MR. MATTHEW J WILSON (NPI# 1184892531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184892531 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW J WILSON |
| Credential | LMT |
| Practice Address |
119 Beal Pkwy Se Suite 101 Fort Walton Beach FL 32548-5386 |
| Practice Telephone | 8505983633 |
| Mailing Telephone | 8505983633 |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2008-02-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | MA33164 | FL | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS & BLUE SHIELD | C2463 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211231 | Matthew Wilson | Homemaker | 5515 Plain City Georgesville Rd, Plain City, OH 43064-8825 | 2020-09-29 |
| 1821655986 | Matthew Wilson | Student in an Organized Health Care Education/Training Program | 322 E Prentiss St Apt 502, Iowa City, IA 52240-1766 | 2019-05-23 |
| 1003472853 | Matthew Francis Wilson | Social Worker | 417 Gettysburg St Ste 200, Pittsburgh, PA 15206-4529 | 2019-05-17 |
| 1629492798 | Matthew James Wilson | Student in an Organized Health Care Education/Training Program | 725 W Maple St, Johnson City, TN 37604-6507 | 2014-02-10 |
| 1568752392 | Matthew Steven Wilson | Orthopaedic Surgery | 834 Chestnut Street, Suite G-114, The Philadelphia Hand Center, Philadelphia, PA 19107 | 2011-04-13 |
| 1174839054 | Matthew C Wilson | Family Medicine | Schneck Primary Care - Jackson Park, 1124 Medical Place, Seymour, IN 47274 | 2010-08-30 |
| 1003093600 | Matthew J. Wilson | Internal Medicine | 755 Mt Vernon Hwy, Suite 530, Atlanta, GA 30328 | 2008-01-25 |
| 1770193732 | Matthew Dwight Wilson | Case Manager/Care Coordinator | 2250 N Airport Rd, Weatherford, OK 73096-3351 | 2020-08-05 |
| 1972128643 | Matthew Hall Wilson | Student in an Organized Health Care Education/Training Program | 680 Centre St, Brockton, MA 02302-3308 | 2020-06-09 |
| 1356988547 | Matthew Royal Wilson | Nurse Anesthetist, Certified Registered | 36475 Five Mile Rd, Livonia, MI 48154-1971 | 2019-12-06 |
| Street Address |
119 BEAL PKWY SE SUITE 101 |
| City | FORT WALTON BEACH |
| State | FL |
| Zip Code | 32548-5386 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932718426 | Erica Darby | Pharmacist | Publix, 421 Mary Esther Cut Off, Fort Walton Beach, FL 32548 | 2020-07-30 |
| 1770136681 | Michael Cody Jones | Pharmacist | 251 Miacle Strip Pkwy Se, Fort Walton Beach, FL 32548 | 2019-07-19 |
| 1346714532 | Alison Ann Gould | Occupational Therapy Assistant | Emerald Coast Heath Care, 114 Third St, Fort Walton Beach, FL 32548 | 2019-01-22 |
| 1699217695 | Mayra Lopez | Dentist | Blvd. Gomez Morin #8569, Suite 6a, Juarez, CHIHUAHUA 32548 | 2016-11-08 |
| 1265808455 | Rajiv Tuladhar Dmd Holdings, Pllc | Dentist | 516 Mary Esther Blvd Ste 2, Fort Walton Beach, FL 32548 | 2015-08-11 |
| 1881090702 | Annette Peadro | Behavioral Analyst | 171 Brooks St, Suite 308, Fort Walton Beach, FL 32548 | 2014-11-05 |
| 1790037729 | Julie Bradfield | Counselor | 44 Shell Ave, Fort Walton Beach, FL 32548 | 2012-10-15 |
| 1740559582 | Beth Paula Ritenour | Pharmacist | 414 Mary Esther Cutoff Nw, C, Fort Walton Beach, FL 32548 | 2011-12-23 |
| 1891080867 | Okaloosa County Council On Aging | Home Health | 207 Hospital Drive, Fort Walton Beach, FL 32548 | 2011-06-17 |
| 1649580275 | Sharon Renee Wise | Counselor | 44 Shell Avenue Se, Fort Walton Beach, FL 32548 | 2010-10-17 |
| Find all providers in zip 32548 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326529355 | Prince Properties | Technician, Other | 128 Eglin Pkwy Se, Fort Walton Beach, FL 32548-5519 | 2018-08-27 |
| 1326491804 | Matthew Tymon | Technician, Other | 103 Lewis St, Fort Walton Beach, FL 32547-3142 | 2016-07-19 |
| 1225481922 | Jennifer Martin | Technician, Other | 103 Lewis St, Fort Walton Beach, FL 32547-3142 | 2016-07-18 |
| 1164875993 | Heather Wilson | Technician, Other | 103 Lewis St, Fort Walton Beach, FL 32547-3142 | 2016-07-17 |
| 1144605411 | Jeffery Ratcliff Jr. | Technician, Other | 419 Racetrack Rd Nw, Fort Walton Beach, FL 32547-4612 | 2015-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295340479 | Jeanine Davis | Technician, Other | 3540 Nw 8th St, Lauderhill, FL 33311-6416 | 2020-09-14 |
| 1376158188 | Michael Blake Atlas | Technician, Other | 1242 Ginger Cir, Weston, FL 33326-3627 | 2020-09-09 |
| 1104439579 | Amaury Li | Technician, Other | 265 Highgate Park Blvd, Davenport, FL 33897-7732 | 2020-08-26 |
| 1831709864 | Odayme Sanchez | Technician, Other | 11520 Sw 57th Ter, Miami, FL 33173-1012 | 2020-08-04 |
| 1700496106 | Ilia De Los Angeles Diaz Moure | Technician, Other | 4705 Nw 7th St Apt 305-7, Miami, FL 33126-2259 | 2020-07-31 |
| 1619585932 | Skyler Mebane | Technician, Other | 1818 S Australian Ave Ste 240, West Palm Beach, FL 33409-6452 | 2020-07-22 |
| 1568092112 | Charity Marie Majors | Technician, Other | 714 Venetian Way, Panama City, FL 32405-7502 | 2020-01-23 |
| 1750911285 | Denisse Ramirez | Technician, Other | 1818 S. Australian Ave, Suite 420, West Palm Beach, FL 33409 | 2020-01-23 |
| 1225675226 | Mended Minds Corp. | Technician, Other | 1625 N Commerce Pkwy Ste 300, Weston, FL 33326-3206 | 2019-12-09 |
| 1558906206 | Jennifer Cornelius | Technician, Other | 26 Sw 7th Ave, Dania, FL 33004-3215 | 2019-11-15 |
| Find all providers with the same taxonomy | ||||
| City | FORT WALTON BEACH |
| Zip Code | 32548 |
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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.