JAMES R WILSON (NPI# 1083050850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083050850 |
| Entity Type | Individual |
| Full Name | JAMES R WILSON |
| Other Name | JAMES WILSON |
| Credential | DO |
| Practice Address |
4229 Pearl Rd # N2.42 Cleveland OH 44109-4218 |
| Practice Telephone | 2167784414 |
| Practice Fax Number | 2169572008 |
| Mailing Telephone | 2167784414 |
| Mailing Fax Number | 2169572008 |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2020-04-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | OS018136 | PA | Allopathic & Osteopathic Physicians |
| Y | 2081P0004X |
Physical Medicine & Rehabilitation Specialization: Spinal Cord Injury Medicine |
34.014051 | OH | Allopathic & Osteopathic Physicians |
| N | 2081P0004X |
Physical Medicine & Rehabilitation Specialization: Spinal Cord Injury Medicine |
OS018136 | PA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3401 N Broad St, Physical Medicine & Rehabilitation Temple/mossrehab, Philadelphia, PA 191405103 | 2157077022 | 2157074415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992369102 | James Wilson | Assisted Living Facility | 15986 W Main St, Louisville, MS 39339-2636 | 2019-04-24 |
| 1841778735 | James Wilson | Contractor | 827 Highway 82 W, Greenville, MS 38701-5715 | 2018-08-01 |
| 1396246617 | James Wilson | Home Health Aide | 2052 Miles Woods Dr, Cincinnati, OH 45231-2150 | 2018-02-22 |
| 1942712781 | James Wilson | Technician | 41 Underwood St Nw, Washington, DC 20012-2115 | 2017-11-02 |
| 1366992158 | James Earl Wilson | Licensed Practical Nurse | 62 W Garden Dr, Rochester, NY 14606-4707 | 2016-10-05 |
| 1013463520 | James Wilson | Specialist/Technologist | 2117 Franklin Dr, North Augusta, SC 29841-9263 | 2016-08-26 |
| 1013360270 | James Wilson | Specialist/Technologist | 1001 E Fm 2410 Rd, Harker Heights, TX 76548-6845 | 2016-07-22 |
| 1134516644 | James Wilson | Occupational Therapy Assistant | 3903 Whirlwind St, Bryant, AR 72022-6710 | 2015-04-22 |
| 1205268000 | James William Wilson | Massage Therapist | 8219 River Country Dr, Weeki Wachee, FL 34607-2137 | 2013-08-02 |
| 1538444161 | James Edwin Wilson | Counselor | 1358 Sale Ave, Louisville, KY 40215-1907 | 2011-10-14 |
| Street Address |
4229 PEARL RD # N2.42 |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44109-4218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831706811 | Shafeeque Kunhiabdullah | Pediatrics | Metrhealth Drive, Metrohealth Medical, Fellow Neonatology, Cleveland, OH 44109 | 2020-09-24 |
| 1174146823 | Andrew John Wrobel | Nurse Practitioner | 3188 W 14th St, Unit 1, Cleveland, OH 44109 | 2020-05-28 |
| 1740817998 | Ashleigh Katlyn Hamar | Community Health Worker | 3518 W. 25th Sreet, Cleveland, OH 44109 | 2020-03-26 |
| 1548895097 | Meghan Elise Mcdonald Whyard | Social Worker | 3818 W 25th, Cleveland, OH 44109 | 2020-03-05 |
| 1285286526 | Jonathan Richard Haag | Anesthesiologist Assistant | 2550 Metrohealth Dr, Cleveland, OH 44109 | 2019-07-16 |
| 1952871501 | Susan Tamilio | Case Manager/Care Coordinator | 4269 Pearl Raod, Cleveland, OH 44109 | 2018-11-27 |
| 1982199154 | Luisa Milagros Velez | Counselor | 2202 Prame, Cleveland, OH 44109 | 2018-06-28 |
| 1154706687 | Christine Gangale | Counselor | 3518 West 25th Street, Cleveland, OH 44109 | 2015-07-27 |
| 1073993598 | Daniel Vicente Escovar | Student in an Organized Health Care Education/Training Program | 2500 Metrohealth Drive, Room A-107, Cleveland, OH 44109 | 2015-06-01 |
| 1235523168 | Alexander Nathan Pontikos | Student in an Organized Health Care Education/Training Program | 2500 Metrohealth Dr Ofc A107, Cleveland, OH 44109 | 2015-03-28 |
| Find all providers in zip 44109 | ||||
| Taxonomy Code | 2081P0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Spinal Cord Injury Medicine |
| A physician who addresses the prevention, diagnosis, treatment and management of traumatic spinal cord injury and non-traumatic etiologies of spinal cord dysfunction by working in an interdisciplinary manner. Care is provided to patients of all ages on a lifelong basis and covers related medical, physical, psychological and vocational disabilities and complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. ACGME Accredited Residency Program Requirements: 1 year of training with 3-5 years in relevant specialty for a total of 4-6 years. ABMS Approved Subspecialty Certificate: (Physical Medicine and Rehabilitation) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073716809 | Mary Kristina Henzel | Physical Medicine & Rehabilitation | 10701 East Blvd, Louis Stokes Cleveland Va Medical Center, 128(w), Cleveland, OH 44106-1702 | 2007-06-08 |
| 1750584421 | Steven W Brose | Physical Medicine & Rehabilitation | 10701 East Blvd, Spinal Cord Injury Service, Cleveland, OH 44106-1702 | 2007-06-08 |
| 1144399635 | Shamsi Lashgari-saegh | Physical Medicine & Rehabilitation | 10701 East Blvd, Cleveland, OH 44106-1702 | 2006-11-07 |
| 1134131113 | Robert Louis Ruff | Physical Medicine & Rehabilitation | 10701 East Blvd, Louis Stokes Cleveland Vamc, Neurology Svc. 127(w), Cleveland, OH 44106-1702 | 2006-08-11 |
| 1831100304 | Chester H Ho | Physical Medicine & Rehabilitation | 10701 East Blvd, Sci 128w, Cleveland, OH 44106-1702 | 2006-08-10 |
| 1306870266 | Melvin S Mejia | Physical Medicine & Rehabilitation | 2500 Metrohealth Dr, Mhmc-pm&r, Cleveland, OH 44109-1900 | 2006-07-10 |
| 1245262161 | Gregory A Nemunaitis | Physical Medicine & Rehabilitation | 2500 Metrohealth Dr, Mhmc-pm&r, Cleveland, OH 44109-1900 | 2006-07-07 |
| 1760428155 | Graham H Creasey | Physical Medicine & Rehabilitation | 2500 Metrohealth Dr, Mhmc-pm&r, Cleveland, OH 44109-1900 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700098811 | Mid-ohio Valley Physical Medicine | Physical Medicine & Rehabilitation | 400 Matthew Street, Suite 306, Marietta, OH 45750 | 2007-05-03 |
| 1194770453 | David B Shuster | Physical Medicine & Rehabilitation | 580 Lincoln Park Blvd Ste 255, Kettering, OH 45429-3493 | 2006-05-24 |
| 1740697986 | Nina Carmela Rosales Tamayo | Physical Medicine & Rehabilitation | 8551 Darrow Rd, Twinsburg, OH 44087-2311 | 2014-07-21 |
| 1043394810 | Sandra K Kostyk | Physical Medicine & Rehabilitation | 2050 Kenny Rd, Columbus, OH 43221-3502 | 2006-10-25 |
| 1801826953 | Gordon J Korby | Physical Medicine & Rehabilitation | 1021 Country Club Rd, Ste B, Columbus, OH 43213-2484 | 2006-07-04 |
| 1952348732 | David B Shuster | Physical Medicine & Rehabilitation | 2600 Far Hills Ave, Ste 309, Kettering, OH 45419-1602 | 2006-06-01 |
Please comment or provide details below to improve the information on JAMES R WILSON.
| 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.