WILSON MEDICAL CENTER, INC. (NPI# 1215218961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215218961 |
Entity Type | Organization |
Organization Name | WILSON MEDICAL CENTER, INC. |
Other Organization Name | WILSON MEDICAL CENTER MEDICAL NUTRIONAL THERAPY |
Practice Address |
1705 Tarboro St Sw Wilson NC 27893-3428 |
Practice Telephone | 2523998040 |
Practice Fax Number | 2523998778 |
Mailing Telephone | 2523998040 |
Mailing Fax Number | 2523998778 |
Enumeration Date | 2011-09-07 |
Last Update Date | 2011-09-07 |
Authorized Official Name | MR. RICHARD E. HUDSON (PRESIDENT AND CHIEF EXECUTIVE OFFIC) |
Authorized Official Telephone | 2523998139 |
Is Organization Subpart | Y |
Parent Organization Name | WILSON MEDICAL CENTER, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133V00000X | Dietitian, Registered | H0210 | NC | Dietary & Nutritional Service Providers |
Other Name | Type Code |
---|---|
Wilson Medical Center Medical Nutrional Therapy | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962538447 | Wilson Medical Center, Inc. | Family Medicine | 11180 Finch Avenue, Middlesex, NC 27557 | 2007-02-26 |
1902932478 | Wilson Medical Center, Inc. | Family Medicine | 312 South Main Street, Stantonsburg, NC 27883-0400 | 2007-02-26 |
1467546184 | Wilson Medical Center, Inc. | General Acute Care Hospital | 1705 Tarboro Street, Sw, Wilson, NC 27893-3428 | 2006-10-03 |
1366415630 | Wilson Medical Center, Inc. | Hospice Care, Community Based | 1705 Tarboro Street,sw, Wilson, NC 27893-3428 | 2006-02-08 |
1639592116 | Wilson Medical Center, Inc. | Internal Medicine | 1700 Tarboro St W, Suite 200, Wilson, NC 27893-3481 | 2014-02-04 |
1578901005 | Wilson Medical Center, Inc. | Preventive Medicine | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2013-06-06 |
1982961314 | Wilson Medical Center, Inc. | Technician | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2012-04-23 |
1336423102 | Wilson Medical Center, Inc. | Clinical Medical Laboratory | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2011-09-28 |
1235422510 | Wilson Medical Center, Inc. | Internal Medicine | 2605 Forest Hills Rd Sw, Wilson, NC 27893-4448 | 2011-05-19 |
1538467501 | Wilson Medical Center, Inc. | Home Health | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2011-03-01 |
Street Address |
1705 TARBORO ST SW |
City | WILSON |
State | NC |
Zip Code | 27893-3428 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912902628 | Wilmed Generations,inc. | Skilled Nursing Facility | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2005-06-17 |
1174131791 | Julia Adams | Physical Therapist | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2020-07-20 |
1457986085 | Angela Fogel Carter | Occupational Therapy Assistant | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2020-03-04 |
1194373217 | Louis Pettygrove | Physician Assistant | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2019-09-02 |
1730734757 | Joellen Carroll | Physical Therapist | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2019-08-06 |
1205304391 | Nikolas Bland | Physical Therapist | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2018-11-06 |
1629544804 | Robin Marie Steinert | Speech-Language Pathologist | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2018-10-16 |
1093298804 | Wanda Lisa Crunkleton | Physical Therapy Assistant | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2018-09-08 |
1003308305 | Coastal Plains Pathology Pa | Pathology | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2018-06-01 |
1356861694 | Andrew Patrick Fink | Radiology | 1705 Tarboro St Sw, Wilson Medical Center, Wilson, NC 27893-3428 | 2017-06-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245847524 | Graceland Student Services LLC | Early Intervention Provider Agency | 610 Fairview Ave., Wilson, NC 27893 | 2020-09-30 |
1508477894 | Evan Michael Abatiell | Specialist/Technologist | 400 Atlantic Christian E West Ne, Wilson, NC 27893 | 2020-08-11 |
1679100606 | Newgreen Inhomecare Group Inc | Registered Nurse | 121 Nast Street N, Wilson, NC 27893 | 2020-03-27 |
1942772983 | Open Water Medical, Pa | Clinic/Center | 4008 Nc-42, Wilson, NC 27893 | 2018-12-31 |
1679043244 | Madison Rose Propst | Social Worker | 2416 Bedgood, Wilson, NC 27893 | 2018-11-27 |
1104396753 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 2500 Horton Blvd, Wilson, NC 27893 | 2018-11-27 |
1528545498 | North Carolina In-home Partner-viii, LLC | Home Health | 1901 Tarboro St Sw Ste 304, Wilson, NC 27893 | 2018-07-24 |
1518478957 | Home Away From Home, Inc. | In Home Supportive Care | 1723 Meadowbrook Lane W., Wilson, NC 27893 | 2017-10-12 |
1942721295 | Sandra Susan Blazek | Social Worker | 608 Nash Street Nw, Wilson, NC 27893 | 2017-06-27 |
1700306297 | Kimberly Denton Almkuist | Nurse Practitioner | Wilson County Health Department, 1801 Glendale Dr. Sw, Wilson, NC 27893 | 2017-06-26 |
Find all providers in zip 27893 |
Taxonomy Code | 133V00000X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Dietitian, Registered |
A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659840403 | Hannah Lee Tripp | Dietitian, Registered | 1440 N West St., Wilson, WY 83014 | 2018-11-21 |
1689963936 | Cindy R Rhodes | Dietitian, Registered | 2207 Sulgrave Dr Nw, Wilson, NC 27896-1351 | 2011-04-06 |
1295849511 | Belinda Renae Kasper | Dietitian, Registered | 136 8th Rd, Wilson, KS 67490-8717 | 2006-08-17 |
1184644551 | Erin Marie Davis | Dietitian, Registered | N15019 Hannahville B1 Rd, Wilson, MI 49896 | 2006-07-20 |
1790108629 | Dlp Wilson Medical Center LLC | Dietitian, Registered | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2014-01-29 |
1932521010 | Dlp Wilson Physician Practices LLC | Dietitian, Registered | 1700 Tarboro St W, Ste. 100, Wilson, NC 27893-3481 | 2014-01-09 |
1184989493 | Amber Burgess | Dietitian, Registered | 1801 Glendale Dr Sw, Wilson, NC 27893-4401 | 2012-07-12 |
1245531086 | Kay Finch Johnson | Dietitian, Registered | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2010-11-10 |
1093015729 | Terresa Williams Taylor | Dietitian, Registered | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2010-10-28 |
1689984874 | Melissa Parbst | Dietitian, Registered | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2010-10-21 |
Find all providers in WILSON |
Please comment or provide details below to improve the information on WILSON MEDICAL CENTER, INC..
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.