DR. JOHN MARSHALL WILSON (NPI# 1114227139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114227139 |
| Entity Type | Individual |
| Full Name | DR. JOHN MARSHALL WILSON |
| Credential | MD |
| Practice Address |
1850 Bluegrass Ave Louisville KY 40215 |
| Mailing Address |
100 E Liberty St Ste 800 Louisville KY 40202-1428 |
| Practice Telephone | 5023616617 |
| Practice Fax Number | 5023616637 |
| Mailing Telephone | 5023616617 |
| Mailing Fax Number | 5023616637 |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2019-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 47643 | KY | Allopathic & Osteopathic Physicians |
| N | 207L00000X | Anesthesiology | TP926 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | MEDICARE PIN | K153505 | 01 |
| KY | 7100323720 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 320 Whittington Pkwy, Suite 301, Louisville, KY 402224928 | 5026255584 | 5024262264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376107979 | John Zaakery Wilson | Peer Specialist | 3350 E Beech Way # A, Wasilla, AK 99654-7417 | 2019-04-29 |
| 1639673924 | John Michael Wilson | Student in an Organized Health Care Education/Training Program | 235 Sable Fls, San Antonio, TX 78258-4870 | 2018-03-21 |
| 1427429133 | John Wilson | Internal Medicine | 5 Ladd Rd, Hanover, NH 03755-3420 | 2015-10-08 |
| 1760878599 | John Wilson IIi | Psychiatry & Neurology | 212 W Route 38 Ste 105, Moorestown, NJ 08057-4100 | 2015-04-08 |
| 1194110718 | John Stewart Wilson Jr. | Radiology | 220 Glen Forest Dr, Greensburg, PA 15601-3718 | 2015-03-31 |
| 1720417496 | John Wilson | Specialist/Technologist, Other | 2550 Spurlock Rd, Nederland, TX 77627 | 2013-11-04 |
| 1982031944 | John Forrest Wilson IIi | Licensed Practical Nurse | 412 Ketcham St, Riverside, OH 45431-2124 | 2013-10-03 |
| 1265782213 | John Matthew Wilson | Speech-Language Pathologist | 3517 Norfolk Ct Se, Olympia, WA 98501-7021 | 2012-09-18 |
| 1396009676 | John A Wilson II | Rehabilitation Practitioner | 6054 Giant Forest Ln, North Las Vegas, NV 89031-1663 | 2012-07-01 |
| 1932494127 | John C Wilson | Dentist | 2675 Central Ave Ste L8, Billings, MT 59102-6686 | 2011-06-15 |
| Street Address |
1850 BLUEGRASS AVE |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629071006 | Cynthia A Corrigan | Pathology | 1850 Bluegrass Ave, Pathology Dept, Louisville, KY 40215-1161 | 2005-05-31 |
| 1124654512 | Uofl Health-louisville Inc | General Acute Care Hospital | 1850 Bluegrass Ave, Louisville, KY 40215-4021 | 2020-03-17 |
| 1205480977 | Taylor Caitlin Cohen | Physician Assistant | 1850 Bluegrass Ave, Louisville, KY 40215-1161 | 2019-07-30 |
| 1871079202 | Jessica L. Keller | Physician Assistant | 1850 Bluegrass Ave, Louisville, KY 40215-1161 | 2018-07-18 |
| 1154863496 | Dennis Mcgill | Nurse Practitioner | 1850 Bluegrass Ave, Hma Dept, Louisville, KY 40215-1161 | 2016-11-16 |
| 1538510201 | Prateek Mathur | Internal Medicine | 1850 Bluegrass Ave, Louisville, KY 40215-1161 | 2016-06-23 |
| 1770960387 | Colin Moss | Emergency Medicine | 1850 Bluegrass Ave, Louisville, KY 40215-1161 | 2015-05-04 |
| 1194114173 | Gregory Hart | Nurse Practitioner | 1850 Bluegrass Ave, Louisville, KY 40215-1161 | 2015-01-14 |
| 1730590423 | Nisha Aggarwal | Internal Medicine | 1850 Bluegrass Ave, Louisville, KY 40215-1161 | 2014-05-15 |
| 1710305669 | Lp Louisville Hospital South, LLC | Skilled Nursing Facility | 1850 Bluegrass Ave, Unit 3c, Louisville, KY 40215-1161 | 2014-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417473315 | Robin Jones | Behavioral Analyst | 800 W. Woodlawn Ave, Louisville, KY 40215 | 2017-08-22 |
| 1316332448 | Christopher Fenzel | Emergency Medicine | 1850 Bluegrass Avenue, Louisville, KY 40215 | 2015-04-06 |
| 1447661210 | Khac Phuong Vu | Dentist | 3448 Taylor Boulevard, Louisville, KY 40215 | 2014-05-15 |
| 1619251238 | Scott H Kaminsky | Marriage & Family Therapist | 3535 Taylor Blvd, Louisville, KY 40215 | 2011-09-30 |
| 1821313529 | Taylor Blvd Chiropractic | Chiropractor | 3254 Taylor Blvd, Louisville, KY 40215 | 2010-04-06 |
| 1396985131 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4419 Lasalle Ave, Louisville, KY 40215 | 2009-03-05 |
| 1841448735 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4418 Malcolm Ave., Louisville, KY 40215 | 2008-09-04 |
| 1235329400 | Thad R. Schulten Psc | Dentist | 4515 Churchman Ave., Louisville, KY 40215 | 2007-07-25 |
| 1801911680 | Timothy John Lutes | Dentist | 3205 Taylor Blvd, Louisville, KY 40215 | 2007-03-20 |
| 1063557346 | Louisville-jefferson County Metro Government | Public Health or Welfare | 4255 Hazelwood Avenue, Louisville, KY 40215 | 2007-02-21 |
| Find all providers in zip 40215 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639659758 | Ohio Valley Pain Institute Pllc | Anesthesiology | 1169 Eastern Pkwy Ste 400, Louisville, KY 40217-1417 | 2018-08-17 |
| 1982105250 | Peter William Creech | Anesthesiology | 1734 Fleming Rd, Louisville, KY 40205-2418 | 2018-02-22 |
| 1255846770 | Dental Surgicenter of Louisville Inc | Anesthesiology | 2800 Cannons Ln Ste 100, Louisville, KY 40205-2164 | 2017-12-06 |
| 1376056465 | Dr Kavita Mehta, Psc | Anesthesiology | 4041 Whiteblossom Estates Ct, Louisville, KY 40241-6110 | 2017-11-10 |
| 1366784605 | Christopher Michael Haas | Anesthesiology | 320 Whittington Pkwy Ste 301, Louisville, KY 40222-4919 | 2013-03-25 |
| 1265794861 | David J Brenneman | Anesthesiology | 3812 Taylorsville Rd, Louisville, KY 40220-1304 | 2012-06-11 |
| 1831480706 | William Michael Carter II | Anesthesiology | 4225 Buttonbush Glen Dr, Louisville, KY 40241-4170 | 2011-04-27 |
| 1487944146 | Edward Vernon Kinney | Anesthesiology | 2600 S Pope Lick Rd, Louisville, KY 40299-4708 | 2011-04-15 |
| 1669786570 | David Thomas | Anesthesiology | 2217 Bonnycastle Ave, Louisville, KY 40205-1303 | 2010-08-03 |
| 1356575484 | Nadeem Usmani | Anesthesiology | 9880 Angies Way Suite 170, Louisville, KY 40241-4131 | 2009-05-04 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40215 |
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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.