. This specialist provides medical consultation and education and assumes leadership in the interdisciplinary management of children with neurodevelopmental disorders. They may also focus on the early identification and diagnosis of neurodevelopmental disabilities in infants and young children as well as on changes that occur as the child with developmental disabilities grows. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972637585 | Thomas James Casey | Pediatrics | 937 E Haverford Rd, Bryn Mawr, PA 19010-3800 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215591649 | Bucks Developmental Pediatrics | Pediatrics | 1004 Floral Vale Blvd, Yardley, PA 19067-5532 | 2019-05-01 |
| 1881053239 | The Autism Telemedicine Company | Pediatrics | 119 Black Walnut Ln, Plymouth Meeting, PA 19462-1948 | 2016-02-13 |
| 1609036565 | Sameh S. W. Morkous | Pediatrics | 1210 S Cedar Crest Blvd Ste 2400, Allentown, PA 18103-6235 | 2008-06-13 |
| 1275660086 | Julia Curtin Hayes | Pediatrics | 3116 W Coulter St, Philadelphia, PA 19129-1002 | 2007-02-28 |
| 1871607382 | Donna Lynn Antonucci | Pediatrics | 301 Floral Vale Blvd, Yardley, PA 19067-5525 | 2006-08-19 |
| 1285687558 | Harold George Marks | Pediatrics | St Christopher's Hospital Fo, Erie Avenue At Front Street, Philadelphia, PA 19134-1095 | 2006-05-18 |
| 1912343252 | Ashutosh Kumar | Pediatrics | 500 University Dr, Hershey, PA 17033-2360 | 2013-05-14 |
| 1427314285 | Andrea Loeffert | Pediatrics | 500 University Dr, Mch085, Hershey, PA 17033-2360 | 2012-04-05 |
| 1447531157 | Sunil C Naik | Pediatrics | 500 University Dr, Hershey, PA 17033-2360 | 2011-09-08 |
| 1770879215 | Geisinger Medical Center | Pediatrics | 120 Hamm Dr, Lewisburg, PA 17837-7496 | 2011-06-23 |
| Find all providers with the same taxonomy | ||||
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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.