LINDSAY WILSON (NPI# 1104140821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104140821 |
| Entity Type | Individual |
| Full Name | LINDSAY WILSON |
| Credential | PA-C |
| Practice Address |
5031 N. Illinois St O'fallon IL 62208 |
| Mailing Address |
5031 N Illinois Street Fairview Heights IL 62208 |
| Practice Telephone | 6182126800 |
| Practice Fax Number | 6182126820 |
| Mailing Telephone | 6182126800 |
| Mailing Fax Number | 6182126820 |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2012-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 085003707 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | IL LICENSE | 085003707 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356821284 | Lindsay Michelle Wilson | Registered Nurse | 2727 Bolton Boone Dr Ste 102, Desoto, TX 75115-2019 | 2018-08-20 |
| 1962844886 | Lindsay Suzanne Marie Wilson | Chiropractor | 1828 Walnut St Fl 3, Kansas City, MO 64108 | 2013-07-19 |
| 1871899500 | Lindsay Wilson | Speech-Language Pathologist | 4180 Sage Bluff Xing, Fort Wayne, IN 46804-2363 | 2011-01-27 |
| 1598079279 | Lindsay Ann Wilson | Massage Therapist | 38111 5th Ave, B, Zephyrhills, FL 33542-4910 | 2010-08-04 |
| 1396068342 | Lindsay Helena Wilson | Dermatology | 3845 West 4700 South, Intermountain Healthcare Taylorsville Clinic, Taylorsville, UT 84129 | 2010-03-04 |
| 1881855823 | Lindsay Ann Wilson | Student in an Organized Health Care Education/Training Program | 102 Mason Farm Road, Cb #7705, 3100 Acc Building, Unc Ch, Chapel Hill, NC 27599-7705 | 2008-06-23 |
| 1376574095 | Lindsay Edward Wilson | Counselor | 5401 22nd Ave N, St Petersburg, FL 33710-5124 | 2006-07-05 |
| 1619574779 | Lindsay Elizabeth Wilson | Behavior Technician | 212 Farenholt Ave, Tamuning, GU 96913 | 2020-10-02 |
| 1437767142 | Lindsay D Wilson | Licensed Practical Nurse | 3 Cooper Plz Rm 220, Camden, NJ 08103-1438 | 2020-07-20 |
| 1205462496 | Lindsay Morgan Wilson | Nurse Practitioner | 3000 Coliseum Dr, Hampton, VA 23666-5963 | 2020-03-19 |
| Street Address |
5031 N. ILLINOIS ST |
| City | O'FALLON |
| State | IL |
| Zip Code | 62208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740829647 | Stephanie Lynn Arzavala-reed | Counselor | 8.5 Canty Lane, Fairview Heights, IL 62208 | 2019-12-26 |
| 1649822156 | Preferred Behavioral Health | Community/Behavioral Health | 141 Market Place Drive, Suite 100, Fairview Heights, IL 62208 | 2019-07-15 |
| 1164929055 | Itic Support Services Inc | Psychiatry & Neurology | 141 Market Pl Ste 100, Fairview Heights, IL 62208 | 2018-04-09 |
| 1023525102 | Karen E. Reinacher | Speech-Language Pathologist | 21 Circle Dr., Fairview Heights, IL 62208 | 2018-01-10 |
| 1316465297 | Rachel Moser | Behavioral Analyst | 9510 St. Clair Ave, Fairview Heights, IL 62208 | 2017-08-31 |
| 1952826471 | Tomika Eiland | Social Worker | 413 David Dr, Fairview Heights, IL 62208 | 2017-08-05 |
| 1194113852 | Rachel Logan | Social Worker | 10850 Lincoln Trail, Suite 16 #3, Fairview Heights, IL 62208 | 2015-01-05 |
| 1255746715 | Center for Advanced Medicine LLC | Internal Medicine | 5036 N Illinois St, Suite 1, Fairview Heights, IL 62208 | 2014-06-24 |
| 1033463393 | Katherine Johnson I | Physical Therapy Assistant | 320 N Ruby Ln, Fairview Heights, IL 62208 | 2012-11-07 |
| 1508118779 | Nicole Kovacic | Physical Therapy Assistant | 5501 Perrin Drive, Fairview Heights, IL 62208 | 2012-10-11 |
| Find all providers in zip 62208 | ||||
| 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 |
|---|---|---|---|---|
| 1669830741 | Infinity-meds Urgent Care Services LLC | Physician Assistant | 1512 North Green Mount Road, O'fallon, IL 62269-1953 | 2016-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063010924 | Mckenzie Youngblood | Physician Assistant | 28653 Wren Ln, Jerseyville, IL 62052-6501 | 2020-10-13 |
| 1548877400 | Shawn Milhauser | Physician Assistant | 1014 N Mill St, Pontiac, IL 61764-1332 | 2020-09-25 |
| 1982210654 | Brittany Michelle Weber | Physician Assistant | 525 E Congress Pkwy Ste 200, Crystal Lake, IL 60014-6271 | 2020-09-18 |
| 1003421603 | Logan M Barkley | Physician Assistant | 2560 24th St Ste 201, Rock Island, IL 61201-5390 | 2020-09-10 |
| 1336753342 | Navneet Kaur Bamrah | Physician Assistant | 11316 S Highland Dr, Plainfield, IL 60585-1581 | 2020-09-07 |
| 1306450424 | Annie Mannancheril | Physician Assistant | 9114 Waukegan Rd, Morton Grove, IL 60053-2135 | 2020-09-04 |
| 1508470709 | Bryan Ying Wong | Physician Assistant | 3420 S Morgan St Apt 2e, Chicago, IL 60608-6904 | 2020-09-04 |
| 1386256402 | Emma Schmidt | Physician Assistant | 20 Haverton Ct, Streamwood, IL 60107-1682 | 2020-08-19 |
| 1063024388 | Alyson Dyck | Physician Assistant | 2540 Health Services, Ssb Student Services Building, Normal, IL 61790-2540 | 2020-08-18 |
| 1649882192 | Anna Marie Phillips | Physician Assistant | 5337 Main St, Skokie, IL 60077-2029 | 2020-08-17 |
| Find all providers with the same taxonomy | ||||
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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.