DWAYNE WILSON (NPI# 1457810368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457810368 |
| Entity Type | Individual |
| Full Name | DWAYNE WILSON |
| Practice Address |
2347 Vine St Cincinnati OH 45219-1745 |
| Practice Telephone | 5136211117 |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2019-03-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891192894 | Dwayne Wilson | Registered Nurse | 24455 Lake Shore Blvd, Apt. 1818, Euclid, OH 44123-1273 | 2014-11-19 |
| 1043522618 | Dwayne Wilson | Internal Medicine | 3978 W Hillsborough Ave Unit 21b, Tampa, FL 33614-5628 | 2010-07-12 |
| 1578587341 | Dwayne Wilson | Emergency Medicine | 2454 Camp Travis, Fort Sam Houston, TX 78234-7671 | 2006-07-26 |
| 1760474357 | Dwayne G Wilson | Pharmacist | 7524 Karl Dr, Lincoln, NE 68516-4372 | 2005-08-18 |
| 1841621612 | Dwayne Wilson | Counselor | 611 E Belmont Ave, Fresno, CA 93701-1502 | 2013-12-04 |
| 1093844839 | Dwayne Charles Wilson | Counselor | 1401 L St, Bakersfield, CA 93301-4522 | 2007-03-05 |
| Street Address |
2347 VINE ST |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45219-1745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770540148 | Ikron Corporation | Clinic/Center | 2347 Vine St, Cincinnati, OH 45219-1745 | 2006-04-28 |
| 1134738925 | Eva Catherine Weber | Counselor | 2347 Vine St, Cincinnati, OH 45219-1745 | 2020-07-28 |
| 1134738941 | Christa M. Redden | Counselor | 2347 Vine St, Cincinnati, OH 45219-1745 | 2020-07-28 |
| 1083223986 | Katie R Ditchen | Counselor | 2347 Vine St, Cincinnati, OH 45219-1745 | 2020-07-27 |
| 1902414964 | Melissa Renee Martin | Case Manager/Care Coordinator | 2347 Vine St, Cincinnati, OH 45219-1745 | 2020-07-16 |
| 1184232167 | Jason Broomfield | Case Manager/Care Coordinator | 2347 Vine St, Cincinnati, OH 45219-1745 | 2020-07-16 |
| 1710595772 | Jeannie Perry | Case Manager/Care Coordinator | 2347 Vine St, Cincinnati, OH 45219-1745 | 2020-07-16 |
| 1699390641 | Heather Stoess | Case Manager/Care Coordinator | 2347 Vine St, Cincinnati, OH 45219-1745 | 2020-06-15 |
| 1003439415 | Nicole Broomfield | Case Manager/Care Coordinator | 2347 Vine St, Cincinnati, OH 45219-1745 | 2020-05-20 |
| 1801436977 | Hend Aldosari | Counselor | 2347 Vine St, Cincinnati, OH 45219-1745 | 2020-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225659261 | Christopher Robert Smith | Student in an Organized Health Care Education/Training Program | 2139 Auburn Ave Tch Internal Medicine, Cincinnati, OH 45219 | 2020-04-30 |
| 1316574346 | Quincy Alvin Banks | Student in an Organized Health Care Education/Training Program | Tch Family Medicine, 2123 Auburn Ave, Suite 235, Cincinnati, OH 45219 | 2020-03-27 |
| 1831725324 | Sara Jane Elisabeth Hubbard | Student in an Organized Health Care Education/Training Program | 234 Goodman Street Ml 0803, Ucmc Dental Center, Cincinnati, OH 45219 | 2020-03-17 |
| 1528609815 | Yuliya Azirbayeva | Pharmacist | 3 West Corry St, Cincinnati, OH 45219 | 2019-10-08 |
| 1851955769 | Julie Grace Van Baardwijk | Student in an Organized Health Care Education/Training Program | Tch Internal Medicine, 2139 Auburn Ave, Cincinnati, OH 45219 | 2019-04-25 |
| 1164982773 | Zein Mouaffaq Saad Eddin | Student in an Organized Health Care Education/Training Program | 234 Goodman Street, Department of Surgery, Cincinnati, OH 45219 | 2019-03-20 |
| 1386103273 | Ismaeel Siddiqi | Student in an Organized Health Care Education/Training Program | 234 Goodman Street Ml 0781- Internal Medicine, Cincinatti, OH 45219 | 2019-03-19 |
| 1285123612 | Anna Vaughan | Counselor | 2828 Vernon Place, Cincinnati, OH 45219 | 2018-05-01 |
| 1043707565 | Chizara Nwade | Student in an Organized Health Care Education/Training Program | Tch Internal Medicine, 2139 Auburn Ave, Cincinnati, OH 45219 | 2018-04-19 |
| 1922503226 | Kristen Sparagna | Student in an Organized Health Care Education/Training Program | 234 Goodman St, Ml 665x, Cincinnati, OH 45219 | 2018-03-28 |
| Find all providers in zip 45219 | ||||
| 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 |
|---|---|---|---|---|
| 1548860588 | Corey Allison | Case Manager/Care Coordinator | 312 Glenmore Ave. Ste 14, Cincinnati, OH 45238 | 2020-10-29 |
| 1679170518 | Keana Eakins | Case Manager/Care Coordinator | 432 Ray Norrish Dr Ste B, Cincinnati, OH 45246-1520 | 2020-10-05 |
| 1992318596 | Janelle Selina Hocker | Case Manager/Care Coordinator | 3439 Knott St, Cincinnati, OH 45229-3109 | 2020-08-25 |
| 1215547450 | Erica Tivis | Case Manager/Care Coordinator | 2711 E Tower Dr Apt 108, Cincinnati, OH 45238-2655 | 2020-08-03 |
| 1629696687 | Albert Antonio Bailey Jr. | Case Manager/Care Coordinator | 432 Ray Norrish Dr # B, Cincinnati, OH 45246-1520 | 2020-07-07 |
| 1669005286 | Zachary Nordyke | Case Manager/Care Coordinator | 5880 Winton Ridge Ln, Cincinnati, OH 45232-1121 | 2020-02-21 |
| 1962035717 | Ronda Sue Gadd | Case Manager/Care Coordinator | 4550 Red Bank Rd, Cincinnati, OH 45227-2118 | 2020-02-20 |
| 1659902195 | Keeshon Taylor | Case Manager/Care Coordinator | 3643 Fyffe Ave, Cincinnati, OH 45211-6114 | 2020-02-03 |
| 1194382192 | Lauren Michelle Breadon | Case Manager/Care Coordinator | 4966 Glenway Ave Ste 205, Cincinnati, OH 45238-3917 | 2019-05-24 |
| 1649736000 | Ian A Gentry | Case Manager/Care Coordinator | 3962 Glenmore Ave, Cincinnati, OH 45211-3534 | 2019-02-11 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45219 |
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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.