NICHOLAS JAMES WILSON (NPI# 1477872158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477872158 |
| Entity Type | Individual |
| Full Name | NICHOLAS JAMES WILSON |
| Credential | MD |
| Practice Address |
14010 Smoketown Rd Ste 117 Woodbridge VA 22192-4722 |
| Practice Telephone | 7035800181 |
| Practice Fax Number | 7038978763 |
| Mailing Telephone | (703) 580-0181 |
| Mailing Fax Number | 7038978763 |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MT197046 | PA | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
0101262381 | VA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | MT197046 | PA | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3401 N Broad St, Philadelphia, PA 191405103 | 2157079900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1427400480 | Nicholas Robert-vincent Wilson | Specialist/Technologist | 513 W 12th St Apt J, Newton, KS 67114-1792 | 2016-07-01 |
| 1962807065 | Nicholas James Wilson | Chiropractor | 450 Mill St Ste 102, Fontana, WI 53125-1242 | 2014-10-31 |
| 1437233103 | Nicholas D Wilson | Physical Therapist | 476 Fortman Dr, Saint Marys, OH 45885-1870 | 2006-10-25 |
| 1518524784 | Nicholas Wilson | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2019-05-23 |
| 1083177638 | Nicholas Robert Wilson | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2019-04-10 |
| 1144781568 | Nicholas Anthony Wilson | Student in an Organized Health Care Education/Training Program | 1670 Upham Dr, Columbus, OH 43210-1250 | 2019-03-28 |
| 1902371222 | Nicholas Howard Wilson | Physician Assistant | 3301 Nw 50th St, Oklahoma City, OK 73112-5627 | 2018-10-12 |
| 1306211792 | Nicholas Frederick Wilson | Counselor | 11630 Sutphin Blvd, Jamaica, NY 11434-1527 | 2015-12-10 |
| 1942694922 | Nicholas Wilson | Radiology | 1 Boston Medical Ctr Pl, Boston, MA 02118-2908 | 2015-03-26 |
| Street Address |
14010 SMOKETOWN RD STE 117 |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22192-4722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336135615 | Associates In Gastroenterology, P.C. | Specialist | 14010 Smoketown Rd Ste 117, Woodbridge, VA 22192-4722 | 2005-09-22 |
| 1083100010 | Tranquil Anesthesia Group LLC | Anesthesiology | 14010 Smoketown Rd Ste 117, Woodbridge, VA 22192 | 2018-07-02 |
| 1558860668 | Hirza Raza | Physician Assistant | 14010 Smoketown Rd Ste 117, Woodbridge, VA 22192-4722 | 2018-02-04 |
| 1528291069 | Kristin Marie Jerome Clark | Physician Assistant | 14010 Smoketown Rd Ste 117, Woodbridge, VA 22192-4704 | 2009-09-01 |
| 1477658193 | Frank Procaccino | Internal Medicine | 14010 Smoketown Rd Ste 117, Woodbridge, VA 22192-4722 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245873645 | Ursula Jackson | Technician | 3500 Commission Ct, Woodbridge, VA 22192 | 2019-10-18 |
| 1205480779 | Ki Soo Park | Physical Therapy Assistant | 12825 Minnieville Road Suite 201, Lake Ridge, VA 22192 | 2019-08-01 |
| 1801448329 | Karen Lee Trivett | Specialist/Technologist, Other | 12584 Darby Brook Court, Woodbridge, VA 22192 | 2019-07-15 |
| 1407313166 | Nichele Amelia Thompson | Behavioral Analyst | 2731 Marblestone Dr, 101, Woodbridge, VA 22192 | 2019-02-28 |
| 1952877870 | Kimberly Ann Rojas Vazquez | Behavioral Analyst | 12531 Clipper Dr, Suite 203, Woodbridge, VA 22192 | 2018-10-18 |
| 1104391614 | Ykim Dental | Dentist | 2680 Optiz Blvd., Suite 120, Woodbridge, VA 22192 | 2018-10-11 |
| 1013418755 | Arm Transport | Non-emergency Medical Transport (VAN) | 13000 Harbor Center Dr Ste 132d, Woodbridge, VA 22192 | 2018-02-27 |
| 1811496813 | Francesca Nasi | Behavioral Analyst | 12531 Clipper Dr Ste 203, Woodbridge, VA 22192 | 2018-02-05 |
| 1942729504 | Bismark Transportation Service LLC | Non-emergency Medical Transport (VAN) | 12341 Woodlawn Court, Woodbridge, VA 22192 | 2017-09-14 |
| 1992226344 | Arm Baby Eldery Home Health LLC | Home Health | 13000 Harbor Center Dr # 312c, Woodbridge, VA 22192 | 2017-07-06 |
| Find all providers in zip 22192 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851741912 | Alkimawi Medical Incorporated | Internal Medicine | 4209 Dale Blvd, Woodbridge, VA 22193-2243 | 2016-06-20 |
| 1689859993 | Kok Seah Lee Md PC | Internal Medicine | 2296 Opitz Blvd Ste 210, Woodbridge, VA 22191-3345 | 2008-01-04 |
| 1922094580 | Kenneth Neil Josovitz | Internal Medicine | 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192-4704 | 2005-09-20 |
| 1184624389 | Houshang Makipour | Internal Medicine | 2280 Opitz Blvd., Suite 200, Woodbridge, VA 22191 | 2005-07-28 |
| 1629462171 | Advanced Digestive Care, LLC | Internal Medicine | 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192 | 2015-03-23 |
| 1609019520 | Ali Farhad Kazemi | Internal Medicine | 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192-4722 | 2009-04-07 |
| 1346403920 | Anisha Thadani | Internal Medicine | 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192-4722 | 2008-07-03 |
| 1457546236 | Arunan Vamadevan | Internal Medicine | 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192-4722 | 2007-09-13 |
| 1154499069 | Ghazaleh Aram | Internal Medicine | 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192-4704 | 2006-11-30 |
| 1679652820 | Howard M Likier | Internal Medicine | 245 Amity Rd, Suite 206, Woodbridge, CT 06525-2258 | 2006-11-06 |
| Find all providers in WOODBRIDGE | ||||
| City | WOODBRIDGE |
| Zip Code | 22192 |
Please comment or provide details below to improve the information on NICHOLAS JAMES WILSON.
| 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.