AMY C WILSON (NPI# 1578770608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578770608 |
| Entity Type | Individual |
| Full Name | AMY C WILSON |
| Other Name | AMY C. DRAKE |
| Credential | M.D. |
| Practice Address |
705 Riley Hospital Dr Rr 230 Indianapolis IN 46202-5109 |
| Mailing Address |
Po Box 1026 Indianapolis IN 46206-1026 |
| Practice Telephone | 3172742563 |
| Practice Fax Number | 3172783599 |
| Mailing Telephone | 3172741201 |
| Mailing Fax Number | 3172789905 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2014-12-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
01066854 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1578770608 | 05 | |
| IN | 200966000 | 05 | |
| KY | 7100316940 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871127852 | Amy L Wilson | Nurse Practitioner | 130 Musquash Rd, Hudson, NH 03051-5418 | 2020-02-27 |
| 1174162614 | Amy Wilson | Speech-Language Pathologist | 390 Perrine Blvd, Manasquan, NJ 08736-3834 | 2020-01-01 |
| 1932668456 | Amy Annette Wilson | Nurse Practitioner | Tappahannock Primary Care, 1362 Tappahannock Blvd, Tappahannock, VA 22560 | 2019-03-14 |
| 1902372691 | Amy Sue Wilson | Peer Specialist | 375 Sequoyah Trl # 268, Cherokee, NC 28719 | 2018-10-19 |
| 1346739711 | Amy Beth Wilson | Nurse Practitioner | 3101 Nasa Pkwy Ste B, Seabrook, TX 77586-6475 | 2018-05-01 |
| 1841664042 | Amy Wilson | Licensed Practical Nurse | 2906 W Murphysboro Rd, Carbondale, IL 62901-1060 | 2015-11-25 |
| 1316318546 | Amy Wilson | Social Worker | 2052 Dripping Springs Dr, Forney, TX 75126-5138 | 2015-10-14 |
| 1235531609 | Amy Marie Wilson | Nurse Practitioner | 1403 Windwood Ln, Flint, MI 48507-0524 | 2014-09-17 |
| 1174965446 | Amy Wilson | Speech-Language Pathologist | 2120 West Washington Street, Springfield, IL 62702 | 2013-07-26 |
| 1043561483 | Amy L Wilson | Licensed Practical Nurse | 3110 Healthplex Parkway, Norman, OK 73072 | 2012-09-25 |
| Street Address |
705 RILEY HOSPITAL DR RR 230 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202-5109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821095308 | Laquia Vinson | Dentist | 705 Riley Hospital Dr, Suite 4205, Indianapolis, IN 46202-5109 | 2005-06-30 |
| 1801403928 | Morgan Lewis | Nurse Anesthetist, Certified Registered | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2020-09-24 |
| 1063028009 | Maham Fatima | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2020-09-16 |
| 1871105205 | Rosemary Bland | Nurse Practitioner | 705 Riley Hospital Dr, Ri 1134, Indianapolis, IN 46202-5109 | 2020-08-18 |
| 1720699226 | Nancy Marie Dalton | Physician Assistant | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2020-08-10 |
| 1205446325 | Nadine Al Homsi | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2020-08-04 |
| 1477162808 | Julia Lamotte | Psychologist | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2020-07-31 |
| 1154930626 | Anna Himes | Nurse Practitioner | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2020-07-30 |
| 1750990230 | Victoria H Klee | Genetic Counselor, MS | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2020-07-30 |
| 1134738677 | Jenna Pogorzelski | Dietitian, Registered | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2020-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| Taxonomy Code | 2080P0210X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Nephrology |
| A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760776207 | Neha Dhingra Pottanat | Pediatrics | 705 Riley Hospital Dr, Rr 230, Indianapolis, IN 46202 | 2011-06-01 |
| 1912168675 | David S. Hains | Pediatrics | 705 Riley Hospital Dr, Rr 230, Indianapolis, IN 46202-5109 | 2008-06-24 |
| 1982896759 | Sushil Gupta | Pediatrics | 705 Riley Hospital Dr, Rr 230, Indianapolis, IN 46202-5109 | 2007-08-15 |
| 1629146568 | Myda Khalid | Pediatrics | 705 Riley Hospital Dr, Rr 230, Indianapolis, IN 46202-5109 | 2006-11-30 |
| 1578656468 | Sharon P Andreoli | Pediatrics | 705 Riley Hospital Dr, Rr 230, Indianapolis, IN 46202-5109 | 2006-10-02 |
| 1124122643 | Jeffrey D Leiser | Pediatrics | 705 Riley Hospital Dr, Rr 230, Indianapolis, IN 46202-5109 | 2006-09-13 |
| 1043328057 | Corina Nailescu | Pediatrics | 705 Riley Hospital Dr, Rr 230, Indianapolis, IN 46202-5109 | 2006-08-29 |
| 1720073356 | Andrew Lawrence Schwaderer | Pediatrics | 705 Riley Hospital Dr, Rr 230, Indianapolis, IN 46202-5109 | 2005-09-20 |
| City | INDIANAPOLIS |
| Zip Code | 46202 |
Please comment or provide details below to improve the information on AMY C WILSON.
| 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.