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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207N00000X | Dermatology | OP60440339 | WA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | LABOR & INDUSTRIES | 333765 | 01 |
WA | 2037172 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
Street Address |
2320 FREEWAY DRIVE SKAGIT REGIONAL CLINICS-RIVERBEND |
City | MOUNT VERNON |
State | WA |
Zip Code | 98273 |
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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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 |
Find all providers in zip 98273 |
Taxonomy Code | 207N00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
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. |
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 |
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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City | MOUNT VERNON |
Zip Code | 98273 |
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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.