SAMUEL M. WILSON


Address: 2320 Freeway Drive, Skagit Regional Clinics-riverbend, Mount Vernon, WA 98273
Phone: 3608146800

SAMUEL M. WILSON (NPI# 1477865194) 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) 1477865194
Entity Type Individual
Full Name SAMUEL M. WILSON
Credential DO
Practice Address 2320 Freeway Drive
Skagit Regional Clinics-riverbend
Mount Vernon
WA 98273
Mailing Address 1400 E Kincaid St
Attn: Credentialing
Mount Vernon
WA 98274-4127
Practice Telephone 3608146800
Practice Fax Number 3608146917
Mailing Telephone 3604282500
Mailing Fax Number 3604286485
Enumeration Date 2010-07-10
Last Update Date 2019-07-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology OP60440339 WA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WA LABOR & INDUSTRIES 333765 01
WA 2037172 05

Other Providers SAMUEL WILSON

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1174935431 Samuel Wilson Internal Medicine 170 Manning Drive 1st Floor Physician's Office Bldg, Chapel Hill, NC 27599-5368 2014-05-21
1376637652 Samuel B Wilson Internal Medicine Diabetes Labs, 65 Landsdowne Street, Cambridge, MA 02138 2006-10-03
1912948019 Samuel G Wilson Emergency Medicine 12021 Jacaranda Ave, 101, Hesperia, CA 92345-4956 2006-06-09
1083110514 Samuel Wilson Student in an Organized Health Care Education/Training Program 4502 E 41st St, Tulsa, OK 74135-2536 2018-04-03
1821422809 Samuel Lloyd Wilson Physical Therapist 2900 Foxfield Rd, Suite 205, St Charles, IL 60174-5799 2013-08-27
1295072189 Samuel Alan Wilson Pharmacist 911 Duluth Hwy, Lawrenceville, GA 30043-5320 2013-01-11
1275763286 Samuel Beringer Wilson Counselor 619 E 5th St, Los Angeles, CA 90013-2109 2009-07-24
1336360049 Samuel A. Wilson Pharmacist 5100 Highway 39 N, Meridian, MS 39301-1023 2007-05-01
1932240090 Samuel Lamar Wilson Psychiatry & Neurology 1137 2nd St, #111, Santa Monica, CA 90403-5011 2007-02-10
1518065861 Samuel Eric Wilson Surgery 101 The City Dr S, Suite 810 City Tower, Orange, CA 92868-3201 2006-09-20

Office Location

Street Address 2320 FREEWAY DRIVE
SKAGIT REGIONAL CLINICS-RIVERBEND
City MOUNT VERNON
State WA
Zip Code 98273

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427024843 Robert H. Digman Jr. Family Medicine 2320 Freeway Drive, Skagit Regional Clinics - Riverbend, Mount Vernon, WA 98273 2006-02-25
1144504606 Jon William Ruff Physician Assistant 2320 Freeway Drive, Mount Vernon, WA 98273 2011-10-03
1013217751 Kent Alan Fry Physician Assistant 2320 Freeway Drive, Skagit Regional Clinics - Riverbend Orthopedics, Mount Vernon, WA 98273 2010-10-28
1659508299 Christopher L. Sheu Orthopaedic Surgery 2320 Freeway Drive, Mount Vernon, WA 98273 2009-06-21
1689839011 Jimmy B. Dang Orthopaedic Surgery 2320 Freeway Drive, Mount Vernon, WA 98273 2008-07-24
1194907337 Michael J. Picco Orthopaedic Surgery 2320 Freeway Drive, Mount Vernon, WA 98237 2007-11-29
1760681340 Annalee L. Paul Pediatrics 2320 Freeway Drive, Mount Vernon, WA 98273-1194 2007-07-13
1871633131 Donna C. Queyquep Pediatrics 2320 Freeway Drive, Mount Vernon, WA 98273 2007-02-07
1588757306 Kristina L. Mullen Physician Assistant 2320 Freeway Drive, Mount Vernon, WA 98273 2006-10-02
1326051129 Michael Ge Thomas Orthopaedic Surgery 2320 Freeway Drive, Mount Vernon, WA 98273 2006-08-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710585849 Stephanie Marie Partington Physical Therapist 1901 Hoad Road, Mount Vernon, WA 98273 2020-10-12
1447866165 Jennifer I Campos Interpreter 1501 Sunset Pl., Unit B, Mount Vernon, WA 98273 2020-09-17
1487217345 Nicholas Peter Goodman Student in an Organized Health Care Education/Training Program Attn: Internal Medicine Residency, 300 Hospital Parkway, Mount Vernon, WA 98273 2019-04-17
1023579430 Joan Watkins Opyr Registered Nurse Telecare North Sound E&t, 7825 North Sound Drive, Sedro-woolley, WA 98273 2019-03-28
1588136188 Nicholas Bryan Corp Physical Therapy Assistant 1901 Hoag Road, Mount Vernon, WA 98273 2018-12-20
1518437300 Eyonna Mason Case Manager/Care Coordinator 1100 52nd St, Mount Vernon, WA 98273 2018-12-05
1023515400 Evergreen Recovery Centers Substance Abuse Rehabilitation Facility 1905 Continental Place, Mount Vernon, WA 98273 2018-04-11
1104320480 Stacy Anne Black Marriage & Family Therapist 2301 Old Hwy 99, Mt. Vernon, WA 98273 2018-03-21
1609387844 Kerri Jesse Massage Therapist 210 N 23rd St, Mount Vernon, WA 98273 2017-10-16
1992225320 Juana Cleek Registered Nurse 330 Pacific Place, Mount Vernon, WA 98273 2017-06-27
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811944309 J Semmes Mickelwait Dermatology 1420 Roosevelt Ave, Suite 7, Mount Vernon, WA 98273-2687 2006-05-28
1083015689 Natalie Amason Dermatology 4107 S Water Tower Pl, Mount Vernon, IL 62864 2014-09-15
1033533443 Public Hospital Dist No 1 Skagit Dermatology 2320 Freeway Dr, Mount Vernon, WA 98273-5445 2014-02-06
1750392403 Claudette Hope Troyer Dermatology 107 W 4th St, Mount Vernon Neighborhood Health Center, Mount Vernon, NY 10550-4002 2006-08-10
1093733495 Amber D Fowler Dermatology 1600 Continental Pl, Suite # 101, Mount Vernon, WA 98273-5607 2006-07-17
1114950375 J Semmes Mickelwait Md Ps Dermatology 1420 Roosevelt Ave, Suite 7, Mount Vernon, WA 98273-2687 2006-07-09
1215923354 Jerry D. Eisner Dermatology 1400 E. Kincaid St., Skagit Regional Clinics, Mount Vernon, WA 98274-4127 2005-09-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1629694864 Fishers Landing Internal Medicine Dermatology 1405 Se 164th Ave Ste 101, Vancouver, WA 98683-9644 2020-06-23
1417599374 Dermatology Solutions Dermatology 8503 W Clearwater Ave Ste B, Kennewick, WA 99336-3100 2019-10-11
1588164925 Northwest Pediatric Dermatology, Pllc Dermatology 703 Lilly Rd Ne Ste 105, Olympia, WA 98506-5191 2018-02-12
1255858247 Ame Phitwong Dermatology 21727 76th Ave W Ste H, Edmonds, WA 98026-7549 2017-08-29
1467879320 Jayasri Iyer Dermatology 9924 Ne 185th St Ste 215, Bothell, WA 98011-3504 2014-03-27
1164869459 Kaley Myer Dermatology 304 W Bay Dr Nw Ste 301, Olympia, WA 98502-4957 2013-05-28
1093158305 Erica Shantha Tarabadkar Dermatology 850 Republican Street, Brotman Room 242, Uw Medical Center At Lake Union, Seattle, WA 98109 2013-04-17
1871835322 Jason Lee Meeker Dermatology 2622 S. Meridian, Puyallup, WA 98373-1500 2013-03-22
1578839494 Carolina Andrea Simunovic Dermatology 1959 Ne Pacific St Rm Bb-1353, Box 356524, Seattle, WA 98195-6524 2012-03-25
1184999260 April Schachtel Dermatology 1660 S Columbian Way Va Puget Sound Health Care System, General Internal Medicine Clinic, Seattle, WA 98108 2012-03-21
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Competitor

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City MOUNT VERNON
Zip Code 98273

Improve Information

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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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