JENNIFER WILSON (NPI# 1205958022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205958022 |
| Entity Type | Individual |
| Full Name | JENNIFER WILSON |
| Credential | M.D. |
| Practice Address |
232 W 25th St Erie PA 16544-0002 |
| Practice Telephone | 8144525000 |
| Practice Fax Number | 8144525039 |
| Mailing Telephone | 4129378887 |
| Mailing Fax Number | 4129379221 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD063892L | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770112013 | Jennifer Rockell Wilson | Case Manager/Care Coordinator | 450 S Venoy Rd, Westland, MI 48186-7805 | 2020-04-08 |
| 1023577665 | Jennifer Marie Wilson | Social Worker | 9660 Bend Dr, Jenison, MI 49428-9525 | 2019-03-13 |
| 1720545049 | Jennifer M Wilson | Registered Nurse | 17 Ridge Ave, Spring Valley, NY 10977-5407 | 2019-02-22 |
| 1528533726 | Jennifer S. Wilson | Specialist/Technologist | 216 Cody Ct, Clarksville, TN 37043-5897 | 2018-10-04 |
| 1750881488 | Jennifer Michele Wilson | Licensed Vocational Nurse | 20606 N Interstate 35, West, TX 76691-1812 | 2018-02-19 |
| 1942725700 | Jennifer Lynnette Wilson | Physician Assistant | 282 Equestrian Way, Raeford, NC 28376-7721 | 2017-08-13 |
| 1548782543 | Jennifer Wilson | Nurse Practitioner | 4665 W Atlantic Ave Ste B, Delray Beach, FL 33445-3800 | 2017-07-11 |
| 1770012775 | Jennifer Wilson | Registered Nurse | 3902 Henderson Blvd Ste 202, Tampa, FL 33629-5034 | 2017-06-05 |
| 1174069694 | Jennifer Wilson | Behavior Technician | 2014 Quail Run Dr Ne, Albuquerque, NM 87122-1100 | 2017-01-07 |
| 1033579396 | Jennifer Wilson | Nurse Practitioner | 10001 S Eastern Ave Ste 407, Henderson, NV 89052-3908 | 2016-03-01 |
| Street Address |
232 W 25TH ST |
| City | ERIE |
| State | PA |
| Zip Code | 16544-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033112545 | Clinical Associates In Radiology Inc | Radiology | 232 W 25th St, Erie, PA 16544-0002 | 2005-05-31 |
| 1376144105 | William Kupke | Physician Assistant | 232 W 25th St, Erie, PA 16544-0002 | 2020-11-06 |
| 1083215198 | Amber Colecchia | Nurse Practitioner | 232 W 25th St, Erie, PA 16544-0002 | 2020-11-04 |
| 1003430760 | Michelle K Xu | Family Medicine | 232 W 25th St, Erie, PA 16544-0002 | 2020-05-28 |
| 1831711548 | Kristen Michelle Bublitz | Emergency Medicine | 232 W 25th St, Erie, PA 16544-0002 | 2020-05-15 |
| 1811519697 | Susannah Boulet | Emergency Medicine | 232 W 25th St, Erie, PA 16544-0002 | 2020-05-14 |
| 1801417332 | Sarah Catherine Bilski | Emergency Medicine | 232 W 25th St, Erie, PA 16544-0002 | 2020-05-06 |
| 1811522881 | Jennifer Lynn Gervase | Registered Nurse | 232 W 25th St, Erie, PA 16544-0002 | 2020-03-10 |
| 1679118269 | Alexandra Marie Hartman | Physician Assistant | 232 W 25th St, Erie, PA 16544-0002 | 2019-11-07 |
| 1710522388 | Matthew James Martin | Physician Assistant | 232 W 25th St, Erie, PA 16544-0002 | 2019-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568087542 | Jason Latsky | Student in an Organized Health Care Education/Training Program | 232 W 25th Street, Erie, PA 16544 | 2020-06-15 |
| 1659747483 | Chad Val Stratford | Emergency Medicine | 252 W 25th St, Erie, PA 16544 | 2015-08-17 |
| 1013563147 | Joshua M Botimer | Pharmacist | 232 W 54th St, Erie, PA 16544-0001 | 2019-08-14 |
| 1497314116 | Xinyi Ge | Family Medicine | Saint Vincent Hospital, Erie, PA 16544-0001 | 2019-06-06 |
| 1346610805 | Saint Vincent Medical Education and Research Institute Inc. | Internal Medicine | 145 West 24th Street, 302a, Erie, PA 16544-0002 | 2015-09-28 |
| 1821419813 | Saint Vincent Diabetes Resource Outpatient Nutrition Center | General Acute Care Hospital | 145 W 23rd St, Suite 302, Erie, PA 16544-0002 | 2013-12-18 |
| 1841534336 | Kelly O'connor | Physician Assistant | 232 W 25th St # 3r, Erie, PA 16544-0002 | 2012-11-21 |
| 1447279955 | Lihui Tang | Psychiatry & Neurology | 232 W 25th St # 3r, Erie, PA 16544-1601 | 2006-07-18 |
| 1053880575 | Pallavi Yonghang Limbu | Nurse Practitioner | 232 W 25th St # 3r, Erie, PA 16544-2420 | 2018-11-14 |
| 1427013986 | Khoa D Tran | Psychiatry & Neurology | 232 W 25th St # 3r, Erie, PA 16544-6929 | 2006-04-19 |
| Find all providers in zip 16544 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922638642 | Tom Root Miller II | Family Medicine | 35 Niagara Pier, Erie, PA 16507-2312 | 2020-01-22 |
| 1730609041 | Michael Greg Palmer | Family Medicine | 311 West 24th Street 4th Floor, Erie, PA 16502 | 2017-06-27 |
| 1528422870 | Jessica Jean Partlow | Family Medicine | 311 W 24th St Fl 4, Erie, PA 16502-2665 | 2016-04-12 |
| 1407253859 | Dr Natalie Teygart PC | Family Medicine | 939 West 38th St, Erie, PA 16508 | 2014-12-01 |
| 1114350808 | Bruce W Baldwin | Family Medicine | 5704 Brewster Ln, Erie, PA 16505-1110 | 2013-08-16 |
| 1477994689 | Joshua Yates Taylor | Family Medicine | 101 Erie Pkwy, Ste 201c, Erie, CO 80516-4072 | 2013-07-16 |
| 1629413257 | Amina Yasser | Family Medicine | 2314 Sassafras St Fl 2, Erie, PA 16502-2722 | 2013-05-09 |
| 1811258122 | Sandy Tapuyao Clemente | Family Medicine | 3822 Colonial Ave Ste C, Erie, PA 16506-3826 | 2012-06-04 |
| 1730470204 | Thomas Leo Obenreder | Family Medicine | 3232 Hannon Rd, Erie, PA 16510-4450 | 2011-05-02 |
| 1417247123 | Medical Associates of Erie | Family Medicine | 3435 W Lake Rd, Erie, PA 16505-3661 | 2011-04-14 |
| Find all providers in ERIE | ||||
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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.