MR. MICHAEL HAYDEN WILSON (NPI# 1053322214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053322214 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL HAYDEN WILSON |
| Credential | ATC |
| Practice Address |
1419 Salt Springs Rd Syracuse NY 13214-1302 |
| Practice Telephone | 3154454417 |
| Practice Fax Number | 3154456048 |
| Mailing Telephone | 3154454417 |
| Mailing Fax Number | 3154456048 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
000879-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386203537 | Michael John Wilson | Clinical Neuropsychologist | 9301 Madison St Rm 369, Crown Point, IN 46307-7745 | 2019-06-11 |
| 1982268017 | Michael Donavan Wilson | Counselor | 200 North Lewis, Waukegan, IL 60087 | 2019-04-24 |
| 1891201604 | Michael Paul Wilson | Technician/Technologist | 324 Garden Rd, Springfield, PA 19064-3505 | 2017-12-18 |
| 1659897536 | Michael Wilson | Driver | 1628 Bucktown Dr, Danville, VA 24543 | 2017-08-22 |
| 1386096501 | Michael Wilson | Home Health | 596 North Hawkins Ave, Akron, OH 44313 | 2016-07-12 |
| 1164895728 | Michael Wilson | Counselor | 3027 Pleasant Grv, Bossier City, LA 71111-5758 | 2015-11-04 |
| 1013384379 | Michael Wilson | Counselor | 7110 Sw Fir Loop Ste 220, Tigard, OR 97223 | 2015-08-21 |
| 1467828350 | Michael Wilson | Social Worker | 30500 Southfield Road Apt. 200, Michael Wilson, Southfield, MI 48076 | 2015-08-14 |
| 1356723803 | Michael Wilson II | Home Health Aide | 348 Wilson Ave, Port Clinton, OH 43452-1740 | 2015-06-22 |
| 1467641399 | Michael C. Wilson | Developmental Therapist | 820 E 38th Pl Unit 1, Chicago, IL 60653-1969 | 2007-10-16 |
| Street Address |
1419 SALT SPRINGS RD |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13214-1302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528675246 | Gabriell Marie Needham | Physician Assistant | 1419 Salt Springs Rd, Syracuse, NY 13214-1302 | 2020-09-27 |
| 1013545896 | Julliana Jean-mary | Student in an Organized Health Care Education/Training Program | 1419 Salt Springs Rd, Syracuse, NY 13214-1302 | 2020-03-29 |
| 1114418936 | Danielle Maria Garry | Student in an Organized Health Care Education/Training Program | 1419 Salt Springs Rd, Syracuse, NY 13214-1301 | 2018-05-29 |
| 1538673017 | Chelsea Savage | Physician Assistant | 1419 Salt Springs Rd, Syracuse, NY 13214-1302 | 2017-11-20 |
| 1982133294 | Angela Poblocki | Physician Assistant | 1419 Salt Springs Rd, Syracuse, NY 13214-1302 | 2017-06-08 |
| 1316483969 | Daniel Collins | Specialist/Technologist | 1419 Salt Springs Rd, Syracuse, NY 13214-1302 | 2017-01-06 |
| 1215324066 | Kenneth Dolan | Specialist/Technologist | 1419 Salt Springs Rd, Sports Medicine Department, Syracuse, NY 13214-1302 | 2015-04-20 |
| 1689756991 | Jennifer Ann Thieben | Physician Assistant | 1419 Salt Springs Rd, Syracuse, NY 13214-1302 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881108983 | Nathan Fowler | Dentist | 3469 Erie Blvd E # 3a, Syracuse, NY 13214 | 2017-11-28 |
| 1841716875 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3649 Erie Blvd E Ste 215b, Syracuse, NY 13214 | 2017-08-22 |
| 1124568993 | Jose Alvarez | Dentist | 3425 Erie Blvd E Ste 1, De Witt, NY 13214 | 2017-02-27 |
| 1205258365 | Margaret Miller | Social Worker | 4101 E. Genesee St, Syracuse, NY 13214 | 2014-01-09 |
| 1124367669 | Marni Marie Millet | Counselor | 4309 E Genesee St Ste 4, Syracuse, NY 13214 | 2013-02-04 |
| 1477817401 | Runa Acharya | Internal Medicine | 3229 East Genesee St, Syracuse, NY 13214 | 2012-06-25 |
| 1487949913 | Angela Patricia Mojica Sanabria | Pediatrics | 3229 East Genesee St Ste 1, Syracuse, NY 13214 | 2011-06-13 |
| 1346530169 | Affinity Rehabilitation LLP | Clinic/Center | 18 Arbor Lane, Dewitt, NY 13214 | 2011-04-13 |
| 1003105768 | David William Hansen | Pediatrics | 3229 E. Genesee St, Suite 1, Syracuse, NY 13214 | 2011-04-04 |
| 1558676411 | Jamesville-dewitt Central School District | Local Education Agency (LEA) | Edinger Drive, Dewitt, NY 13214 | 2010-08-16 |
| Find all providers in zip 13214 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407462021 | Robert Shelton | Specialist/Technologist | 665 S 2000 W, Syracuse, UT 84075-9623 | 2020-09-18 |
| 1598298358 | Sotero Leon Perigo | Specialist/Technologist | 1128 S 2450 W, Syracuse, UT 84075-7051 | 2017-04-09 |
| 1295278950 | Sarah Mary Missen | Specialist/Technologist | 417 Buckingham Ave # 2, Syracuse, NY 13210-3315 | 2016-11-29 |
| 1104287101 | Kathleen Chaney | Specialist/Technologist | 1301 E Colvin, Syracuse, NY 13244-0001 | 2016-03-18 |
| 1245638790 | Adelyn Passaro | Specialist/Technologist | 1301 E Colvin St, Syracuse, NY 13244-0001 | 2014-12-16 |
| 1659624526 | Mary K. Butlak | Specialist/Technologist | 231 Walton St Ste 200, Syracuse, NY 13202-1887 | 2012-10-17 |
| 1801927496 | Troy Alan Gerlt | Specialist/Technologist | Syracuse University, Manley Field House, Syracuse, NY 13244-5020 | 2007-03-08 |
| 1033126974 | Scott Michael Peterson | Specialist/Technologist | Lemoyne College Sports Medicine, 1419 Salt Springs Road, Syracuse, NY 13214-1399 | 2006-08-02 |
| 1215534797 | Michael Mangano | Specialist/Technologist | 1301 E Colvin St, Syracuse, NY 13244-4403 | 2020-10-07 |
| 1316483969 | Daniel Collins | Specialist/Technologist | 1419 Salt Springs Rd, Syracuse, NY 13214-1302 | 2017-01-06 |
| Find all providers in SYRACUSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.