DR. JEFFREY DAVID WILSON


Address: 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051
Phone: 2086256900

DR. JEFFREY DAVID WILSON (NPI# 1366604647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366604647
Entity Type Individual
Full Name DR. JEFFREY DAVID WILSON
Credential D.O.
Practice Address 2003 Kootenai Health Way
Coeur D Alene
ID 83814-6051
Mailing Address 104 W 5th Ave
Suite 200w
Spokane
WA 99204-4880
Practice Telephone 2086256900
Practice Fax Number 2086256910
Mailing Telephone (509) 744-3750
Mailing Fax Number 5097443969
Enumeration Date 2008-06-27
Last Update Date 2017-05-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208M00000X Hospitalist O0607 ID Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
ID DO LICENSE O-0607 01

Other Providers JEFFREY WILSON

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1720505274 Jeffrey L Wilson Counselor 14201 S Mur Len Rd Ste 101, Olathe, KS 66062-1859 2017-08-25
1700317153 Jeffrey Wilson Student in an Organized Health Care Education/Training Program Florida Atlantic University Internal Medicine Residency, 800 Meadows Road, Boca Raton, FL 33486 2017-03-27
1962955435 Jeffrey John Wilson Specialist/Technologist 24062 Taft Rd, Novi, MI 48375-3022 2016-08-01
1073909883 Jeffrey Lynn Wilson Clinical Nurse Specialist 5516 Barons Pt, Ooltewah, TN 37363-8875 2015-04-08
1801185814 Jeffrey Matthew Wilson Registered Nurse 7750 Via Francesco Unit 2, San Diego, CA 92129-5149 2011-03-30
1447425798 Jeffrey Joseph Wilson Dentist 1542 Union St, Schenectady, NY 12309 2008-04-28
1184701658 Jeffrey M Wilson Dentist 73 Greentree Dr # 407, Dover, DE 19904-7646 2006-11-01
1922108745 Jeffrey Lynn Wilson Family Medicine 1810 Eldron Blvd., Se, Palm Bay, FL 32909 2006-09-22
1184727612 Jeffrey F Wilson Optometrist 126 W Wheatland Ave, Remus, MI 49340 2006-09-07
1417065715 Jeffrey Whiteside Wilson Psychiatry & Neurology 10229 W Greenfield Ave, West Allis, WI 53214 2006-08-27

Office Location

Street Address 2003 KOOTENAI HEALTH WAY
City COEUR D ALENE
State ID
Zip Code 83814-6051

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912909151 Pamela S Pomeroy Nurse Practitioner 2003 Kootenai Health Way, Coeur D Alene, ID 83814 2005-06-01
1104425149 Denise White Nurse Practitioner 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 2020-10-21
1992343487 Audrey Nordness Pharmacist 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 2019-12-15
1881245017 Jackie Rae Fitting Pharmacist 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 2019-09-29
1336790567 Shane Oliver Withers Jr. Pharmacist 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 2019-09-29
1447800552 Keith Mccullough Physician Assistant 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 2019-09-19
1568012102 Kaitlin Wendt Nurse Practitioner 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 2019-09-16
1215586862 Heather A Hamilton Social Worker 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 2019-09-06
1205498193 Guy Hoenke Registered Nurse 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 2019-07-01
1407417843 Maddison M Ray Dietitian, Registered 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 2019-06-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477162675 Dehra Mcfaddan Social Worker 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 2020-07-24
1043838634 Yendi Labelle Nurse Practitioner 1115 N Ironwood Drive, Coeur D'alene, ID 83814 2020-07-09
1295353217 Cultivation, LLC Counselor 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 2020-07-07
1306487517 Northwest Integrated Health, LLP Clinic/Center 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 2019-09-30
1730740465 Connor Williams Physical Therapist 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 2019-06-24
1912480153 Nadine M Lewis Social Worker 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 2018-09-13
1992208631 Orthopedic Surgery and Sports Orthopaedic Surgery 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 2018-03-08
1346758042 Heather Marie Johnson Counselor 7905 Meadowlark Way, Cda, ID 83814 2018-01-16
1881113413 Brevity Treatment Services Counselor 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 2017-09-14
1366969628 Jennifer La Gina Highfield Massage Therapist 1104 N Ste B, Coeur D Alene, ID 83814 2017-08-28
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Taxonomy Information

Taxonomy Code 208M00000X
Grouping Allopathic & Osteopathic Physicians
Classification Hospitalist

Taxonomy Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902285257 Kanan Silvas Hospitalist 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 2015-05-20
1780078626 Hinah Gul Parker Hospitalist 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 2015-03-27
1396164604 Laurel Hascall-dove Hospitalist 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 2014-04-15
1043576317 Austin Voigt Hospitalist 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 2012-04-11
1477781128 John S Siemers Hospitalist 2003 Kootenai Health Way, Coeur D Alene, ID 83814 2009-07-01
1902090350 Rachael Marie Ferraro Hospitalist 2003 Kootenai Health Way, Coeur D Alene, ID 83814 2007-08-29
1326241175 Matthew Michael Kreps Hospitalist 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 2007-06-08
1073669339 Timothy Clark Weill Hospitalist 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 2007-01-26
1992864342 Jason R. Schwintek Hospitalist 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 2006-12-08
1528089885 Mark Mroczko Hospitalist 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 2006-07-22
Find all providers in COEUR D ALENE

Competitor

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City COEUR D ALENE
Zip Code 83814

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Dataset Information

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.

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