Organization Active NPI

Joel H. Wilkerson MD and Associates LLC

  • Internal Medicine Physician
  • Grasonville, MD
National Provider Identifier
1205138906
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD13130 Issued in DC
Legal business name
JOEL H. WILKERSON MD AND ASSOCIATES LLC
Practice address
204 Medical Center Rd.
Grasonville, MD 21638
Phone
(410) 827-7117
Fax
(410) 827-9030
NPI assigned
Dec 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2010

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

Authorized official

Name
Joel H. Wilkerson, MD
Title
Owner
Phone
(202) 547-1225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD13130 DC Primary

Addresses

Primary practice location

204 Medical Center Rd.
Grasonville, MD 21638

Mailing address

204 Medical Center Rd.
PO Box 100
Grasonville, MD 21638
Phone (410) 827-7117

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1205138906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 MEDICAL CENTER RD.",
            "address_2": "PO BOX 100",
            "city": "GRASONVILLE",
            "state": "MD",
            "postal_code": "21638",
            "telephone_number": "410-827-7117",
            "fax_number": "410-827-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 MEDICAL CENTER RD.",
            "city": "GRASONVILLE",
            "state": "MD",
            "postal_code": "21638",
            "telephone_number": "410-827-7117",
            "fax_number": "410-827-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL H. WILKERSON MD AND ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-01",
        "last_updated": "2010-12-01",
        "status": "A",
        "authorized_official_last_name": "WILKERSON",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-547-1225",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "MD13130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grasonville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.