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LARRY A WILSON MD
NPI 1629062211
Family Medicine in Baltimore, MD

Active since September 09, 2005
4924 CAMPBELL BLVD, BALTIMORE, MD 21236(443) 461-1997 Get Directions Write a Review

NPPES record last updated: March 27, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Larry A Wilson Md NPPES

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

LARRY A WILSON MD (NPI 1629062211) is an individual family medicine provider in Baltimore, Maryland, licensed in Maryland (D26253) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1629062211
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameLARRY A WILSONCredential: MD
Location Address4924 CAMPBELL BLVDBaltimore, MD 21236-5908
Mailing AddressPo Box 759047Baltimore, MD 21275-9047 · (804) 968-5700
Phone(443) 461-1997
Sole ProprietorNo
Enumeration DateSeptember 9, 2005
Last NPPES UpdateMarch 27, 2018
✔ NPI 1629062211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MD · D26253
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4924 CAMPBELL BLVD, Baltimore, MD 21236
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS DANIELLE R. NORTH PA-C
Physician Assistant
4924 CAMPBELL BLVD, SUITE 200
NOTTINGHAM, MD 21236
Baltimore County (443) 442-2300
NAOMI P CUTLER M.D.
Internal Medicine
4924 CAMPBELL BLVD, SUITE 200
BALTIMORE, MD 21236
Baltimore County (443) 442-2300
MR. DAVID S SANDLER PAC
Physician Assistant (Medical)
4924 CAMPBELL BLVD
WHITE MARSH, MD 21236
Baltimore County (443) 442-2300
DEBRAHE K. ROWLAND AG-ACNP-BC
Nurse Practitioner (Acute Care)
4924 CAMPBELL BLVD
NOTTINGHAM, MD 21236
Baltimore County (443) 442-2300
WHITE MARSH PHARMACY
Pharmacy (Community/Retail Pharmacy)
4924 CAMPBELL BLVD, STE 120
NOTTINGHAM, MD 21236
Baltimore County (443) 384-2500
JOHNS HOPKINS UNIVERSITY
Internal Medicine
4924 CAMPBELL BLVD
BALTIMORE, MD 21236
Baltimore County (443) 442-2401
DR. TIGIST HAILU M.D.
Internal Medicine (Cardiovascular Disease)
4924 CAMPBELL BLVD, STE 110
BALTIMORE, MD 21236
Baltimore County (443) 442-2000
DR. HANNAH MARIE VACA DPT
Physical Therapist
4924 CAMPBELL BLVD
NOTTINGHAM, MD 21236
Baltimore County (410) 955-5000

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 Larry Wilson's NPI number?

The NPI number for Larry Wilson is 1629062211. It was assigned to this individual provider in the NPPES registry on September 9, 2005.

Where is Larry Wilson located?

Larry Wilson practices at 4924 Campbell Blvd, Baltimore, MD 21236. The listed phone number is (443) 461-1997.

What is Larry Wilson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Larry Wilson was last updated on March 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.