DWAYNE WILSON


Address: 2454 Camp Travis, Fort Sam Houston, TX 78234-7671
Phone: 4014196040

DWAYNE WILSON (NPI# 1578587341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578587341
Entity Type Individual
Full Name DWAYNE WILSON
Credential M.D.
Practice Address 2454 Camp Travis
Fort Sam Houston
TX 78234-7671
Mailing Address Po Box 340773
Fort Sam Houston
TX 78234-0773
Practice Telephone 4014196040
Mailing Telephone 4014196040
Enumeration Date 2006-07-26
Last Update Date 2010-08-07
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207P00000X Emergency Medicine 11620 RI Allopathic & Osteopathic Physicians
Y 207P00000X Emergency Medicine 037212 CT Allopathic & Osteopathic Physicians
N 207P00000X Emergency Medicine 210137 NY Allopathic & Osteopathic Physicians
N 207PE0004X Emergency Medicine
Specialization: Emergency Medical Services
210137 NY Allopathic & Osteopathic Physicians
N 2083A0100X Preventive Medicine
Specialization: Aerospace Medicine
210137 NY Allopathic & Osteopathic Physicians

Other Providers DWAYNE WILSON

NPI Name Taxonomy Address Enumeration
1891192894 Dwayne Wilson Registered Nurse 24455 Lake Shore Blvd, Apt. 1818, Euclid, OH 44123-1273 2014-11-19
1043522618 Dwayne Wilson Internal Medicine 3978 W Hillsborough Ave Unit 21b, Tampa, FL 33614-5628 2010-07-12
1760474357 Dwayne G Wilson Pharmacist 7524 Karl Dr, Lincoln, NE 68516-4372 2005-08-18
1457810368 Dwayne Wilson Case Manager/Care Coordinator 2347 Vine St, Cincinnati, OH 45219-1745 2019-03-19
1841621612 Dwayne Wilson Counselor 611 E Belmont Ave, Fresno, CA 93701-1502 2013-12-04
1093844839 Dwayne Charles Wilson Counselor 1401 L St, Bakersfield, CA 93301-4522 2007-03-05

Office Location

Street Address 2454 CAMP TRAVIS
City FORT SAM HOUSTON
State TX
Zip Code 78234-7671

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255942884 Thomas Ballas Student in an Organized Health Care Education/Training Program 3551 Roger Brooke Drive Jbsa-fort Sam Houston, Department of Behavioral Medicine-mche-dbm, San Antonio, TX 78234 2020-08-17
1124657366 Wendy Harris Pharmacist 3041 Garden Ave, Fort Sam Houston, TX 78234 2020-04-08
1215564729 Travis Frantz Student in an Organized Health Care Education/Training Program 3551 Rodger Brooke Drive, Jbsa Fort Sam Houston, TX 78234 2020-03-25
1508492695 Matthew Grossmann Student in an Organized Health Care Education/Training Program San Antonio Military Medical Center, Mche-zdm-m, Internal Medicine Residency, 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, TX 78234 2020-03-20
1235793407 Jessica Maria May Franklin Student in an Organized Health Care Education/Training Program 3551 Roger Brooke Drive Jbsa Fort Sam Houston, San Antonio, TX 78234 2019-04-23
1730663477 Glen Snyder Military Health Care Provider 3488 Garden Ave Anderson Hall, Fort Sam Houston, San Antonio, TX 78234 2018-09-19
1265919336 Ashley Elizabeth Malawey Military Health Care Provider 3222 Cpl Johnson Road, San Antonio, TX 78234 2018-07-23
1053805515 Rene Espinosa Social Worker San Antonio Medical Center, 3551 Roger Brooke Dr, Jbsa, TX 78234 2018-06-19
1235622333 Melanie Edith Rivera Military Health Care Provider 3600 Roger Brooke Drive, San Antonio, TX 78234 2018-06-13
1063909158 Benjamin Walker Appelo General Practice San Antonio Mil Med Center 3551 Roger Brooke Dr, Mche-zdm-m, San Antonio, TX 78234 2018-04-16
Find all providers in zip 78234

Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154733582 Jacqueline Celeste Evans Emergency Medicine 3551 Roger Brooke Dr # 3600, Fort Sam Houston, TX 78234 2014-05-20
1548293905 Robert A De Lorenzo Emergency Medicine Bamc - 3851 Roger Brooke Drive, Mche-qd (creds), Fort Sam Houston, TX 78234-6200 2006-07-09
1356313274 Warren R Dalton Emergency Medicine 2484 Stanley Road, Suite 91, Bldg 2236, Defense Medical Readiness Training Institute, Fort Sam Houston, TX 78234 2006-02-03
1902883259 Carolyn Arlene Tiffany Emergency Medicine 2050 Worth Rd, Medcom Qm, Fort Sam Houston, TX 78234-7533 2005-12-28
1821089806 Marc Laurence Daymude Emergency Medicine Brooke Army Medical Center, Mche-qd/credentials, 3851 Roger Brooke Dr., Fort Sam Houston, TX 78234-6200 2005-10-31
1922098573 Roberto Victor Hennessy Emergency Medicine 3551 Roger Brooke Dr Dept Of, Fort Sam Houston, TX 78234-4504 2005-10-25
1740717081 Jason Allan Ausman Emergency Medicine 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 2017-05-17
1811424617 Craig David Nowadly Emergency Medicine 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 2017-05-11
1427583186 Sean Griffiths Emergency Medicine 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 2017-05-01
1013366145 Antonio Ziherl Emergency Medicine 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 2016-06-09
Find all providers in FORT SAM HOUSTON

Competitor

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City FORT SAM HOUSTON
Zip Code 78234

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Dataset Information

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.

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