MICHAEL TYLER WILSON (NPI# 1053864306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053864306 |
| Entity Type | Individual |
| Full Name | MICHAEL TYLER WILSON |
| Credential | ATC, LAT |
| Practice Address |
411 Central Methodist Sq Fayette MO 65248-1104 |
| Practice Telephone | 6365775062 |
| Mailing Telephone | 6365775062 |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2016-08-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2016023484 | MO | 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 |
411 CENTRAL METHODIST SQ |
| City | FAYETTE |
| State | MO |
| Zip Code | 65248-1104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952399776 | Rick Errett Sage | Specialist/Technologist | 411 Central Methodist Sq, Fayette, MO 65248-1104 | 2005-10-06 |
| 1346734423 | Kimberly Mikulan | Specialist/Technologist | 411 Central Methodist Sq, Fayette, MO 65248-1104 | 2018-06-21 |
| 1013429851 | Kelsey Nicole Stuenkel | Specialist/Technologist | 411 Central Methodist Sq, Fayette, MO 65248-1104 | 2017-11-02 |
| 1023520863 | Bray Dempsey | Specialist/Technologist | 411 Central Methodist Sq, Fayette, MO 65248-1104 | 2017-11-02 |
| 1841702685 | Jacob Ryan Kent | Specialist/Technologist | 411 Central Methodist Sq, Fayette, MO 65248-1104 | 2017-11-02 |
| 1295247039 | Trevor Michael Barbour | Specialist/Technologist | 411 Central Methodist Sq, Fayette, MO 65248-1104 | 2017-11-02 |
| 1114439957 | Zach G Hentges | Specialist/Technologist | 411 Central Methodist Sq, Fayette, MO 65248-1104 | 2017-11-02 |
| 1750893590 | Ashley Elizabeth Wills | Specialist/Technologist | 411 Central Methodist Sq, Fayette, MO 65248-1104 | 2017-11-02 |
| 1205348042 | Mackenzie Lee Cullifer | Specialist/Technologist | 411 Central Methodist Sq, Fayette, MO 65248-1104 | 2017-11-02 |
| 1932611779 | Samuel Lee Niedergerke | Specialist/Technologist | 411 Central Methodist Sq, Fayette, MO 65248-1104 | 2017-11-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871658799 | Health Care Consultants of Mid Missouri, Inc. | Assisted Living Facility | 420 County Road 112, Fayette, MO 65248 | 2006-12-22 |
| 1326075391 | Robert Neal Buffaloe | Family Medicine | 308 S Church St, Fayette, MO 65248 | 2006-06-27 |
| 1740376219 | Howard County Home Health and Hospice | Hospice Care, Community Based | 101 Furr St, Fayette, MO 65248-1069 | 2006-10-04 |
| 1861496531 | Howard County Home Health and Hospice | Home Health | 101 Furr Street, Fayette, MO 65248-1069 | 2005-06-09 |
| 1013342955 | Howard County Home Health and Hospice | In Home Supportive Care | 101 Furr St, Fayette, MO 65248-1069 | 2013-09-11 |
| 1346242484 | Howard County Commission | Public Health or Welfare | 600 W Morrison St, Ste 7, Fayette, MO 65248-1075 | 2005-06-01 |
| 1700125382 | Jessica Michelle Beasley | Counselor | 600 W Morrison St, Ste 18, Fayette, MO 65248-1075 | 2013-02-02 |
| 1376840090 | Nathan Reed Hepner | Counselor | 600 W Morrison St, Suite 18, Fayette, MO 65248-1075 | 2011-02-15 |
| 1477855336 | Solcollin Aliscia Heard | Counselor | 600 W Morrison St, Ste. 18, Fayette, MO 65248-1075 | 2010-11-29 |
| 1992006399 | Leann Elizabeth Williams | Nurse Practitioner | 600 W Morrison St, Suite 5, Fayette, MO 65248-1075 | 2010-11-16 |
| Find all providers in zip 65248 | ||||
| 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] |
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| 1114372752 | Ryan Scott Fonkert | Specialist/Technologist | 605 Washingtone Street, Fayette, IA 52142 | 2016-05-02 |
| 1700859386 | Melinda Dillard Wilson | Specialist/Technologist | 2631 Temple Ave N, Fayette, AL 35555-1157 | 2006-02-13 |
| 1952399776 | Rick Errett Sage | Specialist/Technologist | 411 Central Methodist Sq, Fayette, MO 65248-1104 | 2005-10-06 |
| 1992335806 | Kailyn Weber | Specialist/Technologist | 605 Washington St, Fayette, IA 52142-9206 | 2020-01-20 |
| 1801426713 | Noah Mathias Rogers | Specialist/Technologist | 605 Washington St, Fayette, IA 52142-9206 | 2020-01-20 |
| 1447880356 | Caitlin Himes | Specialist/Technologist | 605 Washington St, Fayette, IA 52142-9206 | 2020-01-20 |
| 1730726951 | Jeanette Ellen Leal | Specialist/Technologist | 605 Washington St, Fayette, IA 52142-9206 | 2019-12-06 |
| 1346734423 | Kimberly Mikulan | Specialist/Technologist | 411 Central Methodist Sq, Fayette, MO 65248-1104 | 2018-06-21 |
| Find all providers in FAYETTE | ||||
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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.