WILLIAM R WILSON, MD (NPI# 1497718266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497718266 |
Entity Type | Organization |
Organization Name | WILLIAM R WILSON, MD |
Practice Address |
700 W Grove St El Dorado AR 71730-4416 |
Mailing Address |
Po Box 11000 El Dorado AR 71730-0030 |
Practice Telephone | 8708624551 |
Mailing Telephone | 8708624551 |
Enumeration Date | 2006-04-11 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. WILLIAM R WILSON (OWNER) |
Authorized Official Telephone | 8708624551 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
D99757 | AR | Allopathic & Osteopathic Physicians |
Street Address |
700 W GROVE ST |
City | EL DORADO |
State | AR |
Zip Code | 71730-4416 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184615551 | Nes Arkansas, Inc. | Emergency Medicine | 700 W Grove St, El Dorado, AR 71730-4416 | 2005-11-03 |
1154935757 | Lauren Roberts | Nurse Practitioner | 700 W Grove St, El Dorado, AR 71730-4416 | 2020-09-02 |
1508486150 | Maci Steele | Registered Nurse | 700 W Grove St, El Dorado, AR 71730-4416 | 2020-04-23 |
1386109536 | Sheila Ann Hayes | Nurse Practitioner | 700 W Grove St, El Dorado, AR 71730-4416 | 2019-02-01 |
1861966228 | Donna Renae Ramsey | Nurse Practitioner | 700 W Grove St, El Dorado, AR 71730 | 2019-01-17 |
1770088445 | Ladonna Marie Young | Nurse Practitioner | 700 W Grove St, El Dorado, AR 71730-4416 | 2018-03-26 |
1679081285 | Levi Nathaniel Maggard | Nurse Anesthetist, Certified Registered | 700 W Grove St, El Dorado, AR 71730-4416 | 2018-01-17 |
1578000287 | Stephanie Michele Dunn | Nurse Practitioner | 700 W Grove St, El Dorado, AR 71730-4416 | 2017-01-20 |
1285088146 | Jessica Laurin Zimmer | Nurse Practitioner | 700 W Grove St, El Dorado, AR 71730-4416 | 2016-04-18 |
1821450479 | Tyler Alan Neal | Hospitalist | 700 W Grove St, El Dorado, AR 71730-4416 | 2016-03-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043856172 | Mental Health Counseling for Individuals and Couples | Clinic/Center | 3256 West Hillsboro Suite C, El Dorado, AR 71730 | 2019-11-25 |
1114578168 | Candance Marie Guinn | Nurse Practitioner | 1906 W Hillsboro St Ste B, El Dorado, AR 71730 | 2019-09-20 |
1811460462 | Kelsie Rogers | Pharmacist | 2202 N West Ave, El Dorado, El Dorado, AR 71730 | 2019-01-07 |
1861925331 | Kasey Leigh Mcclain | Nurse Practitioner | 2280 E Main St, El Dorado, AR 71730 | 2017-04-11 |
1366989568 | Shane Morr | Marriage & Family Therapist | 704 W 5th Dr, El Dorado, AR 71730 | 2017-01-25 |
1376986539 | Ivory A. Kinslow, Mdpa | Optometrist | 443 W Oak St, El Dorado, AR 71730 | 2013-04-08 |
1134485170 | Drs Weddle and Baumsardner | Dentist | 106 West Main St. 212, El Dorado, AR 71730 | 2012-04-04 |
1972888923 | Lenora S Newsome | Pharmacist | 2135 North West Ave, El Dorado, AR 71730 | 2011-10-20 |
1730460338 | South Arkansas Pharmacy, Inc | Pharmacy | 600 South Timberlane #101, El Dorado, AR 71730 | 2011-09-09 |
1710273891 | Ezinne Charity Nwude | Emergency Medicine | 701 N. West Avenue, El Dorado, AR 71730 | 2011-06-27 |
Find all providers in zip 71730 |
Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386677789 | H K Reddy, Md | Surgery | 700 W Grove St, El Dorado, AR 71730-4416 | 2006-07-09 |
1194758649 | Donald J. Voelker, Md, Facc, Fscai | Surgery | 700 W Grove St, El Dorado, AR 71730-4416 | 2006-07-08 |
1417980806 | Girish R. Bhatt, Md, Pa | Surgery | 700 W Grove St, El Dorado, AR 71730-4416 | 2006-07-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235778515 | Arkansas Vascular Surgery, Pllc | Surgery | 11300 N Rodney Parham Rd Ste 210, Little Rock, AR 72212-4149 | 2020-01-03 |
1063741924 | Lon G. Bitzer, M.d., P.a. | Surgery | 1801 W 40th Ave Ste 4c, Pine Bluff, AR 71603-6961 | 2009-12-23 |
1346317476 | Arkansas Health Group | Surgery | 9601 Lile Dr Ste 250, Medical Towers 1, Little Rock, AR 72205-6355 | 2006-11-30 |
1760498554 | Edward C. Loebl | Surgery | 9601 Lile Drive, Suite 250, Little Rock, AR 72205-6321 | 2006-07-31 |
1962466748 | Donald L Patrick | Surgery | 305 Rodgers Dr, Searcy, AR 72143-7432 | 2006-04-17 |
1225416928 | Usa Vein Clinics of Little Rock, Pllc | Surgery | 609 Sw 8th St, Suite 600, Bentonville, AR 72712-7886 | 2015-05-13 |
1619234366 | Christian Dupre Simmons | Surgery | 4301 W Markham St # 520, Little Rock, AR 72205 | 2012-04-19 |
1386872695 | Jason Leonard Muesse | Surgery | 4301 W Markham St, Little Rock, AR 72205-7101 | 2009-06-24 |
1528220639 | Matthew Brewster Hendrich | Surgery | 201 E Oak Ave, Jonesboro, AR 72401-4163 | 2008-06-30 |
1437260577 | Cardiac and Vascular Surgeons Pa | Surgery | 9601 Lile Dr, Suite 650, Little Rock, AR 72205-6321 | 2006-08-31 |
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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.