NICHOLAS A WILSON (NPI# 1538142781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538142781 |
| Entity Type | Individual |
| Full Name | NICHOLAS A WILSON |
| Credential | D.M.D. |
| Practice Address |
5615 Route 8 Gibsonia PA 15044-9553 |
| Mailing Address |
9819 Presidential Dr Apt 203 Allison Park PA 15101-1886 |
| Practice Telephone | 7244444777 |
| Mailing Telephone | 4123694494 |
| Mailing Fax Number | 7245987337 |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2019-08-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DS026616L | PA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0011762880022 | 05 | |
| PA | 0011762880012 | 05 | |
| PA | 001176288 | 05 | |
| OH | 2241434 | 05 | |
| PA | 0011762880034 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 176 Virginia Ave, Rochester, PA 150741723 | 7246833049 | 7246833050 |
| 2807 Wilmington Rd, New Castle, PA 161051263 | 7246563486 | 7245987337 |
| 350 Sharon New Castle Rd, Farrell, PA 161211576 | 7249811721 | 7249817025 |
| 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 |
5615 ROUTE 8 |
| City | GIBSONIA |
| State | PA |
| Zip Code | 15044-9553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750364949 | Alfredo Manalo | Dentist | 5615 Route 8, Gibsonia, PA 15044-9553 | 2005-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780132878 | Megan Foster | Nurse Practitioner | 5318 Randalli Dr, Gibsonia, PA 15044 | 2016-09-17 |
| 1710282702 | Jessica Mantella | Physician Assistant | 5321 William Flynn Highway, Gibsonia, PA 15044 | 2011-01-21 |
| 1750681623 | Lewis Fairbanks Nettrour | Orthopaedic Surgery | 6019 West Grove Cir, Gibsonia, PA 15044 | 2010-10-26 |
| 1881740876 | Frank A Ranalli Dds Association | Dentist | 5548 Route 8, Gibsonia, PA 15044 | 2007-01-25 |
| 1356401533 | Amy Bernett | Speech-Language Pathologist | 5827 Meridian Road, Gibsonia, PA 15044 | 2006-12-11 |
| 1891860821 | Timothy Charles Weber | Dentist | 5018 William Flinn Highway, Gibsonia, PA 15044 | 2006-11-22 |
| 1316048135 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 4101 Gibsonia Road, Gibsonia, PA 15044 | 2006-09-26 |
| 1679672588 | Eric Scott Bengel | Chiropractor | 5499 William Flynn Highway, Gibsonia, PA 15044 | 2006-09-21 |
| 1366550071 | Robert W Simmen | Chiropractor | 5476 William Flynn Hwy, Gibsonia, PA 15044 | 2006-08-25 |
| 1891801478 | Deborah Ruane Anderson | Nurse Practitioner | 11676 Perry Hwy St, Suite 1308, Wexford, PA 15044 | 2006-08-23 |
| Find all providers in zip 15044 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952438285 | Try County Oral & Maxillofacial Surgery | Dentist | 5615 William Flynn Hwy, Gibsonia, PA 15044-9553 | 2007-02-27 |
| 1699739300 | Robert A. Petcash | Dentist | 2879 W Hardies Rd, Gibsonia, PA 15044-8290 | 2006-04-12 |
| 1750364949 | Alfredo Manalo | Dentist | 5615 Route 8, Gibsonia, PA 15044-9553 | 2005-11-22 |
| 1295097442 | Robert A Petcash Dmd PC | Dentist | 2879 W Hardies Rd, Gibsonia, PA 15044-8203 | 2012-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568074037 | Kingsbury Oral and Maxillofacial Surgery, PC | Dentist | 1 Presidential Blvd Ste 207, Bala Cynwyd, PA 19004-1007 | 2020-08-17 |
| 1679183990 | Always Precision Dental PC | Dentist | 1023 King Way, Breinigsville, PA 18031-1482 | 2020-08-02 |
| 1447874490 | Peace Dental Associates | Dentist | 35 S 2nd Ave, Clarion, PA 16214-1934 | 2020-06-05 |
| 1528689270 | New Hope Oral Surgery and Implant Center | Dentist | 6660 Old York Rd, New Hope, PA 18938 | 2020-05-05 |
| 1942831904 | Eagles Oral Surgery | Dentist | 525 W Main St Ste 11, Trappe, PA 19426-1923 | 2020-01-29 |
| 1104466028 | Keystone Oral and Maxillofacial Surgery, P.C. | Dentist | 560 Rugh St Ste 100, Greensburg, PA 15601-5601 | 2020-01-08 |
| 1245889740 | Oral & Facial Surgery of Pittsburgh, P.C. | Dentist | 180 Swinderman Rd Ste 260, Wexford, PA 15090-5620 | 2019-09-06 |
| 1528626124 | Christopher Yi | Dentist | 900 Walnut St Rm 300, Philadelphia, PA 19107-5191 | 2019-05-30 |
| 1275091886 | Gary M Carmassi Dmd | Dentist | 8650 Babcock Blvd Ste 3, Pittsburgh, PA 15237-5009 | 2019-03-04 |
| 1073093233 | Ban Oral and Facial Surgical Associates LLC | Dentist | 4725 Mcknight Rd Ste 209, Pittsburgh, PA 15237-3414 | 2018-08-17 |
| 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.