DR. JOEL R WILSON (NPI# 1275554446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275554446 |
| Entity Type | Individual |
| Full Name | DR. JOEL R WILSON |
| Credential | MD |
| Practice Address |
1135-116th Avenue Ne Bellevue WA 98004 |
| Mailing Address |
Po Box 3047 Ms 315010 Seattle WA 98124-3947 |
| Practice Telephone | 4254542656 |
| Practice Fax Number | 4254552620 |
| Mailing Telephone | 4254542656 |
| Mailing Fax Number | 4254552620 |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2017-03-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD00046763 | WA | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
A122356 | CA | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
D0070298 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8457921 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306363296 | Joel David Wilson | Speech-Language Pathologist | 4748 Old Pump Street, Walnut Creek, OH 44687 | 2017-08-23 |
| 1720198294 | Joel Shane Wilson | Counselor | 155 Lees Valley Rd, Shepherdsville, KY 40165-6143 | 2006-08-30 |
| 1427056712 | Joel L Wilson | Physician Assistant | 8855 Springvalley Dr, Holland, OH 43528 | 2005-07-11 |
| 1447759360 | Joel G. Wilson | Psychologist | 1 Franklin St, Hampton, VA 23669-3568 | 2018-02-06 |
| 1386092179 | Joel Wilson | Counselor | 501 Darby Creek Rd, Suite 50, Lexington, KY 40509-1604 | 2016-06-02 |
| 1538355425 | Joel E Wilson | Anesthesiology | 333 W. Hampden Ave., Suite 600, Englewood, CO 80110-2336 | 2007-09-24 |
| 1083636658 | Joel R Wilson | Psychologist | 904 5th Ave Ne, Jamestown, ND 58401-3437 | 2006-07-24 |
| Street Address |
1135-116TH AVENUE NE |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093789703 | David W Nelson | Surgery | 1135-116th Avenue Ne, Suite 605, Bellevue, WA 98004 | 2006-02-17 |
| 1518417476 | Molly Beth Brownfield Hess | Physician Assistant | 1135-116th Avenue Ne, Suite 200, Bellevue, WA 98004 | 2016-10-04 |
| 1811386311 | Sarah Marie Skelly | Physician Assistant | 1135-116th Avenue Ne, Suite 605, Bellevue, WA 98004 | 2015-01-21 |
| 1659610764 | Jaclyn Mahlstede | Nurse Practitioner | 1135-116th Avenue Ne, Suite 200, Bellevue, WA 98004 | 2013-02-08 |
| 1699918169 | Ian R White | Colon & Rectal Surgery | 1135-116th Avenue Ne, Suite 550, Bellevue, WA 98004 | 2009-04-14 |
| 1699736579 | Thomas Morton Amidon | Internal Medicine | 1135-116th Avenue Ne, Suite 600, Bellevue, WA 98004 | 2006-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
| 1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
| 1669989216 | Atsuko Nakajima | Acupuncturist | 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 | 2018-01-04 |
| 1740794718 | Radka Chapin Counseling, LLC | Clinic/Center | 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 | 2017-11-28 |
| 1962912105 | Cuyler Ann Simmons | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 | 2017-10-02 |
| 1639690357 | Nicolas Lopez-montalvo | Behavioral Analyst | 3003 Northup Way Suite 200, Bellevue, WA 98004 | 2017-07-03 |
| 1124579537 | Matthew Thomas Haley | Pharmacist | 107 Bellevue Way, Se, Bellevue, WA 98004 | 2016-10-20 |
| 1649727348 | Kelsey Tanaka | Nurse Practitioner | 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 | 2016-09-10 |
| Find all providers in zip 98004 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811046022 | Charles Gordon Hale | Internal Medicine | 805 132nd Ave Ne, Bellevue, WA 98005-2615 | 2007-01-09 |
| 1720163264 | Gerald S Lorch | Internal Medicine | 13500 Se 50th Pl, Bellevue, WA 98006-3477 | 2006-10-25 |
| 1184649725 | John J Cimino | Internal Medicine | 12717 S 28th Ave Ste B, Bellevue, NE 68123-3232 | 2006-07-13 |
| 1184654782 | Eugene Yang | Internal Medicine | 1700 116th Ave Ne, Bellevue, WA 98004-3022 | 2006-07-03 |
| 1033173836 | Robert M Bersin | Internal Medicine | 1414 116th Ave Ne, Suite E, Bellevue, WA 98004-3801 | 2006-04-17 |
| 1255652434 | Eastside Internal Medicine & Cardiology David B Ferrin Md | Internal Medicine | 1600 116th Ave Ne, Suite 206, Bellevue, WA 98004-3014 | 2010-06-22 |
| 1114102944 | Cascade Heart Clinic, Pllc | Internal Medicine | 13033 Bellevue Redmond Rd, Suite 230, Bellevue, WA 98005-2633 | 2007-12-28 |
| 1225256845 | Peter R Kures | Internal Medicine | 13033 Bellevue Redmond Rd, Suite 230, Bellevue, WA 98005-2633 | 2007-04-20 |
| 1932225786 | North Ohio Heart Center, Inc | Internal Medicine | 1400 W Main St, Bellevue, OH 44811-9088 | 2007-03-22 |
| 1053477398 | Daniel E Guralnick | Internal Medicine | 11511 Ne 10th St, Bellevue, WA 98004-8578 | 2006-12-29 |
| Find all providers in BELLEVUE | ||||
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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.