TRAVIS J WILSON (NPI# 1114289022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114289022 |
| Entity Type | Individual |
| Full Name | TRAVIS J WILSON |
| Credential | M.D. |
| Practice Address |
16020 Park Valley Dr Round Rock TX 78681-3573 |
| Practice Telephone | 5122440766 |
| Practice Fax Number | 5122441013 |
| Mailing Telephone | 5122440766 |
| Mailing Fax Number | 5122441013 |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2018-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | R8134 | TX | Allopathic & Osteopathic Physicians |
| Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
R8134 | TX | Allopathic & Osteopathic Physicians |
| N | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
MD60733507 | WA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235695933 | Travis Alexander Wilson | Physical Medicine & Rehabilitation | 10415 State Highway 151 Ste 101, San Antonio, TX 78251-4553 | 2019-02-18 |
| 1568688711 | Travis Dean Wilson | Counselor | 8258 W Orbit Dr, Boise, ID 83709-7876 | 2007-04-17 |
| 1366875767 | Travis J Wilson | Pharmacist | 235 Camden St, Rockland, ME 04841-2563 | 2013-08-21 |
| 1336422476 | Travis Wilson | Case Manager/Care Coordinator | 902 S High St, Columbia, TN 38401-3204 | 2011-09-26 |
| 1154532729 | Travis David Wilson | Anesthesiology | 4502 Medical Dr, San Antonio, TX 78229-4402 | 2007-05-25 |
| 1922181999 | Travis W. Wilson | Dentist | 1042 N Main St, Beaver Dam, KY 42320-1553 | 2006-10-23 |
| 1053408591 | Travis B Wilson | Physician Assistant | 140 W Main St, Suite 100, Springfield, OH 45502-1312 | 2006-10-06 |
| Street Address |
16020 PARK VALLEY DR |
| City | ROUND ROCK |
| State | TX |
| Zip Code | 78681-3573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891784419 | Martha Z Hanssen | Physical Therapist | 16020 Park Valley Dr, Round Rock, TX 78681-3573 | 2005-10-17 |
| 1124637913 | Yuliya Skibchyk Strickland | Physician Assistant | 16020 Park Valley Dr, Round Rock, TX 78681-3573 | 2020-07-28 |
| 1023548252 | Christopher Carl Hanson | Physician Assistant | 16020 Park Valley Dr, Round Rock, TX 78681 | 2017-06-20 |
| 1497286009 | Margaret Anne Williams Burger | Physician Assistant | 16020 Park Valley Dr, Round Rock, TX 78681-3573 | 2017-03-24 |
| 1457718843 | Thea M. Libbos | Physician Assistant | 16020 Park Valley Dr, Round Rock, TX 78681-3573 | 2016-01-15 |
| 1225467095 | Peter Ibarra | Physician Assistant | 16020 Park Valley Dr, Round Rock, TX 78681-3573 | 2013-11-02 |
| 1407153943 | Benjamin W Szerlip | Orthopaedic Surgery | 16020 Park Valley Dr, Round Rock, TX 78681 | 2011-02-18 |
| 1013221373 | Blaine Eric Booher | Physical Therapist | 16020 Park Valley Dr, Round Rock, TX 78681-3573 | 2010-07-28 |
| 1508184508 | Ryan Metri Taylor | Orthopaedic Surgery | 16020 Park Valley Dr, Round Rock, TX 78681-3573 | 2010-05-14 |
| 1023216348 | Jennifer Noel Lord | Orthopaedic Surgery | 16020 Park Valley Dr, Round Rock, TX 78681-3573 | 2007-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861009912 | Sarah Spinelli | Orthotist | 555 D Round Rock West Drive, Suite 100, Round Rock, TX 78681 | 2020-09-23 |
| 1427663673 | Aparna Kandimalla | Pharmacist | 800 West Old Settlers, Round Rock, TX 78681 | 2020-09-14 |
| 1366088700 | Lilian Abeh Tayong | Nurse Practitioner | 1750 Round Rock Ave, Suite 200, Round Rock, TX 78681 | 2019-11-20 |
| 1427513654 | Pain Treatment Centers of America, Pllc | Pain Medicine | 511 Oakwood Boulevard, Suite 200, Round Rock, TX 78681 | 2019-02-01 |
| 1841768991 | Maricruz Luna | Counselor | 2509 Arbor Ct, Round Rock, TX 78681 | 2018-11-07 |
| 1497230411 | Kimberly A Dunn | Registered Nurse | 2206 Falkirk Dr, Round Rock, TX 78681 | 2018-09-25 |
| 1023591435 | Brooke D. Peplinski, Lpc, Ncc, Pllc | Counselor | 600 Round Rock West Drive #305, Round Rock, TX 78681 | 2018-09-11 |
| 1336649995 | Amanda Beth Ming | Chiropractor | 2000 S Ih 35 Ste H-1, Round Rock, TX 78681 | 2018-02-20 |
| 1831609809 | Kim Sullivan | Counselor | 10a Chisholm Trl, Round Rock, TX 78681 | 2017-10-04 |
| 1487193116 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3000 Rm 1461, Round Rock, TX 78681 | 2017-02-14 |
| Find all providers in zip 78681 | ||||
| Taxonomy Code | 207XX0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Foot and Ankle Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730647074 | Nix Physicians Inc. | Orthopaedic Surgery | 110 E Bandera Rd, Boerne, TX 78006-2802 | 2019-03-06 |
| 1598012148 | Douglas Odin Hansen | Orthopaedic Surgery | 6699 Chimney Rock Rd Ste 102, Houston, TX 77081-5339 | 2012-08-13 |
| 1881958940 | Michael James Frazier | Orthopaedic Surgery | 12609 Louetta Rd Ste B, Cypress, TX 77429-5136 | 2012-07-03 |
| 1952344657 | Andrew Marshall Ebert | Orthopaedic Surgery | 4611 Guadalupe St Ste 200, Austin, TX 78751-2928 | 2006-06-13 |
| 1013962810 | Stacy Anne Bacon | Orthopaedic Surgery | 21212 Northwest Fwy Ste 605, Cypress, TX 77429-5889 | 2006-05-23 |
| 1134189178 | Texas Tech University Health Sciences Center El Paso | Orthopaedic Surgery | 4801 Alberta Ave., 230c, El Paso, TX 79905 | 2006-03-24 |
| 1679544308 | William C Mcgarvey | Orthopaedic Surgery | 23920 Katy Freeway, Ste 160, Katy, TX 77494 | 2006-01-31 |
| 1235114927 | Darryl D Cuda | Orthopaedic Surgery | 8800 Village Dr, Suite 101, San Antonio, TX 78217-5412 | 2005-12-14 |
| 1629682919 | Central Texas Orthopaedic Foot and Ankle Center, Pllc | Orthopaedic Surgery | 5100 Franklin Ave, Waco, TX 76710-6922 | 2020-09-03 |
| 1023654258 | Chad M Kennedy Md Pa | Orthopaedic Surgery | 1600 S Coulter St Ste B, Amarillo, TX 79106-0703 | 2019-11-22 |
| Find all providers with the same taxonomy | ||||
| City | ROUND ROCK |
| Zip Code | 78681 |
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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.