DR. RANDALL G WILSON (NPI# 1144279407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144279407 |
| Entity Type | Individual |
| Full Name | DR. RANDALL G WILSON |
| Credential | MD |
| Practice Address |
3430 W Wheatland Rd Suite 202 Dallas TX 75237-3446 |
| Mailing Address |
16980 Dallas Pkwy Suite 200 Dallas TX 75248-1908 |
| Practice Telephone | 9722967920 |
| Practice Fax Number | 9722967938 |
| Mailing Telephone | 9722967920 |
| Mailing Fax Number | 9722967938 |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2013-05-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
G7961 | TX | Allopathic & Osteopathic Physicians |
| Y | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
G7961 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 8C0880 | 01 |
| TX | 148882701 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861685257 | Randall Glenn Wilson | Psychologist | 3203 Clairemont Dr, Apt. 2, San Diego, CA 92117-6449 | 2007-08-20 |
| 1336121441 | Randall Allen Wilson | Family Medicine | 106 Commercial Dr, Harrodsburg, KY 40330-1084 | 2005-11-15 |
| 1013420900 | Randall Ann Wilson | Nurse Practitioner | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2017-11-14 |
| 1164540365 | Randall Eugene Wilson | Dentist | 4121 Old Collinsville Rd, Swansea, IL 62226-2441 | 2007-03-26 |
| 1396846499 | Randall J Wilson | Nurse Anesthetist, Certified Registered | 1300 S Montgomery Ave, Sheffield, AL 35660-6334 | 2006-09-25 |
| Street Address |
3430 W WHEATLAND RD SUITE 202 |
| City | DALLAS |
| State | TX |
| Zip Code | 75237-3446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477557718 | Jimmy Kien Teh Lu | Family Medicine | 3430 W Wheatland Rd, Ste 119, Dallas, TX 75237-3446 | 2005-06-01 |
| 1427405646 | Sylvia Blaszczyk | Physician Assistant | 3430 W Wheatland Rd, Dallas, TX 75237-3446 | 2016-05-17 |
| 1780925156 | Joyce T Hohn, Md Pa | Internal Medicine | 3430 W Wheatland Rd, Ste 221, Dallas, TX 75237-3446 | 2013-03-11 |
| 1902140262 | Manuel Tellez, D.o., P.a. | Internal Medicine | 3430 W Wheatland Rd, Suite 407, Dallas, TX 75237-3446 | 2012-11-26 |
| 1770839631 | Ali Shams-hakimi | Podiatrist | 3430 W Wheatland Rd, Ste 104, Dallas, TX 75237-3446 | 2012-07-30 |
| 1093085292 | Van A Johnson Jr Md Pllc | Surgery | 3430 W Wheatland Rd, Ste 416, Dallas, TX 75237-3446 | 2012-01-04 |
| 1811210693 | Surgical Specialists of South Dallas, Pa | Surgery | 3430 W Wheatland Rd, Suite 407, Dallas, TX 75237-3446 | 2010-03-08 |
| 1609000447 | Suresh Raheja M.d Pa | Internal Medicine | 3430 W Wheatland Rd, 118, Dallas, TX 75237-3446 | 2009-05-07 |
| 1568603850 | Jimmy K. Lu, M.d.& Associates | Family Medicine | 3430 W Wheatland Rd, Suite 119, Dallas, TX 75237-3446 | 2009-03-16 |
| 1982866257 | Bluebonnet Surgical Associates, P,a | Surgery | 3430 W Wheatland Rd, Suite 407, Dallas, TX 75237-3446 | 2008-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223372 | Advanced Medical Services Associates, LLC | Clinic/Center | Advanced Urgent Care Center, 3690 W Wheatland Rd, Suite 150, Dallas, TX 75237 | 2020-10-20 |
| 1225520455 | Ethan William Gingras | Nurse Practitioner | 39769 I-20, Dallas, TX 75237 | 2018-06-04 |
| 1376031450 | Maria North | Student in an Organized Health Care Education/Training Program | Methodist Charlton Medical Center, 3500 W. Wheatland Road, Dallas, TX 75237 | 2018-04-25 |
| 1639671118 | Arquimedes Hernandez Perez | Registered Nurse | 6010 S Westmoreland Rd 423, Dallas, TX 75237 | 2018-03-01 |
| 1275055832 | Tanaka Transport | Non-emergency Medical Transport (VAN) | 4353 Gannon Ln Ste 103-a, Dallas, TX 75237 | 2017-07-14 |
| 1730620543 | Joshua Vong | Physical Therapist | 3107 W. Camp Wisdom Road Suite 131, Dallas, TX 75237 | 2017-03-13 |
| 1821537507 | Votka Sbong | Chiropractor | 2525 W. Wheatland Rd. Ste 230, Dallas, TX 75237 | 2017-02-15 |
| 1508304957 | Archana Srivastava Md Pa | Internal Medicine | 4305 W. Wheatland Road, Suite 130, Dallas, TX 75237 | 2017-02-06 |
| 1295272045 | Stafford Family Enterprises LLC | Dentist | 3306 West Camp Wisdom, Suite 100, Dallas, TX 75237 | 2017-01-31 |
| 1891170585 | Philip James Tyler | Chiropractor | 7125 Marvin D Love Fwy Ste 107, Dallas, TX 75237 | 2015-07-23 |
| Find all providers in zip 75237 | ||||
| Taxonomy Code | 207UN0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Nuclear Medicine |
| Specialization | Nuclear Cardiology |
| A nuclear medicine physician who specializes in nuclear cardiology. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Nuclear Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083886527 | Cardiology Consultants of Texas | Nuclear Medicine | 621 N Hall St, Suite 400, Dallas, TX 75226-1339 | 2008-03-25 |
| 1740328574 | John S Ho | Nuclear Medicine | 12200 Preston Rd, Dallas, TX 75230-2223 | 2007-02-02 |
| 1881794774 | Nina B Radford | Nuclear Medicine | 12200 Preston Rd, Dallas, TX 75230-2223 | 2006-09-22 |
| 1700841426 | Brandy Shawna Walker | Nuclear Medicine | 5323 Harry Hines Blvd, Dallas, TX 75390-7208 | 2006-04-18 |
| 1730144544 | James Michael Atkins | Nuclear Medicine | 5323 Harry Hines Blvd, Dallas, TX 75390-7208 | 2006-04-18 |
| 1598732208 | Michael D Brophey | Nuclear Medicine | 621 N Hall St, Suite 500, Dallas, TX 75226-1339 | 2006-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487983771 | Vikas Jain Md Pa Corp | Nuclear Medicine | 802 Worthing Ct, Southlake, TX 76092-8877 | 2009-12-15 |
| 1033268578 | Samuel Lewis | Nuclear Medicine | 11335 Altamont Dr, Frisco, TX 75034-1182 | 2007-01-10 |
| 1164898557 | Shelly K. Broline, M.d., P.a. | Nuclear Medicine | 7501 Fannin St, Houston, TX 77054-1938 | 2015-08-19 |
| 1881028801 | San Antonio Heart Imaging, Pllc | Nuclear Medicine | 19276 Stone Oak Pkwy, Suite 103 A, San Antonio, TX 78258-3378 | 2013-08-27 |
| 1952685034 | Cambridge Heart Clinic Pa | Nuclear Medicine | 11111 Jones Rd Ste 1, Houston, TX 77070-6317 | 2011-10-06 |
| 1710271242 | Dongxia Feng | Nuclear Medicine | 2401 S. 31st St, Temple, TX 76508-0001 | 2011-06-01 |
| 1104139575 | Cardiovascular Associates Northwest Pllc | Nuclear Medicine | 11111 Research Blvd, Suite 360, Austin, TX 78759-5264 | 2010-07-14 |
| 1851626352 | South Heart Clinic, Pllc | Nuclear Medicine | 512 Victoria Ln Ste 12, Harlingen, TX 78550-3228 | 2009-10-16 |
| 1376791160 | Garland Cardiac Imaging | Nuclear Medicine | 2046 Forest Ln, Suite 100, Garland, TX 75042-7958 | 2008-09-04 |
| 1609047711 | Rowlett Cardiology Associates P A | Nuclear Medicine | 7801 Lakeview Pkwy, Ste 100, Rowlett, TX 75088-4247 | 2008-03-17 |
| Find all providers with the same taxonomy | ||||
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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.