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MR. TED LEWIS WILSON PHYSICIANS ASSISTANT
NPI 1063685592
Physician Assistant - Medical in Baltimore, MD

Active since April 04, 2008
7210 WINDSOR BLVD, RUTHERFORD BUSINESS CENTER, BALTIMORE, MD 21244(410) 597-7438(410) 597-7722 Get Directions Write a Review

NPPES record last updated: April 4, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Ted Lewis Wilson Physicians Assistant NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. TED LEWIS WILSON PHYSICIANS ASSISTANT (NPI 1063685592) is an individual medical provider in Baltimore, Maryland, licensed in Maryland (C00001109) and active in the NPI registry since April 2008.

NPPES Registry Identity

NPI1063685592
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. TED LEWIS WILSONCredential: PHYSICIANS ASSISTANT
Location Address7210 WINDSOR BLVD, RUTHERFORD BUSINESS CENTERBaltimore, MD 21244-2633
Mailing Address7210 Windsor Blvd, Rutherford Business CenterBaltimore, MD 21244-2633 · (410) 597-7438 · Fax (410) 597-7722
Phone(410) 597-7438
Fax(410) 597-7722
Sole ProprietorNo
Enumeration DateApril 4, 2008
✔ NPI 1063685592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MD · C00001109
7210 WINDSOR BLVD, Baltimore, MD 21244
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ted Wilson's NPI number?

The NPI number for Ted Wilson is 1063685592. It was assigned to this individual provider in the NPPES registry on April 4, 2008.

Where is Ted Wilson located?

Ted Wilson practices at 7210 Windsor Blvd Rutherford Business Center, Baltimore, MD 21244. The listed phone number is (410) 597-7438.

What is Ted Wilson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Ted Wilson was last updated on April 4, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.