GREGORY CHARLES WILSON


Address: 234 Goodman St, Cincinnati, OH 45219
Phone: 5135848900

GREGORY CHARLES WILSON (NPI# 1124345905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124345905
Entity Type Individual
Full Name GREGORY CHARLES WILSON
Credential M.D.
Practice Address 234 Goodman St
Cincinnati
OH 45219
Mailing Address 2830 Victory Pkwy
Cincinnati
OH 45206-1785
Practice Telephone 5135848900
Practice Fax Number 5135840459
Enumeration Date 2010-05-03
Last Update Date 2019-06-19
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086X0206X Surgery
Specialization: Surgical Oncology
35128918 OH Allopathic & Osteopathic Physicians
N 2086X0206X Surgery
Specialization: Surgical Oncology
MD460397 PA Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program OH Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
231 Albert Sabin Way, Ml 0558, Cincinnati, OH 452670558 5135585861

Other Providers GREGORY WILSON

NPI Name Taxonomy Address Enumeration
1124371489 Gregory Blake Wilson Dentist 858 Wycliffe Dr, Houston, TX 77079-3512 2012-10-23
1417215310 Gregory Scott Wilson Physical Therapy Assistant 2581 Purdum Mill Rd, Appomattox, VA 24522-9688 2012-04-27
1619142262 Gregory Stephen Wilson Occupational Therapist 551 W Lancaster Avenue, Staffing Plus, Haverford, PA 19041 2008-04-24
1932399151 Gregory Wilson Counselor Wramc Bldg 2room 2j38, 6900 Georgia Ave, Washington, DC 20307-0001 2007-07-25
1447386875 Gregory L Wilson Dentist 710 Federal Drive, Selmer, TN 38375 2007-02-27
1619030996 Gregory L Wilson Neuromusculoskeletal Medicine & OMM 9709 E 79th St, Tulsa, OK 74133-4566 2006-12-18
1740382027 Gregory Edward Wilson Physical Therapist 1615 Us Highway 17, Suite 9, Young Harris, GA 30582 2006-09-05
1003877507 Gregory D Wilson Chiropractor 633 W Main St Ste 1, Mount Pleasant, PA 15666-1846 2006-04-01
1215923420 Gregory Luis Wilson Optometrist 1055 Tekulve Rd, Batesville, IN 47006-8979 2005-09-22
1124628623 Gregory Wilson Pharmacist 212 Northside Dr, Bennington, VT 05201-1723 2020-10-26

Office Location

Street Address 234 GOODMAN ST
City CINCINNATI
State OH
Zip Code 45219

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891798187 Jody Brennan Advanced Practice Midwife 234 Goodman St, Cincinnati, OH 45219-2364 2005-05-31
1639770035 Maria Hilton Registered Nurse 234 Goodman St, Cincinnati, OH 45219-2364 2020-11-03
1508467192 Haley Lippmeier Registered Nurse 234 Goodman St, Cincinnati, OH 45219-2364 2020-11-02
1831799543 Madison Erin Hubbard Registered Nurse 234 Goodman St, Cincinnati, OH 45219-2364 2020-10-30
1780283739 David S Lin Nurse Anesthetist, Certified Registered 234 Goodman St, Cincinnati, OH 45219-2364 2020-10-21
1417564675 Sarah Henkes Social Worker 234 Goodman St, Cincinnati, OH 45219-2364 2020-09-30
1245846229 Isabel Lynn Renner Social Worker 234 Goodman St, Cincinnati, OH 45219-2364 2020-09-16
1720606650 Maura Di Nicola Student in an Organized Health Care Education/Training Program 234 Goodman St, Cincinnati, OH 45219-2364 2020-07-07
1215553912 Brendan R Wilson Physician Assistant 234 Goodman St, Cincinnati, OH 45219-2364 2020-06-19
1902427412 Fabiane Retzner Nurse Practitioner 234 Goodman St, Cincinnati, OH 45219-2364 2020-05-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225659261 Christopher Robert Smith Student in an Organized Health Care Education/Training Program 2139 Auburn Ave Tch Internal Medicine, Cincinnati, OH 45219 2020-04-30
1316574346 Quincy Alvin Banks Student in an Organized Health Care Education/Training Program Tch Family Medicine, 2123 Auburn Ave, Suite 235, Cincinnati, OH 45219 2020-03-27
1831725324 Sara Jane Elisabeth Hubbard Student in an Organized Health Care Education/Training Program 234 Goodman Street Ml 0803, Ucmc Dental Center, Cincinnati, OH 45219 2020-03-17
1528609815 Yuliya Azirbayeva Pharmacist 3 West Corry St, Cincinnati, OH 45219 2019-10-08
1851955769 Julie Grace Van Baardwijk Student in an Organized Health Care Education/Training Program Tch Internal Medicine, 2139 Auburn Ave, Cincinnati, OH 45219 2019-04-25
1164982773 Zein Mouaffaq Saad Eddin Student in an Organized Health Care Education/Training Program 234 Goodman Street, Department of Surgery, Cincinnati, OH 45219 2019-03-20
1386103273 Ismaeel Siddiqi Student in an Organized Health Care Education/Training Program 234 Goodman Street Ml 0781- Internal Medicine, Cincinatti, OH 45219 2019-03-19
1285123612 Anna Vaughan Counselor 2828 Vernon Place, Cincinnati, OH 45219 2018-05-01
1043707565 Chizara Nwade Student in an Organized Health Care Education/Training Program Tch Internal Medicine, 2139 Auburn Ave, Cincinnati, OH 45219 2018-04-19
1922503226 Kristen Sparagna Student in an Organized Health Care Education/Training Program 234 Goodman St, Ml 665x, Cincinnati, OH 45219 2018-03-28
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Taxonomy Information

Taxonomy Code 2086X0206X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Surgical Oncology

Taxonomy Definition

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790975951 Tri-state Surgical Consultants Inc Surgery 2123 Auburn Ave Ste 420, Cincinnati, OH 45219-2906 2007-07-25
1184691230 Jennifer Bryna Katz Manders Surgery 4440 Red Bank Road, Suite 200, Cincinnati, OH 45227-2172 2006-03-07
1033608732 Rebecca Mourne Surgery 10500 Montgomery Rd, Cincinnati, OH 45242-4402 2018-05-08
1942237318 Kelly Marie Mclean Surgery 2123 Auburn Ave, Cincinnati, OH 45219-2906 2006-06-28
1205804846 Jeffrey Sussman Surgery 234 Goodman St, Barrett Center, Ml 0772, Cincinnati, OH 45267-1000 2006-03-09
1265400238 Elizabeth Shaughnessy Surgery 234 Goodman St, Barrett Center, Ml 0772, Cincinnati, OH 45267-1000 2006-03-08
1336110030 Syed Arif Ahmad Surgery 234 Goodman St, Cincinnati, OH 45219-2364 2006-01-30
1548250319 Rod Leon Flynn Surgery 2123 Auburn Ave, Cincinnati, OH 45219-2906 2005-10-24
1245226638 Martin B Popp Surgery 2123 Auburn Ave, Suite 420, Cincinnati, OH 45219-2906 2005-09-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1356776454 John Hart Raaf Surgery 12501 Fairhill Rd, Cleveland, OH 44120-1017 2013-09-08
1184816290 Rebecca L. Glaser Surgery 9530 Cutlers Trce, Dayton, OH 45458-9161 2007-08-13
1568562031 Ahmad H. Shatila Surgery 18660 East Bagly Rd, Bldg #2 Suite #305, Middleburg Heights, OH 44130 2006-09-25
1962511998 Bridget A. Oppong Surgery 1145 Olentangy River Rd Fl 3, Columbus, OH 43212-3117 2006-08-30
1932152162 Edward Martin Jr. Surgery 300 W. 10th Avenue, Columbus, OH 43210 2006-05-18
1497715890 Helen Catherine Mabry Surgery 3120 Glendale Avenue, Toledo, OH 43614-5811 2006-03-28
1548259492 Brenda Jeanne Sickle-santanello Surgery 170 Northwoods Blvd Ste 210, Columbus, OH 43235-4711 2005-10-13
1982602363 William Gress Kraybill Jr. Surgery 300 W 10th Ave, Columbus, OH 43210-1280 2005-07-11
1306491626 Tasadooq Hussain Surgery Cleveland Clinic 9500 Euclid Avenue, Cleveland, OH 44195-0001 2019-08-04
1124580204 Jessica Desalvo Surgery 5100 W Broad St, Columbus, OH 43228-1607 2019-04-05
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Competitor

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City CINCINNATI
Zip Code 45219

Improve Information

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Dataset Information

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.

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