DR. MATTHEW W WILSON (NPI# 1104883701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104883701 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW W WILSON |
| Credential | MD |
| Practice Address |
930 Madison Ave Ste 200 Memphis TN 38163 |
| Mailing Address |
1407 Union Ave Ste 700 Memphis TN 38104-3641 |
| Practice Telephone | 9014486650 |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2018-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 31289 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 138964001 | 05 | |
| MS | 00120854 | 05 | |
| KY | 1104883701 | 05 | |
| MO | 1104883701 | 05 | |
| TN | Q003849 | 05 | |
| GA | 003180582A | 05 | |
| AL | 180054 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1910 Nonconnah Blvd, Suite 120, Memphis, TN 381322113 | 9014482300 | 9014486657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211231 | Matthew Wilson | Homemaker | 5515 Plain City Georgesville Rd, Plain City, OH 43064-8825 | 2020-09-29 |
| 1821655986 | Matthew Wilson | Student in an Organized Health Care Education/Training Program | 322 E Prentiss St Apt 502, Iowa City, IA 52240-1766 | 2019-05-23 |
| 1003472853 | Matthew Francis Wilson | Social Worker | 417 Gettysburg St Ste 200, Pittsburgh, PA 15206-4529 | 2019-05-17 |
| 1629492798 | Matthew James Wilson | Student in an Organized Health Care Education/Training Program | 725 W Maple St, Johnson City, TN 37604-6507 | 2014-02-10 |
| 1568752392 | Matthew Steven Wilson | Orthopaedic Surgery | 834 Chestnut Street, Suite G-114, The Philadelphia Hand Center, Philadelphia, PA 19107 | 2011-04-13 |
| 1174839054 | Matthew C Wilson | Family Medicine | Schneck Primary Care - Jackson Park, 1124 Medical Place, Seymour, IN 47274 | 2010-08-30 |
| 1184892531 | Matthew J Wilson | Technician, Other | 119 Beal Pkwy Se, Suite 101, Fort Walton Beach, FL 32548-5386 | 2008-02-19 |
| 1003093600 | Matthew J. Wilson | Internal Medicine | 755 Mt Vernon Hwy, Suite 530, Atlanta, GA 30328 | 2008-01-25 |
| 1770193732 | Matthew Dwight Wilson | Case Manager/Care Coordinator | 2250 N Airport Rd, Weatherford, OK 73096-3351 | 2020-08-05 |
| 1972128643 | Matthew Hall Wilson | Student in an Organized Health Care Education/Training Program | 680 Centre St, Brockton, MA 02302-3308 | 2020-06-09 |
| Street Address |
930 MADISON AVE STE 200 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063473387 | Penny Asbell | Ophthalmology | 930 Madison Ave Ste 200, Memphis, TN 38163 | 2006-03-28 |
| 1699138222 | Jessica Lam | Optometrist | 930 Madison Ave Ste 200, Memphis, TN 38103-3452 | 2016-03-31 |
| 1376922948 | Michael Taylor Wallace | Ophthalmology | 930 Madison Ave Ste 200, Memphis, TN 38103 | 2015-05-28 |
| 1619388691 | Daniel Ofori | Ophthalmology | 930 Madison Ave Ste 200, Memphis, TN 38103-3452 | 2014-05-13 |
| 1871933473 | Robert Charles Binkley | Optometrist | 930 Madison Ave Ste 200, Memphis, TN 38103-3452 | 2013-06-27 |
| 1265774673 | Sara Nicole Reggie | Ophthalmology | 930 Madison Ave Ste 200, Memphis, TN 38103 | 2013-03-24 |
| 1700148053 | Kourtney Henderson Houser | Ophthalmology | 930 Madison Ave Ste 200, Memphis, TN 38103 | 2012-06-12 |
| 1487829347 | Brian Montgomery Jerkins | Ophthalmology | 930 Madison Ave Ste 200, Memphis, TN 38163 | 2008-04-22 |
| 1093987893 | Brian T Fowler | Ophthalmology | 930 Madison Ave Ste 200, Memphis, TN 38103-3452 | 2008-04-01 |
| 1477636033 | Elliott Makary Kanner | Ophthalmology | 930 Madison Ave Ste 200, Memphis, TN 38103 | 2006-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801367537 | Stacie Nicole Yocom | Pediatrics | 853 Jefferson Ave Route E206, Memphis, TN 38163 | 2018-12-06 |
| 1639651052 | Angela Renae Haynes | Dental Hygienist | 875 Union Ave Dunn Dental Bldg C 517, Memphis, TN 38163 | 2018-09-01 |
| 1700362613 | Ibrahim Ortanca | Student in an Organized Health Care Education/Training Program | University of Tennessee 920 Madison Avenue, Suite 447 - Office of Graduate Medical Education, Memphis, TN 38163 | 2018-07-13 |
| 1619469103 | Julia Christine Cook | Student in an Organized Health Care Education/Training Program | University of Tennesee, 920 Madison Ave, Suite 447, Memphis, TN 38163 | 2018-05-31 |
| 1104359058 | Malik Fakhar | Student in an Organized Health Care Education/Training Program | 960 Madison Ave, 447, Memphis, TN 38163 | 2017-04-07 |
| 1215319322 | Yousef Abdel-aziz | Student in an Organized Health Care Education/Training Program | 956 Court Avenue Suite G310b, Memphis, TN 38163 | 2015-06-25 |
| 1770963746 | Ayman Al Dayeh | Dentist | 875 Union Ave, S312, Department of Orthodontics, Memphis, TN 38163 | 2015-06-04 |
| 1952789430 | Mark Iltis | Student in an Organized Health Care Education/Training Program | 910 Madison Ave, University of Tennessee, 1031, Memphis, TN 38163 | 2015-05-15 |
| 1700129780 | Mohammad Elballat | Student in an Organized Health Care Education/Training Program | 956 Court Ave Suite H314a, Memphis, TN 38163 | 2013-03-28 |
| 1932468204 | Evan Neal Paul | Student in an Organized Health Care Education/Training Program | 910 Madison Avenue, Suite 1031, Memphis, TN 38163 | 2012-05-08 |
| Find all providers in zip 38163 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447606454 | Stephen Dryden | Ophthalmology | 930 Madison Ave Ste 470, Memphis, TN 38103-7400 | 2016-05-09 |
| 1609185891 | Duncan Eye Pllc | Ophthalmology | 653 S Willett St, Memphis, TN 38104-4932 | 2010-10-05 |
| 1275842197 | Kathleen Shirley Stern | Ophthalmology | 655 S Riverside Dr Apt 1103, Memphis, TN 38103-4615 | 2010-09-27 |
| 1083865232 | Memphis Retina Pllc | Ophthalmology | 1264 Wesley Dr Ste 302, Memphis, TN 38116-6445 | 2008-10-07 |
| 1205021227 | Clifford W Sims Md PC | Ophthalmology | 1407 Union Ave Ste 1003, Memphis, TN 38104-3678 | 2007-09-12 |
| 1235335118 | Shiva Bohn | Ophthalmology | 930 Madison Ave #400, Memphis, TN 38103 | 2007-06-26 |
| 1578684007 | Philip Marvin Furr | Ophthalmology | 555 Perkins Ext, Ste 430, Memphis, TN 38117-4410 | 2007-04-02 |
| 1538216239 | William C Hurd | Ophthalmology | 220 S Claybrook St Ste 101, Memphis, TN 38104-3538 | 2007-01-04 |
| 1023170925 | Clifford William Sims | Ophthalmology | 1407 Union Ave Ste 901, Memphis, TN 38104-3672 | 2006-12-15 |
| 1487724498 | Thomas Pratt | Ophthalmology | 5169 Wheelis Dr, Memphis, TN 38117-4519 | 2006-11-08 |
| Find all providers in MEMPHIS | ||||
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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.