John Everett Wilson, D..O

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

H0045242 Issued in MD

Practice address

4 C North Ave
Suite 425
Bel Air, MD 21014-2307

Phone

(410) 838-8991

Fax

(410) 838-0727

NPI assigned

Oct 4, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and Rehabilitation

Education

Philadelphia College of Osteopathic Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Neurodiagnostic Associates of Maryland PC

  • Physical Medicine & Rehabilitation Physician
  • Bel Air, MD
  • NPI 1083651897
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377475200000",
    "number": "1003803057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 C NORTH AVE",
            "address_2": "SUITE 425",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210142307",
            "telephone_number": "410-838-8991",
            "fax_number": "410-838-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 C NORTH AVE",
            "address_2": "SUITE 425",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210142307",
            "telephone_number": "410-838-8991",
            "fax_number": "410-838-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JOHN",
        "middle_name": "EVERETT",
        "credential": "D..O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2013-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "H0045242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "OW25NE",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "H0045242",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Richardson Williams
• Natalie C Williams, LCPC
• Robin N Williams
• Abigail Kathleen Birch Wilson
• Gail M Wilson, LCPC
• Kaitlyn Page Wilson, M.S., CCC-SLP
• Lanika Wilson
• Ornica Wilson
• Sau Win, PA-C
• Scott Kenneth Winiecki, MD

• Physical Medicine & Rehabilitation Physician in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Physical Medicine & Rehabilitation Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.