CHRISTOPHER WILSON (NPI# 1073136784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073136784 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER WILSON |
| Credential | PA-C |
| Practice Address |
3620 Azalea Dr Destin FL 32541-2395 |
| Practice Telephone | 8504508322 |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2020-05-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9113008 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992326441 | Christopher Shane Wilson | Peer Specialist | 5800 Nw 71st St, Warr Acres, OK 73132-6607 | 2020-05-06 |
| 1407344161 | Christopher Wilson | Student in an Organized Health Care Education/Training Program | 1701 W. Charleston Blvd., #400, Las Vegas, NV 89102 | 2018-04-28 |
| 1053822510 | Christopher Michael Wilson | Behavior Technician | 3-3367 Kuhio Hwy Ste 204, Lihue, HI 96766 | 2017-10-23 |
| 1447617840 | Christopher James Wilson | Massage Therapist | 2614 W Serendipity Cir, Apt 113, Colorado Springs, CO 80917-3445 | 2016-01-15 |
| 1225454226 | Christopher Scott Wilson | Physical Therapist | 929 Bowman Rd Ste 300, Mt Pleasant, SC 29464 | 2014-03-14 |
| 1447455910 | Christopher F Wilson | Psychologist | 852 Sw 21st Ave, Portland, OR 97205-1604 | 2007-06-15 |
| 1093886178 | Christopher P Wilson | Psychiatry & Neurology | 15418 Main St Unit 303a, Mill Creek, WA 98012-9031 | 2006-11-12 |
| 1750470829 | Christopher Mclean Wilson | Dentist | 55 Central Street, Randolph, VT 05060 | 2006-10-12 |
| 1467553149 | Christopher M Wilson | Psychiatry & Neurology | 8607 E Us Highway 36 Ste 100, Avon, IN 46123 | 2006-09-26 |
| 1972554814 | Christopher Alexander Wilson | Physical Therapist | 12551 Old Glenn Hwy, Ste E, Eagle River, AK 99577-7590 | 2006-05-15 |
| Street Address |
3620 AZALEA DR |
| City | DESTIN |
| State | FL |
| Zip Code | 32541-2395 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578020574 | Wal-mart Stores East, Lp | Durable Medical Equipment & Medical Supplies | Sec of Hwy 98 and Gulf Shore Drive, Destin, FL 32541 | 2019-02-26 |
| 1932640471 | Kathryn Clower | Chiropractor | 36474c Emerald Coast Pkwy Ste 3101, Destin, FL 32541 | 2017-03-16 |
| 1881133148 | Danielle Mckinney | Physical Therapist | 35008 Emerald Coast Pkwy Ste 400, Destin, FL 32541 | 2017-02-20 |
| 1417304643 | Coastal Pediatric Group | Pediatrics | 36468 Emerald Coast Pkwy Unit 2101, Destin, FL 32541 | 2016-05-17 |
| 1336563956 | Blu By The Sea,llc | Clinic/Center | 3399 Scenic Highway 98, Destin, FL 32541 | 2014-02-18 |
| 1740539535 | Courtney Breaux Mcgee | Physician Assistant | 155 Crystal Beach Drive #121, Destin, FL 32541 | 2012-09-07 |
| 1073861704 | Nathan Hall Dmd Pl | Dentist | 4484 Legendary Dr, Suite B, Destin, FL 32541 | 2012-08-28 |
| 1982991121 | Bayshore Retreat, LLC | Substance Abuse Rehabilitation Facility | 457 Cahoun Ave, Destin, FL 32541 | 2011-07-08 |
| 1457661605 | Destin Surgery Clinic, P.a. | Specialist | 415 Mountain Drive, Suite # 6, Destin, FL 32541 | 2010-10-20 |
| 1194032581 | Laura Mathisen | Behavioral Analyst | 3820 Misty Way, Destin, FL 32541 | 2010-09-07 |
| Find all providers in zip 32541 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730623034 | Fl-i Medical Services LLC | Physician Assistant | 200 Tequesta Dr, Destin, FL 32541-4758 | 2016-12-06 |
| 1164721221 | Crystal Bonanni | Physician Assistant | 3897 Sand Dune Ct, Destin, FL 32541-3209 | 2011-03-15 |
| 1346548203 | Joshua P Adili | Physician Assistant | 155 Crystal Beach Dr Ste 121, Destin, FL 32541-3588 | 2011-03-02 |
| 1912155490 | Jonathan David Needler | Physician Assistant | 155 Crystal Beach Dr, Suite 200, Destin, FL 32541-3527 | 2008-09-08 |
| 1063911196 | William Edelman | Physician Assistant | 4485 Furling Ln, Destin, FL 32541-5331 | 2018-02-05 |
| 1427596709 | Jessica Stevens | Physician Assistant | 36500 Emerald Coast Pkwy, Destin, FL 32541 | 2017-02-07 |
| 1659720654 | Fl-i Medical Services LLC | Physician Assistant | 996 Airport Rd, Destin, FL 32541-2824 | 2016-06-09 |
| 1962850842 | Clear Mountain Emergency Physicians LLC | Physician Assistant | 996 Airport Rd, Destin, FL 32541-2824 | 2016-06-01 |
| 1902279714 | Whispering Wind Emergency Physicians, LLC | Physician Assistant | 996 Airport Rd, Destin, FL 32541-2824 | 2015-11-03 |
| 1104235043 | Bridge Mountain Emergency Physicians LLC | Physician Assistant | 996 Airport Rd, Destin, FL 32541-2824 | 2014-08-05 |
| Find all providers in DESTIN | ||||
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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.