JOHN R WILSON (NPI# 1578700217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578700217 |
| Entity Type | Individual |
| Full Name | JOHN R WILSON |
| Credential | BOCPO |
| Practice Address |
1904 Se Washington Blvd Bartlesville OK 74006-6736 |
| Practice Telephone | 9183336900 |
| Practice Fax Number | 9183356687 |
| Mailing Telephone | 9183336900 |
| Mailing Fax Number | 9183356687 |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2009-01-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 222Z00000X | Orthotist | LPO40 | OK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 224P00000X | Prosthetist | LPO40 | OK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376107979 | John Zaakery Wilson | Peer Specialist | 3350 E Beech Way # A, Wasilla, AK 99654-7417 | 2019-04-29 |
| 1639673924 | John Michael Wilson | Student in an Organized Health Care Education/Training Program | 235 Sable Fls, San Antonio, TX 78258-4870 | 2018-03-21 |
| 1427429133 | John Wilson | Internal Medicine | 5 Ladd Rd, Hanover, NH 03755-3420 | 2015-10-08 |
| 1760878599 | John Wilson IIi | Psychiatry & Neurology | 212 W Route 38 Ste 105, Moorestown, NJ 08057-4100 | 2015-04-08 |
| 1194110718 | John Stewart Wilson Jr. | Radiology | 220 Glen Forest Dr, Greensburg, PA 15601-3718 | 2015-03-31 |
| 1720417496 | John Wilson | Specialist/Technologist, Other | 2550 Spurlock Rd, Nederland, TX 77627 | 2013-11-04 |
| 1982031944 | John Forrest Wilson IIi | Licensed Practical Nurse | 412 Ketcham St, Riverside, OH 45431-2124 | 2013-10-03 |
| 1265782213 | John Matthew Wilson | Speech-Language Pathologist | 3517 Norfolk Ct Se, Olympia, WA 98501-7021 | 2012-09-18 |
| 1396009676 | John A Wilson II | Rehabilitation Practitioner | 6054 Giant Forest Ln, North Las Vegas, NV 89031-1663 | 2012-07-01 |
| 1932494127 | John C Wilson | Dentist | 2675 Central Ave Ste L8, Billings, MT 59102-6686 | 2011-06-15 |
| Street Address |
1904 SE WASHINGTON BLVD |
| City | BARTLESVILLE |
| State | OK |
| Zip Code | 74006-6736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043384902 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 1904 Se Washington Blvd, Bartlesville, OK 74006-6736 | 2006-11-20 |
| 1053840850 | Maranda Lee Eaton | Mastectomy Fitter | 1904 Se Washington Blvd, Bartlesville, OK 74006 | 2017-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124646252 | Ntcob LLC | Family Medicine | 234 Se De Bell Ave, Bartlesville, OK 74006 | 2020-07-06 |
| 1053936815 | Priscella Ann Caron | Nurse Practitioner | 226 Se De Bell Ave Building B, Bartlesville, OK 74006 | 2020-06-08 |
| 1508390840 | Megan Christopher | Student in an Organized Health Care Education/Training Program | 3400 Se Frank Phillips Blvd, Suite 502, Bartlesville, OK 74006 | 2017-04-13 |
| 1518339811 | Dori Raycob | Registered Nurse | 3400 Se Frank Phillips Blvd Suite 300, Bartlesville, OK 74006 | 2015-10-26 |
| 1023487436 | Katherine Marie Anderson | Nurse Practitioner | 3500 Sw Frank Phillips, Bartlesville, OK 74006 | 2015-09-16 |
| 1033593207 | Quanisha Roberson | Clinical Nurse Specialist | 226 Se De Bell Avenue, Building A, Suite 101, Bartlesville, OK 74006 | 2015-07-16 |
| 1588064604 | Vance Wayne Blackwell Jr. | Counselor | 2200 Se Washinton Blvd., Bartlesville, OK 74006 | 2014-08-26 |
| 1619314937 | Scott Ethan Sonico | Dentist | 1224 Se Washington Blvd, Bartlesville, OK 74006 | 2013-05-28 |
| 1417229485 | Vernon Lee Newby | Veterinarian | 817 Madison Blvd., Bartlesville, OK 74006 | 2012-02-06 |
| 1306083720 | Sherry M Wilson | Counselor | 3925-g Frank Phillips Blvd., Bartlesville, OK 74006 | 2009-01-08 |
| Find all providers in zip 74006 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487299376 | Lindsay Ann Lafuente | Prosthetist | 229 Nw 9th St Ste 104, Oklahoma City, OK 73102-2619 | 2019-11-14 |
| 1427610526 | Alita Javon Littlejohn | Prosthetist | 1840 Sagewood Dr, Edmond, OK 73013-2946 | 2019-06-28 |
| 1467932731 | Nicholas Brown | Prosthetist | 225 Nw 9th St, Oklahoma City, OK 73102-2619 | 2018-08-16 |
| 1952644007 | Andy John Anders | Prosthetist | 937 Sw 89th St Ste B, Oklahoma City, OK 73139-9231 | 2013-03-27 |
| 1477790111 | Chad Simpson | Prosthetist | 7111 Nix Dr, Duncan, OK 73533-4191 | 2009-01-16 |
| 1962022822 | Innovative Prothestics and Research, LLC | Prosthetist | 229 Nw 9th St Ste 104, Oklahoma City, OK 73102-2619 | 2020-04-21 |
| 1356835052 | Alexander Ashoff | Prosthetist | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2018-06-18 |
| 1396234589 | Martin Bionics Clinical Care, LLC | Prosthetist | 214 E Main St, Oklahoma City, OK 73104-4221 | 2018-05-03 |
| 1619400876 | Christopher Prestridge | Prosthetist | 229 Nw 9th St, Oklahoma City, OK 73102-2619 | 2017-04-05 |
| 1023490349 | Etheridge Prosthetics LLC | Prosthetist | 2202 Westpark Dr, Suite A, Norman, OK 73069-4033 | 2015-06-23 |
| Find all providers with the same taxonomy | ||||
| City | BARTLESVILLE |
| Zip Code | 74006 |
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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.