Search › Kentucky › 207SG0201X
Theodore Wilson, MD
NPI 1699035030 · on the registry since 2012 · sole proprietor
Practice
- Address
- 411 E Chestnut St
Louisville, KY 40202 - Phone
- (502) 588-0850
- Fax
- (502) 588-0861
- Clinicians at this address
- 95
Additional practice sites
- 2401 W Belvedere Ave, Baltimore, MD
- 1002 Wishard Blvd, Indianapolis, IN
- 550 University Blvd, Indianapolis, IN
Registry record
- Primary taxonomy
- 207SG0201X
207SG0201X
- Also registered as
- 208000000X
207SG0201X
208000000X - Licence states on file
- IN, MD, KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky