Organization Active NPI

Earl V. Wilkinson, M.D., LLC

  • Otolaryngology Physician
  • Columbia, MD
National Provider Identifier
1700070513
Registry record updated Sep 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
D0027106 Issued in MD
Legal business name
EARL V. WILKINSON, M.D., LLC
Practice address
5500 Knoll North Dr
Suite 310
Columbia, MD 21045-2209
Phone
(410) 964-5226
NPI assigned
Sep 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2011

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

Authorized official

Name
Dr. Earl Vane Wilkinson III, M.D.
Title
Owner/Physician
Phone
(410) 964-5226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X D0027106 MD Primary

Addresses

Primary practice location

5500 Knoll North Dr
Suite 310
Columbia, MD 21045-2209

Mailing address

5500 Knoll North Dr
Suite 310
Columbia, MD 21045-2209
Phone (410) 964-5226

Other identifiers 1

IdentifierTypeStateIssuer
312221201MedicaidMD

National Provider Directory

National Provider Directory

Locations

5500 Knoll North Dr
Fl 3
Columbia, MD 21045
Phone (410) 740-1500

5500 Knoll North Dr
Ste 310
Columbia, MD 21045
Phone (240) 747-7785

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316736000000",
    "number": "1700070513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 KNOLL NORTH DR",
            "address_2": "SUITE 310",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452209",
            "telephone_number": "410-964-5226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 KNOLL NORTH DR",
            "address_2": "SUITE 310",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452209",
            "telephone_number": "410-964-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARL V. WILKINSON, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2011-09-23",
        "status": "A",
        "authorized_official_last_name": "WILKINSON",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "VANE",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "410-964-5226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "MD",
            "license": "D0027106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "312221201",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; 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.