NICHOLAS ROBERT WILSON (NPI# 1083177638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083177638 |
| Entity Type | Individual |
| Full Name | NICHOLAS ROBERT WILSON |
| Credential | MD |
| Practice Address |
420 Delaware Street Se Mmc 284 Minneapolis MN 55455 |
| Practice Telephone | 6126265454 |
| Mailing Telephone | 6126265454 |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2019-04-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1427400480 | Nicholas Robert-vincent Wilson | Specialist/Technologist | 513 W 12th St Apt J, Newton, KS 67114-1792 | 2016-07-01 |
| 1962807065 | Nicholas James Wilson | Chiropractor | 450 Mill St Ste 102, Fontana, WI 53125-1242 | 2014-10-31 |
| 1437233103 | Nicholas D Wilson | Physical Therapist | 476 Fortman Dr, Saint Marys, OH 45885-1870 | 2006-10-25 |
| 1518524784 | Nicholas Wilson | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2019-05-23 |
| 1144781568 | Nicholas Anthony Wilson | Student in an Organized Health Care Education/Training Program | 1670 Upham Dr, Columbus, OH 43210-1250 | 2019-03-28 |
| 1902371222 | Nicholas Howard Wilson | Physician Assistant | 3301 Nw 50th St, Oklahoma City, OK 73112-5627 | 2018-10-12 |
| 1306211792 | Nicholas Frederick Wilson | Counselor | 11630 Sutphin Blvd, Jamaica, NY 11434-1527 | 2015-12-10 |
| 1942694922 | Nicholas Wilson | Radiology | 1 Boston Medical Ctr Pl, Boston, MA 02118-2908 | 2015-03-26 |
| 1902225766 | Nicholas Burton Wilson | Orthopaedic Surgery | 5320 W Markham St, Little Rock, AR 72205-3528 | 2014-04-09 |
| Street Address |
420 DELAWARE STREET SE MMC 284 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699864611 | Heather A Thompson Buum | Internal Medicine | 420 Delaware Street Se, University of Minnesota Physicians, Minneapolis, MN 55455 | 2006-10-11 |
| 1912523622 | Michael Ryan Laffin | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 195, Minneapolis, MN 55455 | 2020-06-18 |
| 1457976367 | Andrew Olsen Arnold | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 195, Minneapolis, MN 55455 | 2020-06-16 |
| 1508488453 | Robert Freund | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc609, Mayo D142, Minneapolis, MN 55455 | 2020-05-14 |
| 1205457306 | Margaret Lynn Carroll Flint | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 195, Minneapolis, MN 55455 | 2020-04-29 |
| 1790305449 | Bellony Nzemenoh | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2020-04-23 |
| 1033739651 | Echko Holman | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2020-04-23 |
| 1851911671 | Robyn Michelle Marks | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 195, Minneapolis, MN 55455 | 2020-04-22 |
| 1073133757 | Quinn Charles Bongers | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2020-04-22 |
| 1730709593 | Andrea Mary Johnson | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 395, Minneapolis, MN 55455 | 2020-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715679 | Kara Biscobing | Nurse Anesthetist, Certified Registered | M Health Fairview Ummc East Bank 3-307, 500 Harvard Street, Minneapolis, MN 55455 | 2020-09-18 |
| 1982213237 | Yue Hu | Dentist | 515 Delaware St. Se Malcolm Moos Health Sciences Tower, Room 7-174, Minneapolis, MN 55455 | 2020-07-23 |
| 1952922148 | Jacob Laurence Tigner | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2020-04-29 |
| 1710507538 | Rachael Grundman | Student in an Organized Health Care Education/Training Program | 420 Delaware St, Mmc 395, Minneapolis, MN 55455 | 2020-04-22 |
| 1497375240 | Sanjay Dhawan | Student in an Organized Health Care Education/Training Program | 420 Delaware St. Se, Mmc 195, Minneapolis, MN 55455 | 2020-04-22 |
| 1508486549 | Dariel Andres Diaz | Student in an Organized Health Care Education/Training Program | 420 Se Delaware Street, Mmc 195, Minneapolis, MN 55455 | 2020-04-20 |
| 1275186280 | Kerem Ozturk | Radiology | B-226 Mayo Memorial Building, Mmc 292 420 Delaware Street S.e., Minneapolis, MN 55455 | 2019-07-18 |
| 1275194631 | Andres Jose Gonzalez Coba | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se Mmc 284, Minneapolis, MN 55455 | 2019-06-26 |
| 1841850278 | Brendan Andrew Schleyer | Dentist | 515 Delaware St Se, Div of Periodontology, Moos Tower, 7-368, Minneapolis, MN 55455 | 2019-06-18 |
| 1932767399 | Claire-audrey Y Bayan | Student in an Organized Health Care Education/Training Program | 420 Delaware Street, Mmc 98, Minneapolis, MN 55455 | 2019-05-31 |
| Find all providers in zip 55455 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961003 | Maren Elizabeth Iverson | Student in an Organized Health Care Education/Training Program | 1 Veterans Dr # 160, Minneapolis, MN 55417-2309 | 2020-10-26 |
| 1235745027 | Andrew Ryan Mcnamara | Student in an Organized Health Care Education/Training Program | 1015 Lowry Ave Ne Apt 3, Minneapolis, MN 55418-3727 | 2020-09-17 |
| 1831704923 | Chelsea Armbruster | Student in an Organized Health Care Education/Training Program | 1001 34th Ave Ne, Minneapolis, MN 55418-1336 | 2020-09-15 |
| 1588279715 | Lauren Snell | Student in an Organized Health Care Education/Training Program | 929 Portland Ave Apt 1104, Minneapolis, MN 55404-1256 | 2020-09-14 |
| 1962016840 | Leora Effinger-weintraub | Student in an Organized Health Care Education/Training Program | 3928 39th Ave S, Minneapolis, MN 55406-3431 | 2020-09-08 |
| 1235743279 | Marc Daniel Beitz | Student in an Organized Health Care Education/Training Program | 100 W Franklin Avenue, Suite 200, Minneapolis, MN 55404-3479 | 2020-09-08 |
| 1801409396 | Antoinette M Goodman | Student in an Organized Health Care Education/Training Program | 2800 Freeway Blvd Ste 105, Minneapolis, MN 55430-1751 | 2020-08-25 |
| 1194341842 | Bruce Zhang | Student in an Organized Health Care Education/Training Program | 606 24th Ave. S. Suite 200, Minneapolis, MN 55454 | 2020-06-18 |
| 1952922148 | Jacob Laurence Tigner | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2020-04-29 |
| 1023639309 | Sarah G Curtis | Student in an Organized Health Care Education/Training Program | 701 Park Ave # G5.122, Minneapolis, MN 55415-1623 | 2020-04-28 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55455 |
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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.