BRADLEY CLARK WILSON (NPI# 1366078990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366078990 |
Entity Type | Individual |
Full Name | BRADLEY CLARK WILSON |
Practice Address |
2005 Ashland Ave Toledo OH 43620-1703 |
Practice Telephone | 4198417701 |
Enumeration Date | 2020-03-16 |
Last Update Date | 2020-03-16 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235519984 | Bradley Craig Wilson | Military Health Care Provider | 2807 Montclair Ave, Pascagoula, MS 39567-5287 | 2015-06-08 |
1699061598 | Bradley Paul Wilson | Student in an Organized Health Care Education/Training Program | 349 17th Ave, San Francisco, CA 94121-2312 | 2011-06-20 |
1407084791 | Bradley Allen Wilson | Urology | 500 E Robinson Suite 1300, Norman Urology Associates, PC, Norman, OK 73071-6694 | 2009-06-25 |
1053329185 | Bradley Rix Wilson | Dentist | 2077 S Gessner Rd, Suite 125, Houston, TX 77063-1147 | 2006-08-04 |
1528046141 | Bradley A Wilson | Surgery | 1000 Health Center Dr Ste 101, Mattoon, IL 61938-4644 | 2006-01-04 |
1225020878 | Bradley C Wilson | Family Medicine | 7756 State Route 37 E, New Lexington, OH 43764-9512 | 2005-08-19 |
1508339987 | Bradley Russell Wilson | Nurse Practitioner | 22101 Moross Rd, Detroit, MI 48236-2148 | 2019-01-08 |
1386985133 | Bradley W Wilson | Nurse Anesthetist, Certified Registered | 300 North Ave, Battle Creek, MI 49017-3307 | 2013-03-04 |
1609130954 | Bradley Lyle Wilson | Family Medicine | 4771 S Cleveland Ave, Fort Myers, FL 33907 | 2012-07-02 |
1174810824 | Bradley Jay Wilson | Radiology | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2011-07-01 |
Street Address |
2005 ASHLAND AVE |
City | TOLEDO |
State | OH |
Zip Code | 43620-1703 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598700445 | Liberty Nursing Center of Toledo, Inc | Skilled Nursing Facility | 2005 Ashland Ave, Toledo, OH 43620-1703 | 2006-06-17 |
1033710660 | Michael James Erskine | Counselor | 2005 Ashland Ave, Toledo, OH 43620-1703 | 2020-11-02 |
1679174213 | Angenae Zaahir-bey | Counselor | 2005 Ashland Ave, Toledo, OH 43620-1703 | 2020-11-02 |
1568061968 | Regina Hudsonlewis | Case Manager/Care Coordinator | 2005 Ashland Ave, Toledo, OH 43620-1703 | 2020-10-19 |
1003421363 | Kiana Cole | Case Manager/Care Coordinator | 2005 Ashland Ave, Toledo, OH 43620-1703 | 2020-09-14 |
1457965139 | Walaa Jalal Kanan | Social Worker | 2005 Ashland Ave, Toledo, OH 43620-1703 | 2020-09-01 |
1952911224 | Brianna Jones | Case Manager/Care Coordinator | 2005 Ashland Ave, Toledo, OH 43620-1703 | 2020-08-03 |
1194343517 | Amber Rhea Hayes | Licensed Practical Nurse | 2005 Ashland Ave, Toledo, OH 43620-1703 | 2020-07-13 |
1841817624 | Melissa Ann Monhollen | Case Manager/Care Coordinator | 2005 Ashland Ave, Toledo, OH 43620-1703 | 2020-06-29 |
1255955431 | Destiny Lynn Perez | Licensed Practical Nurse | 2005 Ashland Ave, Toledo, OH 43620-1703 | 2020-06-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154939148 | Jennifer Lawson | Case Manager/Care Coordinator | 2283 Ashlnd Ave., Toledo, OH 43620 | 2020-07-16 |
1942838404 | Emma L Mason | Student in an Organized Health Care Education/Training Program | Fcc-ob/gyn, 2213 Franklin St, Toledo, OH 43620 | 2020-03-31 |
1932762093 | Leela Miriyala | Student in an Organized Health Care Education/Training Program | Mercy Family Care Centre, 2213 Franklin Ave, Toledo, OH 43620 | 2019-04-15 |
1144726563 | Kelly Hildebrandt | Student in an Organized Health Care Education/Training Program | Mercy Health Pediatrics, 2213 Franklin Ave., Toledo, OH 43620 | 2018-04-04 |
1447754601 | Ansam Qaddoori Hasan | Student in an Organized Health Care Education/Training Program | Mercy Health Pediaterics, 2213 Franklin Ave, Toledo, OH 43620 | 2018-03-22 |
1730683038 | Rizwan Ishtiaq | Student in an Organized Health Care Education/Training Program | Mercy Family Care Center, 2213 Franklin Ave, Toledo, OH 43620 | 2018-03-21 |
1205338019 | Celia Marie Camardo Russo | Student in an Organized Health Care Education/Training Program | 2213 Franklin Street, Fcc-ob/gyn, Toledo, OH 43620 | 2018-03-07 |
1326547704 | Andrew Greene | Student in an Organized Health Care Education/Training Program | 2213 Franklin St, Fcc-ob/gyn, Toledo, OH 43620 | 2018-02-12 |
1073048096 | Akshita Singh | Internal Medicine | 2213 Franlklin Ave, 2nd Floor, Toledo, OH 43620 | 2017-04-27 |
1972038578 | Vanaja Theepa Sivakumar | Student in an Organized Health Care Education/Training Program | Mercy Health Franklin Avenue Pediatrics, 2213 Franklin St., Toledo, OH 43620 | 2017-04-21 |
Find all providers in zip 43620 |
Taxonomy Code | 171M00000X |
Grouping | Other Service Providers |
Classification | Case Manager/Care Coordinator |
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669072815 | Brandon Thomas | Case Manager/Care Coordinator | 111 S Byrne Rd, Toledo, OH 43615-6212 | 2020-10-27 |
1497355952 | Allen Richardson | Case Manager/Care Coordinator | 3450 W. Central Ave., Ste 366e, Toledo, OH 43606-1416 | 2020-10-26 |
1881209104 | Jessica Rentner | Case Manager/Care Coordinator | 2440 South Ave, Toledo, OH 43609-1611 | 2020-09-14 |
1154939148 | Jennifer Lawson | Case Manager/Care Coordinator | 2283 Ashlnd Ave., Toledo, OH 43620 | 2020-07-16 |
1508484957 | Lucynthia Dawn Jones | Case Manager/Care Coordinator | 2910 W Central Ave, Toledo, OH 43606-7702 | 2020-07-13 |
1952927790 | Jarmara Anderson | Case Manager/Care Coordinator | 420 Madison Ave Ste 550, Toledo, OH 43604-1272 | 2020-06-17 |
1518507219 | Malcolm Banks | Case Manager/Care Coordinator | 5301 Nebraska Ave., New Concepts, Toledo, OH 43615 | 2020-01-10 |
1659910784 | Mariah Marcedes Garcia Liggins | Case Manager/Care Coordinator | 500 Madison Ave Ste 500, Toledo, OH 43604-1210 | 2020-01-06 |
1821634643 | Shawn Tompkins Jr. | Case Manager/Care Coordinator | 3450 Central, Sutiee 366 E, Toledo, OH 43606 | 2019-11-27 |
1134764434 | Pamela Dianna Welch | Case Manager/Care Coordinator | 2928 Algonquin Pkwy Lowr, Toledo, OH 43606-3747 | 2019-11-10 |
Find all providers in TOLEDO |
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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.