MCKENNA MARIE WILSON (NPI# 1336766310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336766310 |
| Entity Type | Individual |
| Full Name | MCKENNA MARIE WILSON |
| Credential | PA-C |
| Practice Address |
4752 Bentham Dr Columbus OH 43220-3204 |
| Mailing Address |
1155 W Jefferson St Ste 202 Franklin IN 46131-2732 |
| Practice Telephone | 2174128478 |
| Mailing Telephone | 3173463883 |
| Mailing Fax Number | 3173463141 |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2020-09-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 50.006471 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4752 BENTHAM DR |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43220-3204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558878595 | Rachel Lee Nugen | Nurse Practitioner | 1885 W. Henderson Rd., Upper Arlington, OH 43220 | 2017-12-29 |
| 1285140871 | Sara J Morgan Murphy | Counselor | 5003 Horizons Dr., Suite 110, Columbus, OH 43220 | 2017-12-19 |
| 1386150282 | Another Beginning Inc | Pediatrics | 1830 Bethel Rd Ste D, Columbus, OH 43220 | 2017-12-15 |
| 1205341633 | Sarah Vorhis | Counselor | 5003 Horizons Drive Suite #110, Columbus, OH 43220 | 2017-12-07 |
| 1689187833 | Kimberly J Bonta | Counselor | 5003 Horizons Drive, Suite 110, Columbus, OH 43220 | 2017-11-09 |
| 1508383787 | Morgan Allison Dzurko | Behavior Technician | 5000 Arilington Centere Blv Building 2, Upper Arlington, OH 43220 | 2017-08-28 |
| 1801319504 | Sergei Schneider | Case Manager/Care Coordinator | 1550 Old Henderson Rd. St. 271, Columbus, OH 43220 | 2017-07-25 |
| 1467904391 | Michael James Nordgren | Specialist/Technologist | 535 Irving Schottenstein Dr., Columbus, OH 43220 | 2016-10-26 |
| 1588048250 | Kree Blakeman | Behavioral Analyst | 5000 Arlington Centre Boulevard, Columbus, OH 43220 | 2015-07-13 |
| 1043698699 | Candace Tanoue | Pharmacist | 4530 Kenny Road, Columbus, OH 43220 | 2015-05-15 |
| Find all providers in zip 43220 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356941603 | Ingrid Mompoint-butler | Physician Assistant | 1911 Oakland Park Ave, Columbus, OH 43224-3630 | 2020-10-27 |
| 1649886557 | Justin Knox | Physician Assistant | 7416 Roslindale Dr, Columbus, OH 43235-8904 | 2020-09-17 |
| 1881226744 | Adrian Gorzitze-maxey | Physician Assistant | 117 W Como Ave, Columbus, OH 43202-1027 | 2020-02-09 |
| 1699316604 | James Rodeman | Physician Assistant | 1351 Wyandotte Rd, Columbus, OH 43212-3248 | 2019-10-01 |
| 1740830017 | Rylie Taylor Ingham | Physician Assistant | 285 E State St Ste 600, Columbus, OH 43215-4329 | 2019-09-18 |
| 1487201976 | Columbus Surgical Assist, LLC | Physician Assistant | 605 N. High Street #234, Columbus, OH 43215-2024 | 2019-08-20 |
| 1699237743 | Stefan Khensouri | Physician Assistant | 3375 Paddington Dr, Columbus, IN 47203-4328 | 2019-04-05 |
| 1932681715 | Michael Kenneth Johnson | Physician Assistant | 5399 Coachman Rd Apt E, Columbus, OH 43220-6270 | 2018-08-29 |
| 1760972426 | Simon Nke Acha | Physician Assistant | 285 E State St Ste 360, Columbus, OH 43215-4357 | 2018-05-17 |
| 1427546993 | Kirsten Richards | Physician Assistant | 440 Rhoads Ave Apt B, Columbus, OH 43205-2280 | 2018-04-30 |
| Find all providers in COLUMBUS | ||||
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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.