CRAIG JEFFREY WILSON (NPI# 1407830318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407830318 |
| Entity Type | Individual |
| Full Name | CRAIG JEFFREY WILSON |
| Credential | MD |
| Practice Address |
2605 N Lebanon St Lebanon IN 46052-1476 |
| Mailing Address |
2705 N Lebanon St Ste 305 Lebanon IN 46052-8622 |
| Practice Telephone | 7654858000 |
| Practice Fax Number | 7654858669 |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2020-05-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 01048372A | IN | Allopathic & Osteopathic Physicians |
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
01048372A | IN | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 01048372A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200195130 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669034625 | Craig Wilson | Behavior Technician | 25180 5th St Apt 209, San Bernardino, CA 92410-5164 | 2019-06-30 |
| 1174047476 | Craig Wilson | Counselor | 3100 Ridgelake Dr Ste 309, Metairie, LA 70002-4938 | 2017-07-28 |
| 1639494354 | Craig Kyle Wilson | Counselor | 3340 Kemper St., Ste.105, San Diego, CA 92110-3107 | 2010-04-06 |
| 1609922574 | Craig Michael Wilson | Counselor | 3740 Orcutt Rd, San Luis Obispo, CA 93401-8365 | 2007-01-25 |
| 1902967938 | Craig Richard Wilson | Nurse Anesthetist, Certified Registered | 4150 V St. Pssb Suite 1200, Ucd Health System Med/anesthesiology & Pain, Sacramento, CA 95817-1460 | 2006-12-13 |
| 1588748313 | Craig Louis Wilson | Chiropractor | 26 S Main, Box 279, Cedar Springs, MI 49319 | 2006-10-25 |
| 1972686640 | Craig Robert Wilson | Case Manager/Care Coordinator | 1003 N Boradway, Johnson City, TN 37601 | 2006-10-24 |
| 1942218987 | Craig M Wilson | Chiropractor | 624 N Ninth Street, Family Care Chiropractic, Lebanon, PA 17046 | 2006-08-04 |
| 1134143399 | Craig Harold Wilson | Dentist | 964 Sanford Ave, Irvington, NJ 07111-1474 | 2006-07-27 |
| 1457733438 | Craig Wilson | Orthopaedic Surgery | 701 N 1st St, Springfield, IL 62702-3757 | 2015-06-25 |
| Street Address |
2605 N LEBANON ST |
| City | LEBANON |
| State | IN |
| Zip Code | 46052-1476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700870060 | Doris E Taylor Austin | Anesthesiology | 2605 N Lebanon St, Lebanon, IN 46052-1476 | 2005-09-01 |
| 1396222733 | Bailey C Goodman | Physician Assistant | 2605 N Lebanon St, Lebanon, IN 46052-1476 | 2018-07-27 |
| 1598253577 | Charles E. Wade | Hospitalist | 2605 N Lebanon St, Lebanon, IN 46052-1476 | 2018-04-25 |
| 1780126920 | Lacey N Christian | Hospitalist | 2605 N Lebanon St, Lebanon, IN 46052 | 2016-11-04 |
| 1053867572 | Mary Katherine Fuller-nave | Hospitalist | 2605 N Lebanon St, Lebanon, IN 46052-1476 | 2016-08-26 |
| 1598112955 | Christina Seib Stinnette | Anesthesiology | 2605 N Lebanon St, Lebanon, IN 46052-1476 | 2016-05-16 |
| 1891175063 | Richele Kelly | Anesthesiology | 2605 N Lebanon St, Lebanon, IN 46052-1476 | 2015-06-03 |
| 1104220078 | Nicholas Osborne | Hospitalist | 2605 N Lebanon St, Lebanon, IN 46052-1476 | 2014-10-21 |
| 1588071914 | Witham Memorial Hospital | Skilled Nursing Facility | 2605 N Lebanon St, Lebanon, IN 46052-1476 | 2014-07-17 |
| 1184057671 | Laura Devlin | Nurse Practitioner | 2605 N Lebanon St, Lebanon, IN 46052-1476 | 2013-08-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316567647 | Meredith England Labrie | Behavioral Analyst | 110 Birchwood Drivve, Lebanon, IN 46052 | 2020-04-16 |
| 1710401492 | Kenzlie Ann Westerfield | Specialist/Technologist | 613 Countryside Drive, Lebanon, IN 46052 | 2017-08-03 |
| 1487040044 | Jenny L Essex | Social Worker | 1614 N. Lebanon St., Integrative Wellness, LLC, Lebanon, IN 46052 | 2015-04-10 |
| 1316177363 | Kathryn Elizabeth Ehrgott | Counselor | 1005 South Lebanon Street, Boone County Services, Lebanon, IN 46052 | 2009-07-23 |
| 1780838557 | Kathleen M Whitaker | Registered Nurse | 209 W North St, Lebanon, IN 46052 | 2008-11-06 |
| 1851551998 | James R Mcafee | General Practice | 1997 Terrace Ln, Lebanon, IN 46052 | 2008-06-12 |
| 1518021773 | Zulfiqar Ali Mirza | Internal Medicine | 2505 N Lebanon St Ste 220, Lebanon, IN 46052 | 2006-12-21 |
| 1316016108 | Russell Allen Lindner | Chiropractor | 3920 North State Road 39, Boone County Chiropractic Office, Lebanon, IN 46052 | 2006-11-07 |
| 1487755781 | Cowan Drugs Inc | Pharmacy | 112 N Lebanon St, Lebanon, IN 46052 | 2006-09-26 |
| 1558463992 | Cowan Drugs Inc | Pharmacy | 1639 N Lebanon St, Lebanon, IN 46052 | 2006-09-05 |
| Find all providers in zip 46052 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568437127 | Sergei L Joffy | Hospitalist | 850 Tuck St, Lebanon, PA 17042-7477 | 2006-02-17 |
| 1568937423 | Erica R Light | Hospitalist | 252 S 4th St Fl 3, Lebanon, PA 17042-6111 | 2018-10-08 |
| 1710462411 | Andrea Schremph | Hospitalist | 252 S 4th St Fl 3, Lebanon, PA 17042-6123 | 2018-09-27 |
| 1598253577 | Charles E. Wade | Hospitalist | 2605 N Lebanon St, Lebanon, IN 46052-1476 | 2018-04-25 |
| 1720504152 | Elizabeth A Petcov | Hospitalist | 252 S 4th St, Lebanon, PA 17042-6111 | 2017-08-17 |
| 1780126920 | Lacey N Christian | Hospitalist | 2605 N Lebanon St, Lebanon, IN 46052 | 2016-11-04 |
| 1053867572 | Mary Katherine Fuller-nave | Hospitalist | 2605 N Lebanon St, Lebanon, IN 46052-1476 | 2016-08-26 |
| 1780137802 | Mascoma Street Inpatient Services LLC | Hospitalist | 10 Alice Peck Day Dr, Lebanon, NH 03766-2900 | 2016-07-25 |
| 1003263823 | Nilofar Najafian | Hospitalist | 1 Medical Center Dr, Lebanon, NH 03756-0001 | 2016-05-23 |
| 1710332390 | Sean Xiang Li | Hospitalist | 1 Medical Center Dr, Lebanon, NH 03756-0001 | 2016-05-02 |
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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.