JASON R WILES (NPI# 1093988107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093988107 |
| Entity Type | Individual |
| Full Name | JASON R WILES |
| Credential | MD |
| Practice Address |
3700 Washington Ave Evansville IN 47714-0541 |
| Mailing Address |
Po Box 13059 Belfast ME 04915-4021 |
| Practice Telephone | 8124854000 |
| Mailing Telephone | 3175833022 |
| Mailing Fax Number | 3175832199 |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2017-04-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 01073878A | IN | Allopathic & Osteopathic Physicians |
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
01073878A | IN | Allopathic & Osteopathic Physicians |
| Street Address |
3700 WASHINGTON AVE |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47714-0541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972509115 | Teresa M. Brown | Obstetrics & Gynecology | 3700 Washington Ave, Ste 2200, Evansville, IN 47714-0541 | 2005-06-22 |
| 1003417064 | Kelli Robertson | Dietitian, Registered | 3700 Washington Ave, Evansville, IN 47714-0541 | 2020-11-05 |
| 1700409323 | Madeline Eisenhut | Pharmacist | 3700 Washington Ave, Evansville, IN 47714-0541 | 2020-05-19 |
| 1023647872 | Alexa Raenae Antrim | Physician Assistant | 3700 Washington Ave, Evansville, IN 47714-0541 | 2020-04-03 |
| 1104452077 | Swetha Chenna | Student in an Organized Health Care Education/Training Program | 3700 Washington Ave, Evansville, IN 47714-0541 | 2020-03-23 |
| 1902432883 | Jacob Konrad Weinzapfel | Student in an Organized Health Care Education/Training Program | 3700 Washington Ave, Evansville, IN 47714-0541 | 2020-03-23 |
| 1235765272 | Troy Manz | Student in an Organized Health Care Education/Training Program | 3700 Washington Ave, Evansville, IN 47714-0541 | 2020-03-22 |
| 1740816784 | Christopher C Shrack | Student in an Organized Health Care Education/Training Program | 3700 Washington Ave, Evansville, IN 47714-0541 | 2020-03-22 |
| 1245866185 | Neil Patrick Corbett | Student in an Organized Health Care Education/Training Program | 3700 Washington Ave, Evansville, IN 47714-0541 | 2020-03-22 |
| 1225664253 | Kengo Zaven Soghoyan | Student in an Organized Health Care Education/Training Program | 3700 Washington Ave, Evansville, IN 47714-0541 | 2020-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922343490 | Mary Elizabeth Esche | Physical Therapist | 3701 Bellemead Ave, Evansville, IN 47714 | 2012-12-10 |
| 1346524006 | Cheryl Ann Blanford | Pharmacist | 2015 E Covert Ave, Evansville, IN 47714 | 2011-09-29 |
| 1235446014 | Angela Kay Bradford-heidorn | Counselor | 4601 Bayard Park Drive, Evansville, IN 47714 | 2010-09-01 |
| 1104131655 | Cynthia D Lewis | Nurse Practitioner | 3700 Washington Ave Ste 202, Evansville, IN 47714 | 2010-08-09 |
| 1033357363 | Sarah M Voelkel | Podiatrist | 3801 Bellemeade Ave Ste 110a, Evansville, IN 47714 | 2009-01-23 |
| 1346443892 | Shilpa D Gaitonde | Internal Medicine | 3801 Bellemeade Ave Ste 300, Evansville, IN 47714 | 2007-06-11 |
| 1437361516 | Oncology Hematology Associates of Southwest Indiana | Internal Medicine | 3801 Bellemeade Suite 110, Evansville, IN 47714 | 2007-05-03 |
| 1629105374 | Comprehensive Neurosurgical Specialists, LLC | Neurological Surgery | 801 St Mary's Drive, Suite 505 East, Evansville, IN 47714 | 2007-02-28 |
| 1447387949 | Emily Mills | Physical Therapy Assistant | 1800 Elmendorf Avenue, Evanville, IN 47714 | 2007-02-28 |
| 1023153194 | Glen Gilbert Millikan II | Pharmacist | 1550 S. Vann Ave, Evansville, IN 47714 | 2007-02-20 |
| Find all providers in zip 47714 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053572578 | Carol Lynn Berseth | Pediatrics | 401 Park Plaza Dr, Evansville, IN 47715-3632 | 2008-06-18 |
| 1932154820 | Martin C Vincent | Pediatrics | 3700 Washington Ave, Evansville, IN 47714-0541 | 2006-05-23 |
| 1578518411 | Myles J Grant | Pediatrics | 3700 Washington Ave, Evansville, IN 47714-0541 | 2006-05-22 |
| 1225082464 | Bernardo E. Arnaez | Pediatrics | 3700 Washington Ave, Evansville, IN 47714-0541 | 2006-05-20 |
| 1396799961 | Maria G Delrio | Pediatrics | 3700 Washington Ave, Evansville, IN 47714-0541 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992831861 | Rex G Bickers | Pediatrics | 3511 Lafayette Pkwy, Floyds Knobs, IN 47119-9760 | 2007-02-26 |
| 1275679433 | Cheryl Annette Eads | Pediatrics | 887 N Gardner St Ste A, Scottsburg, IN 47170-1457 | 2007-01-29 |
| 1730234071 | Northern Indiana Neonatal Associates, PC | Pediatrics | 3221 Covington Lake Dr, Fort Wayne, IN 46804-2515 | 2007-01-25 |
| 1659391506 | Gregory Robert Warda | Pediatrics | 2304 Kossuth St, Billing Office, Lafayette, IN 47904-3240 | 2006-07-20 |
| 1053301143 | Caroline Ann Maylock | Pediatrics | 8111 Township Line Rd, St Vincent's Women's Hospital Dept of Neonatology, Indianapolis, IN 46260-2479 | 2005-10-28 |
| 1619965803 | Mary Jo Stine | Pediatrics | 35 Bob Babbs Dr, Spencer, IN 47460-6828 | 2005-10-11 |
| 1538688163 | Coutinho PC | Pediatrics | 3901 S 7th St, Terre Haute, IN 47802-5709 | 2017-09-14 |
| 1366892192 | Jennifer L Connell | Pediatrics | 705 Riley Hospital Dr, Rr208, Indianapolis, IN 46202-5109 | 2016-06-13 |
| 1366897605 | Nicholas Theodore Severyn | Pediatrics | 699 Riley Hospital Drive, Rr 208, Indianapolis, IN 46202-5119 | 2016-04-24 |
| 1255728903 | Sara K Kane | Pediatrics | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2015-04-21 |
| Find all providers with the same taxonomy | ||||
| City | EVANSVILLE |
| Zip Code | 47714 |
Please comment or provide details below to improve the information on JASON R WILES.
| 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.