ROBERT S WILSON (NPI# 1245216068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245216068 |
| Entity Type | Individual |
| Full Name | ROBERT S WILSON |
| Credential | D.O. |
| Practice Address |
100 Eagleville Rd Eagleville PA 19403-1829 |
| Practice Telephone | 6105396000 |
| Practice Fax Number | 6105399314 |
| Mailing Telephone | 6105396000 |
| Mailing Fax Number | 6105399314 |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
OS-004237-L | PA | Allopathic & Osteopathic Physicians |
| X | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
OS-004237-L | PA | Allopathic & Osteopathic Physicians |
| X | 208D00000X | General Practice | OS-004237-L | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164957668 | Robert Wilson | Pharmacist | 11950 De Palma Rd, Corona, CA 92883-8499 | 2017-04-22 |
| 1487020566 | Robert Wilson | Acupuncturist | 537 W Washington St, Marquette, MI 49855-4133 | 2015-08-12 |
| 1205247129 | Robert Norman Wilson IIi | Student in an Organized Health Care Education/Training Program | Gru College of Dental Medicine, Augusta, GA 30912-0001 | 2014-05-13 |
| 1477971885 | Robert Borden Wilson | Pediatrics | 2300 Hospital Dr Ste 120, Bossier City, LA 71111-2193 | 2014-04-02 |
| 1922362888 | Robert Travis Wilson | Emergency Medicine | 517 Kerri Cove Ct Apt 104, Midlothian, VA 23113-6873 | 2012-06-26 |
| 1144589458 | Robert Wilson | Chiropractor | 132a N Central Ave, Centerville, TN 37033 | 2012-05-07 |
| 1649575937 | Robert George Wilson | Military Health Care Provider | 515 Tessentee Rd, Franklin, NC 28734 | 2011-01-18 |
| 1396078317 | Robert Max Wilson | Case Manager/Care Coordinator | 618 Manzano Ne, Albuquerque, NM 87110 | 2009-09-09 |
| 1013140672 | Robert James Wilson | Dentist | 1321 N Tennessee St, # 108, Mckinney, TX 75069-2142 | 2009-08-31 |
| 1417189994 | Robert P Wilson Jr. | Physical Therapist | 225 Evergreeen Road, Pottstown, PA 19464 | 2009-08-17 |
| Street Address |
100 EAGLEVILLE RD |
| City | EAGLEVILLE |
| State | PA |
| Zip Code | 19403-1829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099105 | Roman Krutikov | Physician Assistant | 100 Eagleville Rd, Eagleville, PA 19403-1829 | 2020-09-29 |
| 1467887331 | Eagleville Hospital | Pharmacy | 100 Eagleville Rd, Eagleville, PA 19403-1829 | 2013-09-10 |
| 1609176601 | Lara Louise Macumber | Pharmacist | 100 Eagleville Rd, Eagleville, PA 19403-1829 | 2010-10-25 |
| 1194956011 | Eagleville Hospital | Family Medicine | 100 Eagleville Rd, Eagleville, PA 19403-1829 | 2009-07-28 |
| 1386875292 | Eagleville Hospital | Psychiatry & Neurology | 100 Eagleville Rd, Eagleville, PA 19403-1829 | 2009-07-28 |
| 1235276320 | Richard Harvey Spiegel | General Practice | 100 Eagleville Rd, Eagleville, PA 19403-1829 | 2007-01-30 |
| 1295871119 | Anthony Repici | General Practice | 100 Eagleville Rd, Eagleville, PA 19403-1829 | 2007-01-29 |
| 1710023650 | Thurman Davis Booker | Family Medicine | 100 Eagleville Rd, Eagleville, PA 19403-1829 | 2007-01-29 |
| 1568524742 | Eagleville Hospital | Psychiatric Unit | 100 Eagleville Rd, Eagleville, PA 19403-1829 | 2006-12-14 |
| 1477615656 | Eagleville Hospital | Substance Abuse Rehabilitation Facility | 100 Eagleville Rd, Eagleville, PA 19403-1829 | 2006-12-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720696099 | Sai Charan Vedula | Internal Medicine | Einstein Medical Center Montgomery, 559 West Germantown Pike, East Norriton, PA 19403 | 2020-07-22 |
| 1255951869 | Jillian Nicole Zerbe | Student in an Organized Health Care Education/Training Program | 3005 Concord Cir, Eagleville, PA 19403 | 2020-04-23 |
| 1649745951 | Gigi Y Frasse | Nurse Practitioner | 10000 Shannondell Drive Main Line Healthcare, Audobon, PA 19403 | 2018-10-12 |
| 1831616002 | Sharlee Dischert | Occupational Therapist | The Arc Alliance Children's Services, 3075 Ridge Pike, Eagleville, PA 19403 | 2017-08-28 |
| 1033633029 | Lauren Aaronson | Social Worker | 2418 Single Tree Lane, Trooper, PA 19403 | 2017-08-01 |
| 1306377288 | Matthew Johnson | Specialist/Technologist | 713 Mill Grove Dr, Audubon, PA 19403 | 2017-03-23 |
| 1720526080 | Dayna Greiner | Speech-Language Pathologist | 70 Bristol Court, Eagleville, PA 19403 | 2017-02-07 |
| 1669928636 | Samantha L Hankey | Specialist/Technologist | 1208 Stonybrook Dr, Norristown, PA 19403 | 2016-08-30 |
| 1154788008 | Noel Patrick Hamilton | Nurse Practitioner | 508 Bassett Lane, Norristown, PA 19403 | 2016-01-23 |
| 1265866115 | Christiana Jo Silcox | Counselor | 128 Riversedge Drive, Jeffersonville, PA 19403 | 2013-08-28 |
| Find all providers in zip 19403 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| 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 Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710023650 | Thurman Davis Booker | Family Medicine | 100 Eagleville Rd, Eagleville, PA 19403-1829 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851958763 | Hope Recovery Services LLC | Family Medicine | 200 Mcknight Park Dr Ste 201, Pittsburgh, PA 15237-6507 | 2019-05-27 |
| 1992281125 | Aurora Recovery Services, LLC | Family Medicine | 993 Brodhead Rd Ste 201, Moon Twp, PA 15108 | 2018-07-11 |
| 1821503038 | Philly Newlife Suboxone Clinics | Family Medicine | 3477 Saint Vincent St, Philadelphia, PA 19149-1628 | 2017-12-11 |
| 1447609565 | Recovery Care LLC | Family Medicine | 2057 State Route 130 # 3, Jeannette, PA 15644-3801 | 2016-06-09 |
| 1366806358 | Victory Life Health Services | Family Medicine | 95 E High St Ste 104, Waynesburg, PA 15370-1853 | 2016-04-06 |
| 1154662062 | William Francis Hushion I | Family Medicine | 1066 Putnam Blvd, Wallingford, PA 19086-6747 | 2013-03-04 |
| 1740570886 | Germantown Pain Management & Physical Therapy | Family Medicine | 6334 Germantown Ave, Philadelphia, PA 19144-1935 | 2011-04-11 |
| 1649584459 | Meridian Recovery Services Inc | Family Medicine | 2626 Sigsbee St, Erie, PA 16508-1721 | 2010-08-04 |
| 1265754998 | Amc Health | Family Medicine | 2626 Sigsbee Street, Erie, PA 16508-1808 | 2010-02-22 |
| 1629201314 | Cottman & Castor Pain Management | Family Medicine | 1934 Cottman Ave, Philadelphia, PA 19111-3817 | 2009-08-27 |
| Find all providers with the same taxonomy | ||||
| City | EAGLEVILLE |
| Zip Code | 19403 |
Please comment or provide details below to improve the information on ROBERT S WILSON.
| 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.