TODD MATTHEW WILSON (NPI# 1780876797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780876797 |
| Entity Type | Individual |
| Full Name | TODD MATTHEW WILSON |
| Credential | DO |
| Practice Address |
14200 Shady Grove Rd Rockville MD 20850-7464 |
| Mailing Address |
8903 Transue Dr Bethesda MD 20817-6932 |
| Practice Telephone | 3015201339 |
| Mailing Telephone | 3015201339 |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2017-08-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | H0061563 | MD | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | H0061563 | MD | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316314131 | Todd Wilson | Counselor | 5101 Boarshead Rd, Apt #117, Minnetonka, MN 55345-4042 | 2015-08-27 |
| 1740614619 | Todd Wilson | Counselor | 22721 E State Highway 31, Quinton, OK 74561-5107 | 2013-08-28 |
| 1497304653 | Todd Wilson | Counselor | 4411 Rosemont Dr, Columbus, GA 31904-5634 | 2019-09-10 |
| 1790130862 | Todd Wilson | Family Medicine | 2000 Fowler Grove Blvd Fl 3, Winter Garden, FL 34787 | 2016-04-26 |
| 1861640443 | Todd Wilson | Surgery | 6410 Fannin St, 1400, Houston, TX 77030-3000 | 2008-09-08 |
| 1770776304 | Todd A Wilson | Physical Therapist | 501 Executive Pl, Fayetteville, NC 28305-5390 | 2007-08-27 |
| 1720123391 | Todd Christopher Wilson | Military Health Care Provider | 7520 Transom Ct, Tampa, FL 33607-5863 | 2007-02-21 |
| 1780698910 | Todd Eugene Wilson | Radiology | 10850 E Traverse Hwy, Suite 60, Traverse City, MI 49684-1364 | 2006-07-27 |
| Street Address |
14200 SHADY GROVE RD |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20850-7464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982076394 | William Ripley Ballou Jr. | Internal Medicine | 14200 Shady Grove Rd, Rockville, MD 20850-7464 | 2015-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487286050 | Um Fdsp Associates, P.a. | Dentist | 9631 Gudelsky Drive, Suite 2135, Rockville, MD 20850 | 2020-02-11 |
| 1134767874 | Bh Brightview Fallsgrove Opco, LLC | Alzheimer Center (Dementia Center) | 9200 Darnestown Road, Rockville, MD 20850 | 2019-12-12 |
| 1750924205 | Omer N Pamuk | Internal Medicine | 9000 Rockville Pike, Building 10, Room 10n-311, Rockville, MD 20850 | 2019-10-28 |
| 1902456502 | Fousseyni M Diawara | Radiologic Technologist | 1680 E Gude Dr Ste 302, Rockville, MD 20850 | 2019-09-16 |
| 1104485697 | Barbara S Delsack | Speech-Language Pathologist | Montgomery County Public Schools, 850 Hungerford Drive, Rockville, MD 20850 | 2019-06-10 |
| 1982178158 | Larissa Woloszyn | Behavioral Analyst | 15425 Shady Grove, Suite 320, Rockville, MD 20850 | 2019-01-21 |
| 1417421843 | Wei Li | Acupuncturist | 9600 Blackwell Road. Suite 300, Rockville, MD 20850 | 2019-01-18 |
| 1881168805 | Heather Jean Scurtu Mann | Psychologist | Quince Orchard Psychotherapy, 9707 Key West Avenue, Suite 100, Rockville, MD 20850 | 2019-01-12 |
| 1295208486 | Laura Hanley | Physical Therapy Assistant | The Village At Rockville, Functional Pathways, 9701 Veirs Drive, Rockville, MD 20850 | 2019-01-10 |
| 1538641964 | Shamire Pierre-louis | Speech-Language Pathologist | 2 Research Place, Rockville, MD 20850 | 2018-09-01 |
| Find all providers in zip 20850 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902148307 | Scott Koenig | Allergy & Immunology | 9640 Medical Center Dr, Rockville, MD 20850-3368 | 2013-03-23 |
| 1982903498 | Kristin C Sokol | Allergy & Immunology | 9601 Blackwell Rd Ste 275, Rockville, MD 20850-6492 | 2011-03-23 |
| 1952592818 | Gina E Dapul-hidalgo | Allergy & Immunology | 9210 Corporate Blvd Ste 440, Rockville, MD 20850-6520 | 2007-08-06 |
| 1457476699 | Paul Bernhard Keiser | Allergy & Immunology | 6000 Executive Blvd Ste 615, Rockville, MD 20852-3876 | 2007-03-20 |
| 1083741284 | Vincent J Vaghi Md and Jeanne M Barbera Md PC | Allergy & Immunology | 50 West Edmunston Drive, Suite 301, Rockville, MD 20852-1246 | 2007-02-27 |
| 1407957806 | Paul M. Goldberg, D.o., P.C. | Allergy & Immunology | 6282 Montrose Rd, Rockville, MD 20852-4119 | 2006-09-26 |
| 1912012402 | Martin William Graf | Allergy & Immunology | 15225 Shady Grove Road, Rockville, MD 20850 | 2006-08-21 |
| 1770508210 | Dennis Gary Kleban | Allergy & Immunology | 19119 Rockville Pike, Rockville, MD 20852 | 2006-07-13 |
| 1417928318 | Randy Scott Stoloff | Allergy & Immunology | 14995 Shady Grove Rd Ste 100, Rockville, MD 20850-8733 | 2006-01-30 |
| 1689066219 | Schreiber Allergy | Allergy & Immunology | 9601 Blackwell Rd, Suite 275, Rockville, MD 20850-3472 | 2015-02-18 |
| Find all providers in ROCKVILLE | ||||
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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.