PAMELA WILSON (NPI# 1104256403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104256403 |
| Entity Type | Individual |
| Full Name | PAMELA WILSON |
| Practice Address |
2980 N Main St Decatur IL 62526-3291 |
| Practice Telephone | 2178769902 |
| Mailing Telephone | 2178769902 |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2016-08-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | 3017 | IL | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689289886 | Pamela S Wilson | Technician | 1311 Peppermint Creek Rd, Given, WV 25245-8155 | 2020-09-14 |
| 1881155075 | Pamela Wilson | Behavior Technician | 6 Westside Dr, Phenix City, AL 36869-6015 | 2019-03-29 |
| 1184199432 | Pamela Adrienne Wilson | Rehabilitation Counselor | 350 S. Irwin Road, Holland, OH 43528 | 2018-10-12 |
| 1811484025 | Pamela Darlene Wilson | Massage Therapist | 119 Narain Ct, Oregon City, OR 97045-3624 | 2018-04-13 |
| 1144656455 | Pamela C. Wilson | Counselor | 2809 Great Northern Loop Ste 210-5, Missoula, MT 59808-1749 | 2013-09-18 |
| 1235499799 | Pamela Wilson | Occupational Therapist | 6500 N Cosby Ave, Kansas City, MO 64151-3962 | 2012-05-17 |
| 1003112186 | Pamela G Wilson | Contractor | 14004 Se 202nd St, Kent, WA 98042-3017 | 2011-02-07 |
| 1033389473 | Pamela Aird Wilson | Internal Medicine | 6001 Galley Ct, Madison, WI 53705-4429 | 2008-02-29 |
| 1245351519 | Pamela Lynn Wilson | Massage Therapist | 8712 Vineyard Ridge Rd Ne, Albuquerque, NM 87122-2624 | 2007-04-03 |
| 1336168228 | Pamela L Wilson | Neuromusculoskeletal Medicine & OMM | 905 N Flood Ave, Norman, OK 73069-7641 | 2006-07-19 |
| Street Address |
2980 N MAIN ST |
| City | DECATUR |
| State | IL |
| Zip Code | 62526-3291 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982052585 | Springboard Pediatrics Inc | Clinic/Center | 2980 N Main St, Suite 2, Decatur, IL 62526-3291 | 2016-05-25 |
| 1518322114 | Stephanie Gaede | Hearing Instrument Specialist | 2980 N Main St, Ste 4, Decatur, IL 62526-3291 | 2015-12-24 |
| 1962697250 | Martin Okpalike | Pediatrics | 2980 N Main St, Ste 2, Decatur, IL 62526 | 2007-09-10 |
| 1053462739 | Michael F. Stauder | Optometrist | 2980 N Main St, Suite 1, Decatur, IL 62526 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083100804 | Coalition | Non-emergency Medical Transport (VAN) | 2375 N Longwood Dr, Decatur, IL 62526 | 2018-07-04 |
| 1881116820 | Bria N Howard | Nurse's Aide | 606 E Warren St. Apt 609, Decatur, IL 62526 | 2017-07-12 |
| 1437683679 | Lutheran Child and Family Services | Foster Care Agency | 2826 N. Monroe Street, Decatur, IL 62526 | 2017-04-14 |
| 1083166326 | Whitney Miller | Pharmacist | 225 East Ash Ave, Decatur, IL 62526 | 2016-11-03 |
| 1487053369 | Central Illinois Health Associates, Inc | Preferred Provider Organization | 2300 N. Edward Street, Decatur, IL 62526 | 2014-08-18 |
| 1659787893 | Stephanie Marie Kanitsch | Obstetrics & Gynecology | 544 W Pershing Rd Ste A, Decatur, IL 62526 | 2014-07-09 |
| 1497169973 | Brian Hassinger | Audiologist-Hearing Aid Fitter | 2605 N Water St Ste 101, Decatur, IL 62526 | 2014-06-12 |
| 1891041570 | Decatur 2016 LLC | Dentist | 141 Epershing Rd, Decatur, IL 62526 | 2012-07-31 |
| 1558639005 | Larry Lee Christensen | Pharmacist | 225 Ash Ave, Decatur, IL 62526 | 2011-12-12 |
| 1174821540 | Nathan Pyle | Internal Medicine | 2 Memorial Dr Ste 101, Decatur, IL 62526 | 2011-03-08 |
| Find all providers in zip 62526 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578916094 | William Weatherbee | Hearing Instrument Specialist | 1016 6th Ave Se, Decatur, AL 35601-3922 | 2016-07-20 |
| 1699180034 | Marypat Fehrenbacher | Hearing Instrument Specialist | 2890 S Mount Zion Rd, Suite A, Decatur, IL 62521-9721 | 2014-06-24 |
| 1316285075 | Murray Kurtzberg | Hearing Instrument Specialist | 2655 N Decatur Rd, Suite D, Decatur, GA 30033-6162 | 2013-01-30 |
| 1124362421 | Alexander M. Brannon Jr. | Hearing Instrument Specialist | 1524 Church St Ste B, Decatur, GA 30030-6500 | 2012-11-27 |
| 1538350491 | Douglas S Haws | Hearing Instrument Specialist | 2605 N Water St, Suite 101, Decatur, IL 62526-4269 | 2007-08-06 |
| 1750436226 | Atlanta Hearing Aid Services | Hearing Instrument Specialist | 2655 N Decatur Rd Ste D, Suburban Plaza, Decatur, GA 30033-6100 | 2007-01-24 |
| 1457991648 | Susanne Lynch | Hearing Instrument Specialist | 1524 Church St Ste B, Decatur, GA 30030-6500 | 2020-01-15 |
| 1871948935 | Frank Fischer | Hearing Instrument Specialist | 1218 13th Ave Se, Decatur, AL 35601-4307 | 2016-04-26 |
| 1518322114 | Stephanie Gaede | Hearing Instrument Specialist | 2980 N Main St, Ste 4, Decatur, IL 62526-3291 | 2015-12-24 |
| 1780050963 | Kate E Edwardson | Hearing Instrument Specialist | 2890 S Mount Zion Rd, Suite A, Decatur, IL 62521-9758 | 2015-08-11 |
| Find all providers in DECATUR | ||||
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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.