ROBERT E. WILSON (NPI# 1508854274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508854274 |
| Entity Type | Individual |
| Full Name | ROBERT E. WILSON |
| Credential | D.O. |
| Practice Address |
1240 S Cedar Crest Blvd Suite #307 Allentown PA 18103-6218 |
| Mailing Address |
1245 S Cedar Crest Blvd Suite #301 Allentown PA 18103-6258 |
| Practice Telephone | 6104021757 |
| Practice Fax Number | 6104029089 |
| Mailing Telephone | 6104021757 |
| Mailing Fax Number | 6104029089 |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2013-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
OS007250L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | CAP. BLUE CROSS | 0123902 | 01 |
| PA | 0016470690 | 05 | |
| PA | INDEP. BLUE CROSS | 0377814000 | 01 |
| PA | GATEWAY | 07952776 | 01 |
| PA | CIGNA | 1654173-002 | 01 |
| PA | OXFORD | P2749200 | 01 |
| PA | AETNA | 814047 | 01 |
| PA | THREE RIVERS | 122852 | 01 |
| PA | HIGHMARK | 952776 | 01 |
| PA | AMERIHEALTH MERCY | 2008176 | 01 |
| PA | KHP CENTRAL | 952776 | 01 |
| PA | KEYSTONE MERCY | 30000037 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164957668 | Robert Wilson | Pharmacist | 11950 De Palma Rd, Corona, CA 92883-8499 | 2017-04-22 |
| 1487020566 | Robert Wilson | Acupuncturist | 537 W Washington St, Marquette, MI 49855-4133 | 2015-08-12 |
| 1205247129 | Robert Norman Wilson IIi | Student in an Organized Health Care Education/Training Program | Gru College of Dental Medicine, Augusta, GA 30912-0001 | 2014-05-13 |
| 1477971885 | Robert Borden Wilson | Pediatrics | 2300 Hospital Dr Ste 120, Bossier City, LA 71111-2193 | 2014-04-02 |
| 1922362888 | Robert Travis Wilson | Emergency Medicine | 517 Kerri Cove Ct Apt 104, Midlothian, VA 23113-6873 | 2012-06-26 |
| 1144589458 | Robert Wilson | Chiropractor | 132a N Central Ave, Centerville, TN 37033 | 2012-05-07 |
| 1649575937 | Robert George Wilson | Military Health Care Provider | 515 Tessentee Rd, Franklin, NC 28734 | 2011-01-18 |
| 1396078317 | Robert Max Wilson | Case Manager/Care Coordinator | 618 Manzano Ne, Albuquerque, NM 87110 | 2009-09-09 |
| 1013140672 | Robert James Wilson | Dentist | 1321 N Tennessee St, # 108, Mckinney, TX 75069-2142 | 2009-08-31 |
| 1417189994 | Robert P Wilson Jr. | Physical Therapist | 225 Evergreeen Road, Pottstown, PA 19464 | 2009-08-17 |
| Street Address |
1240 S CEDAR CREST BLVD SUITE #307 |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18103-6218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104829928 | Surendra Shantilal Shah | Internal Medicine | 1240 S Cedar Crest Blvd, Ste 305, Allentown, PA 18103-6218 | 2005-05-24 |
| 1922634211 | Lehigh Valley Hospital | Clinic/Center | 1240 S Cedar Crest Blvd, Allentown, PA 18103-6369 | 2020-03-18 |
| 1568941029 | Lehigh Valley Hospital | Clinic/Center | 1240 S Cedar Crest Blvd, Allentown, PA 18103-6369 | 2018-08-07 |
| 1770032252 | Laura Pritz | Physician Assistant | 1240 S Cedar Crest Blvd, Allentown, PA 18103-6369 | 2016-09-26 |
| 1871049106 | Devon Ervin | Genetic Counselor, MS | 1240 S Cedar Crest Blvd, 414, Allentown, PA 18103-6369 | 2016-08-28 |
| 1881046522 | Samantha Carr | Genetic Counselor, MS | 1240 S Cedar Crest Blvd, 414, Allentown, PA 18103-6369 | 2016-07-06 |
| 1770953309 | Kristen Wismer | Nurse Practitioner | 1240 S Cedar Crest Blvd, Ste 401, Allentown, PA 18103-6369 | 2015-09-25 |
| 1063891786 | Alicia Geneva Pratt | Nurse Practitioner | 1240 S Cedar Crest Blvd, Suite 208, Allentown, PA 18103-6369 | 2015-05-27 |
| 1992119440 | Roman Prosniak | Internal Medicine | 1240 S Cedar Crest Blvd, Allentown, PA 18103 | 2014-06-12 |
| 1871917658 | Lehigh Valley Physician Group | Internal Medicine | 1240 S Cedar Crest Blvd, Suite 305, Allentown, PA 18103-6369 | 2014-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376156752 | Syed Ali Aown | Internal Medicine | 1200 Cedar Crest Blvd Department of Education-office Of, Allentown, PA 18103 | 2020-08-26 |
| 1558980169 | Shelley M. Spence | Occupational Therapist | 1243 South Cc Blvd., Suite 302, Allentown, PA 18103 | 2020-04-14 |
| 1386133791 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 1259 S Cedar Crest Blvd Ste 336, Allentown, PA 18103 | 2018-05-02 |
| 1366939555 | St. Luke's Physician Group, Inc. | Family Medicine | 3570 Hamilton Blvd Ste 201, Allentown, PA 18103 | 2018-04-13 |
| 1942701008 | Bradford Young Family & Cosmetic Dentistry | Dentist | 1275 S. Cedar Crest Boulevard, Allentown, PA 18103 | 2018-02-23 |
| 1598275281 | Lorillie Soleta | Nurse Practitioner | Good Shepherd Rehabilitation Network, 850 South 5th St., Allentown, PA 18103 | 2017-10-06 |
| 1538681457 | Rahul Gupta | Internal Medicine | Lehigh Valley Physicians Practice, 1250 S. Cedar Crest Blvd, Ste. 300, Allentown, PA 18103 | 2017-07-12 |
| 1669992962 | Aaron Michael Roman | Audiologist | 1210 S. Cedar Crest Blvd., Allentown, PA 18103 | 2017-06-27 |
| 1134658404 | Gyujae Choi | Internal Medicine | 1200 S. Cedar Crest Blvd., Allentown, PA 18103 | 2017-06-08 |
| 1255713731 | Firely Home for Kids | Skilled Nursing Facility | 2402 Sunshine Rd, Allentown, PA 18103 | 2015-06-22 |
| Find all providers in zip 18103 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528407392 | Soon Yong Jung | Anesthesiology | 1240 S Cedar Crest Blvd Ste 307, Allentown, PA 18103-6263 | 2013-06-14 |
| 1669460481 | Bruce D. Nicholson | Anesthesiology | 1259 S Cedar Crest Blvd Ste 317, Allentown, PA 18103 | 2005-10-06 |
| 1952398604 | Yasin Khan | Anesthesiology | 1146 S. Cedar Crest Blvd, 2nd Floor, Allentown, PA 18103-7938 | 2005-09-27 |
| 1063588549 | Lehigh Valley Pain & Primary Care Inc. | Anesthesiology | 1146 S. Cedar Crest Blvd, 2nd Floor, Allentown, PA 18103-7938 | 2006-11-28 |
| 1578643227 | Satish K Mody | Anesthesiology | 24 S 18th St, Allentown, PA 18104-5622 | 2006-10-17 |
| 1861473423 | Steven S Song | Anesthesiology | 451 W Chew St, Suite 409, Allentown, PA 18102-3472 | 2005-11-10 |
| 1750379426 | Robert E. Wertz | Anesthesiology | 250 Cetronia Rd, Suite 303, Allentown, PA 18104-9168 | 2005-10-07 |
| 1124016845 | Robert J. Corba | Anesthesiology | 250 Cetronia Road, Allentown, PA 18104-9168 | 2005-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629630504 | Bac Medical, Pllc | Anesthesiology | 3070 Bristol Pike # 2-130, Bensalem, PA 19020-5364 | 2019-07-01 |
| 1285294983 | Thomas Falasca | Anesthesiology | 411 Sybil Dr, Erie, PA 16505-2152 | 2019-06-17 |
| 1144711235 | Amy L. Croushore | Anesthesiology | 5750 Centre Ave Ste 400, Pittsburgh, PA 15206-3761 | 2018-05-23 |
| 1023521598 | Michaela R Lewis | Anesthesiology | 333 State St Ste 104, Erie, PA 16507-1463 | 2017-11-07 |
| 1457704652 | Guthrie Medical Group, P.C. | Anesthesiology | 37 Pratt Avenue, Towanda, PA 18848 | 2016-07-22 |
| 1932518669 | Pharo Pain Management Asociates, P.C. | Anesthesiology | 829 Spruce St Ste 308, Philadelphia, PA 19107-5752 | 2014-08-06 |
| 1457786253 | Lighthouse Medical, LLC | Anesthesiology | 507 Tire Hill Rd, Suite 100, Johnstown, PA 15905-7311 | 2013-09-11 |
| 1992137103 | Anish Sethi | Anesthesiology | 834 Chestnut St Ste T150, Philadelphia, PA 19107 | 2013-07-30 |
| 1316381155 | Beacon Medical, LLC | Anesthesiology | 136 Jaycee Dr, Suite 10, Johnstown, PA 15904-3650 | 2013-04-23 |
| 1407299902 | Mina Ghaly | Anesthesiology | 1200 W Tabor Rd Fl 4, Philadelphia, PA 19141-3019 | 2013-04-15 |
| Find all providers with the same taxonomy | ||||
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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.