SAMUEL WILSON (NPI# 1174935431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174935431 |
| Entity Type | Individual |
| Full Name | SAMUEL WILSON |
| Credential | M.D. |
| Practice Address |
170 Manning Drive 1st Floor Physician's Office Bldg Chapel Hill NC 27599-5368 |
| Mailing Address |
170 Manning Drive Chapel Hill NC 27599-7236 |
| Practice Telephone | 9199661178 |
| Practice Fax Number | 9199667629 |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2018-05-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
2018-00466 | NC | Allopathic & Osteopathic Physicians |
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
2018-00466 | NC | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 4301105106 | MI | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376637652 | Samuel B Wilson | Internal Medicine | Diabetes Labs, 65 Landsdowne Street, Cambridge, MA 02138 | 2006-10-03 |
| 1912948019 | Samuel G Wilson | Emergency Medicine | 12021 Jacaranda Ave, 101, Hesperia, CA 92345-4956 | 2006-06-09 |
| 1083110514 | Samuel Wilson | Student in an Organized Health Care Education/Training Program | 4502 E 41st St, Tulsa, OK 74135-2536 | 2018-04-03 |
| 1821422809 | Samuel Lloyd Wilson | Physical Therapist | 2900 Foxfield Rd, Suite 205, St Charles, IL 60174-5799 | 2013-08-27 |
| 1295072189 | Samuel Alan Wilson | Pharmacist | 911 Duluth Hwy, Lawrenceville, GA 30043-5320 | 2013-01-11 |
| 1477865194 | Samuel M. Wilson | Dermatology | 2320 Freeway Drive, Skagit Regional Clinics-riverbend, Mount Vernon, WA 98273 | 2010-07-10 |
| 1275763286 | Samuel Beringer Wilson | Counselor | 619 E 5th St, Los Angeles, CA 90013-2109 | 2009-07-24 |
| 1336360049 | Samuel A. Wilson | Pharmacist | 5100 Highway 39 N, Meridian, MS 39301-1023 | 2007-05-01 |
| 1932240090 | Samuel Lamar Wilson | Psychiatry & Neurology | 1137 2nd St, #111, Santa Monica, CA 90403-5011 | 2007-02-10 |
| 1518065861 | Samuel Eric Wilson | Surgery | 101 The City Dr S, Suite 810 City Tower, Orange, CA 92868-3201 | 2006-09-20 |
| Street Address |
170 MANNING DRIVE 1ST FLOOR PHYSICIAN'S OFFICE BLDG |
| City | CHAPEL HILL |
| State | NC |
| Zip Code | 27599-5368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366060386 | Makayla Brooke Gresham | Dentist | 120 Dental Circle, Chapel Hill, NC 27599 | 2020-07-07 |
| 1609436385 | Elnaz N/a Gharah Bash | Dentist | Unc Adams School of Dentistry, Dept of Periodontology 111 Brauer Hall, Chapel Hill, NC 27599 | 2019-06-16 |
| 1528558384 | Alexandria Sims Hart | Student in an Organized Health Care Education/Training Program | Nc2198 Unc Hospitals Cb# 7010, Chapel Hill, NC 27599 | 2018-05-16 |
| 1972091833 | Kaila Tindle Yeste | Student in an Organized Health Care Education/Training Program | 101 Manning Drive Nc Memorial Hospital, Rm N1183 To Cb 7200, Chapel Hill, NC 27599 | 2018-04-26 |
| 1457860272 | Hiromi Nakamura | Dentist | 5441g Koury Oral Health Science Bulding, Chapel Hill, NC 27599 | 2017-09-25 |
| 1902324627 | Gustavo Ernesto Mahn Arteaga | Student in an Organized Health Care Education/Training Program | 401 Brauer Hall Operative Graduate Clinic, Chapel Hill, NC 27599 | 2017-09-01 |
| 1386165736 | Susun Theresa Kim | Dentist | Dept of Prosthodontics, Unc School of Dentistry, 330 Brauer Hall, Chapel Hill, NC 27599 | 2017-07-06 |
| 1407381148 | Shelby Lauren Register | Student in an Organized Health Care Education/Training Program | 101 Manning Drive, Cb# 7160, Chapel Hill, NC 27599 | 2017-05-01 |
| 1386021723 | Andrew Coniglio | Student in an Organized Health Care Education/Training Program | 170 Manning Drive, Cb 7070, Phys Off Bldg Room G190, Chapel Hill, NC 27599 | 2015-05-06 |
| 1871970319 | Laura Parente | Pediatrics | 260 Macnider Building Cb # 7220, 321 S Columbia Street Unc School of Medicine, Chapel Hill, NC 27599 | 2015-05-05 |
| Find all providers in zip 27599 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346243466 | Kimberly Anne Kasow Wichlan | Pediatrics | 101 Manning Dr, Chapel Hill, NC 27599-0001 | 2005-05-23 |
| 1902011778 | Brian Feldman | Pediatrics | 101 Manning Dr, Rm 1107g W Wing, Chapel Hill, NC 27514-4220 | 2007-05-14 |
| 1750462685 | Brent Weston | Pediatrics | 101 Manning Dr, Chapel Hill, NC 27599-0001 | 2006-10-18 |
| 1891875415 | Paul Monahan | Pediatrics | 101 Manning Dr, Chapel Hill, NC 27599-0001 | 2006-10-17 |
| 1073693453 | Rupa Redding-lallinger | Pediatrics | 101 Manning Dr, Chapel Hill, NC 27599-0001 | 2006-10-17 |
| 1841380557 | Stuart Gold | Pediatrics | 101 Manning Dr, Chapel Hill, NC 27599-0001 | 2006-10-13 |
| 1427146687 | Julie Blatt | Pediatrics | 101 Manning Dr, Chapel Hill, NC 27599-0001 | 2006-10-11 |
| 1174588222 | John B. Hipps | Pediatrics | 170 Manning Dr, Campus Box 7236, Chapel Hill, NC 27514-4221 | 2006-04-20 |
| 1679532899 | Ian Jonathan Davis | Pediatrics | 101 Manning Dr, Chapel Hill, NC 27599-0001 | 2006-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831380088 | Poulomi Jeevan Pai | Pediatrics | Duke Medical Center, Box Number 2916, Bell Building, Durham, NC 27710-0001 | 2007-08-05 |
| 1942246319 | Pamela F Bensimhon | Pediatrics | 1050 Revolution Mill Dr, Greensboro, NC 27405-5052 | 2006-06-22 |
| 1215930417 | Raymond C Barfield | Pediatrics | 2100 Erwin Rd, Durham, NC 27710-0001 | 2005-05-23 |
| 1528467586 | The Presbyterian Hospital | Pediatrics | 301 Hawthorne Ln, Charlotte, NC 28204-2450 | 2014-08-15 |
| 1922343987 | Carolinas Medical Center | Pediatrics | 100 Medical Park Dr, Ste 310, Concord, NC 28025-2948 | 2012-12-03 |
| 1457695454 | Carolinas Medical Center | Pediatrics | 1001 Blythe Blvd, Ste 601a, Charlotte, NC 28203-5866 | 2012-11-15 |
| 1861747479 | Carolinas Physicians Network Inc | Pediatrics | 6030 W Highway 74, Ste F, Indian Trail, NC 28079-3468 | 2012-07-19 |
| 1487940375 | Erin Trovillion | Pediatrics | 1001 Blythe Blvd, Medical Center Plaza Ste 601, Charlotte, NC 28203-5866 | 2011-06-20 |
| 1093030496 | Michael Dean Deel | Pediatrics | 2301 Erwin Road, Durham, NC 27710-8047 | 2010-03-29 |
| 1003130055 | Kristina Harrell | Pediatrics | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2010-03-19 |
| Find all providers with the same taxonomy | ||||
| City | CHAPEL HILL |
| Zip Code | 27599 |
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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.