DR. DIANA ELIZABETH WILSON (NPI# 1538152400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538152400 |
| Entity Type | Individual |
| Full Name | DR. DIANA ELIZABETH WILSON |
| Credential | M.D. |
| Practice Address |
1325 Pennsylvania Ave Ste 890 Fort Worth TX 76104-2145 |
| Practice Telephone | 8178204280 |
| Practice Fax Number | 8178204281 |
| Mailing Telephone | 8178204280 |
| Mailing Fax Number | 8178204281 |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2014-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | J0729 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 129595807 | 05 | |
| TX | 162405801 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568845980 | Diana E. Wilson | Audiologist | 11 Vandebilt Park Dr, Asheville, NC 28803 | 2015-07-02 |
| 1730571902 | Diana Wilson | Behavioral Analyst | 5827 Perrier St, New Orleans, LA 70115-4333 | 2015-02-25 |
| 1578954673 | Diana Wilson | Marriage & Family Therapist | 550 Toyopa Dr, Pacific Palisades, CA 90272-4469 | 2015-02-10 |
| 1164833653 | Diana Wilson | Non-emergency Medical Transport (VAN) | 6551 Grand River Ave, Detroit, MI 48208-1125 | 2014-05-19 |
| 1528482114 | Diana Lee Wilson | Licensed Practical Nurse | 1170 Nadine Dr, Heath, OH 43056-9233 | 2014-02-18 |
| 1194146613 | Diana Leah Wilson | Dietitian, Registered | 301 Fayetteville St, 2910, Raleigh, NC 27601-1974 | 2013-12-31 |
| 1508137894 | Diana Lee Wilson | Nurse Practitioner | 550 Osborn Blvd Ste 1006, Sault Sainte Marie, MI 49783-1899 | 2012-01-19 |
| 1861521163 | Diana Wilson | Home Health Aide | 156 Navajo Dr, Sardinia, OH 45171-9245 | 2007-03-04 |
| 1962570259 | Diana Lynne Wilson | Marriage & Family Therapist | 611 Arthur St, Novato, CA 94947-4499 | 2006-12-02 |
| 1720159692 | Diana Lorraine Wilson | Obstetrics & Gynecology | 1209 E Cumberland Ave, Unit 2505, Tampa, FL 33602-4256 | 2006-11-13 |
| Street Address |
1325 PENNSYLVANIA AVE STE 890 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-2145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982201091 | Mackenzie Ann Warner | Physician Assistant | 1325 Pennsylvania Ave Ste 890, Fort Worth, TX 76104-2145 | 2020-10-02 |
| 1861950966 | Kathryn Barberena | Nurse Practitioner | 1325 Pennsylvania Ave Ste 890, Fort Worth, TX 76104-2145 | 2019-03-07 |
| 1134601909 | Melynda Marie Allesandro | Nurse Practitioner | 1325 Pennsylvania Ave Ste 890, Fort Worth, TX 76104-2145 | 2018-08-29 |
| 1013423839 | Shiny C Joice | Nurse Practitioner | 1325 Pennsylvania Ave Ste 890, Fort Worth, TX 76104-2145 | 2017-12-15 |
| 1740702927 | Kelly Elise Olsen | Physician Assistant | 1325 Pennsylvania Ave Ste 890, Fort Worth, TX 76104-2145 | 2017-07-10 |
| 1659806040 | Kacie Johnson | Nurse Practitioner | 1325 Pennsylvania Ave Ste 890, Fort Worth, TX 76104-2145 | 2017-04-24 |
| 1710412374 | Anna L Brown | Nurse Practitioner | 1325 Pennsylvania Ave Ste 890, Fort Worth, TX 76104-2145 | 2017-04-20 |
| 1972053312 | Erin Swelnis | Nurse Practitioner | 1325 Pennsylvania Ave Ste 890, Fort Worth, TX 76104-2145 | 2016-10-10 |
| 1134676349 | Ashton Leanne Parham | Nurse Practitioner | 1325 Pennsylvania Ave Ste 890, Fort Worth, TX 76104-2145 | 2016-09-06 |
| 1700236874 | Alison Conlee | Nurse Practitioner | 1325 Pennsylvania Ave Ste 890, Fort Worth, TX 76104-2145 | 2016-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386122851 | Taylor Leigh Whiddon | Neurological Surgery | 1000 Houston St Ste 200, Fort Worth, TX 76102-6415 | 2018-08-06 |
| 1871979674 | Steven Robert Souders | Neurological Surgery | 3124 N Tarrant Pkwy Ste 200, Fort Worth, TX 76177-8618 | 2015-08-04 |
| 1184036428 | Ft Worth Ranch Assist, LLC | Neurological Surgery | 3516 Ranch View Terrace, Fort Worth, TX 76109 | 2014-05-21 |
| 1578989976 | Aledo Iom LLC | Neurological Surgery | 500 Throckmorton St., #3012, Fort Worth, TX 76102 | 2014-03-10 |
| 1689005019 | Brain and Ear Management, LLC | Neurological Surgery | 500 Throckmorton Street Unit 3012, Fort Worth, TX 76102 | 2013-12-11 |
| 1144436585 | Atif Haque | Neurological Surgery | 5701 Bryant Irvin Rd Ste 304, Fort Worth, TX 76132-4027 | 2007-05-15 |
| 1861504136 | Vinit Mehrotra, Md, Pa | Neurological Surgery | 1650 W Rosedale, # 301, Fort Worth, TX 76104-7400 | 2006-08-31 |
| 1548297641 | Richard O Hubbard | Neurological Surgery | 1824 Westover Sq, Fort Worth, TX 76107-3501 | 2006-06-26 |
| 1861436586 | Leighton Brown Parker | Neurological Surgery | 800 8th Avenue, Suite 118, Fort Worth, TX 76104 | 2006-06-15 |
| 1891735684 | Samir B Lapsiwala | Neurological Surgery | 1900 Mistletoe Blvd Ste 200, Fort Worth, TX 76104-4049 | 2006-06-08 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
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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.