DR. MARY JESS WILSON (NPI# 1588636781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588636781 |
Entity Type | Individual |
Full Name | DR. MARY JESS WILSON |
Credential | MD, MPH |
Practice Address |
9616 Micron Ave Suite 640 Sacramento CA 95827-2625 |
Practice Telephone | 9168759900 |
Practice Fax Number | 9163690639 |
Mailing Telephone | 9168759900 |
Mailing Fax Number | 9163690639 |
Enumeration Date | 2006-02-02 |
Last Update Date | 2007-08-10 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208000000X | Pediatrics | G0296 | TX | Allopathic & Osteopathic Physicians |
Y | 208000000X | Pediatrics | C41404 | CA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477152981 | Mary L Wilson | Technician | 2108 Camden Ave Ste A, Parkersburg, WV 26101-5676 | 2020-10-26 |
1699336222 | Mary Wilson | Counselor | 244 Washington Blvd Apt 3a, Oak Park, IL 60302-4147 | 2019-06-25 |
1730748906 | Mary Wilson | Registered Nurse | 1540 Lake Lansing Rd Ste G3, Lansing, MI 48912-3757 | 2019-06-11 |
1720580533 | Mary Ellen Wilson | Home Health Aide | 1219 Crystal St, Toledo, OH 43605-3806 | 2018-03-07 |
1386017283 | Mary Susan Wilson | Registered Nurse | 7175 Brills Lake Rd, Jackson, MI 49201-9691 | 2015-11-02 |
1831569755 | Mary Wilson | Social Worker | 915 Avenue B, Nederland, TX 77627-2902 | 2015-10-05 |
1376932707 | Mary Wilson | Case Manager/Care Coordinator | 119 Whispering Woods Ln, Alexandria, KY 41001-9226 | 2015-01-22 |
1144640087 | Mary Maningue Wilson | Home Health Aide | 9365 Steeple Ct, Laurel, MD 20723-5822 | 2014-04-18 |
1508176835 | Mary Lucinda Wilson | Counselor | 1536 Sunrise Plaza Dr Ste 100, Clermont, FL 34714-6204 | 2010-10-20 |
1538490776 | Mary Hayden Wilson | Counselor | 5828 Maria Del Mar St, Las Vegas, NV 89130-7299 | 2010-01-28 |
Street Address |
9616 MICRON AVE SUITE 640 |
City | SACRAMENTO |
State | CA |
Zip Code | 95827-2625 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396368833 | Amber Renee Burget | Preventive Medicine | 9616 Micron Ave, Sacramento, CA 95827-2625 | 2020-05-19 |
1124665666 | Jessica Marie Curtis | Registered Nurse | 9616 Micron Ave, Sacramento, CA 95827-2625 | 2019-12-03 |
1881139921 | Julia Rae Brosterhous | Registered Nurse | 9616 Micron Ave, Sacramento, CA 95827-2625 | 2016-12-28 |
1134579485 | Melissa Siebenthal | Preventive Medicine | 9616 Micron Ave, Suite 950, Sacramento, CA 95827-2625 | 2016-06-17 |
1245689082 | Jennifer Joy Stamper | Registered Nurse | 9616 Micron Ave, Suite 950, Sacramento, CA 95827-2625 | 2016-06-10 |
1568857050 | Angelica Quach | Registered Nurse | 9616 Micron Ave, 950, Sacramento, CA 95827-2625 | 2015-04-01 |
1528493269 | Janet Sue Rogers | Registered Nurse | 9616 Micron Ave, Suite 670, Sacramento, CA 95827-2625 | 2013-09-12 |
1336480938 | County of Sacramento | Public Health or Welfare | 9616 Micron Ave, # 950, Sacramento, CA 95827-2625 | 2013-03-06 |
1285973818 | Catherine Hamlin Cribben | Registered Nurse | 9616 Micron Ave, Suite 950, Sacramento, CA 95827-2625 | 2013-02-01 |
1194910364 | Fay Elizabeth Bursch | Registered Nurse | 9616 Micron Ave, Suite 950, Sacramento, CA 95827-2625 | 2007-09-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275170235 | Amy Braley | Occupational Therapist | Love Joy Adhc, 10293 Rockingham Dr, Sacramento, CA 95827 | 2019-12-09 |
1164078598 | Theresa Marie Reich | Home Health Aide | 9819 Lebra Avenue, Sacramento, CA 95827 | 2019-08-12 |
1790257475 | Elissa Beth Crandall | Counselor | 3353 Bradshaw Rd Ste 112, Sacramento, CA 95827 | 2018-12-19 |
1649746900 | Christopher Avery Di Domenico | Counselor | North Site: 4441 Auburn Blvd, Suite E, Sacramento, CA 95827 | 2018-10-15 |
1285156661 | Keith Ramon Blakely | Counselor | 9738 Lincoln Village, Sacramento, CA 95827 | 2017-07-07 |
1376065755 | Julianne Marlene Divirgilio | Counselor | 9738 Lincoln Village Dr., Sacramento, CA 95827 | 2017-07-07 |
1275981409 | Carl Phillips Jr. | Counselor | 2819 Pepper Oaks Dr, Sacramento, CA 95827 | 2016-05-27 |
1316335581 | Nancy Khun | Counselor | 3990 Branch Center Rd., Sacramento, CA 95827 | 2014-12-22 |
1750623385 | Davidshka Lynel Shavers | Counselor | 3340 Viking Dr, Suite 114, Sacramento, CA 95827 | 2013-03-21 |
1114263803 | John Kwamena Bankas | Marriage & Family Therapist | 9837 Folsom Blvd., Ste. F, Sacramento, CA 95827 | 2012-12-27 |
Find all providers in zip 95827 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
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/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497374904 | Ollie Health Medical Group, Inc. | Pediatrics | 9700 Business Park Dr Ste 406, Sacramento, CA 95827-1718 | 2020-04-14 |
1093353195 | East Sacramento Pediatric Medical Group Inc | Pediatrics | 5030 J St Ste 301, Sacramento, CA 95819-3800 | 2019-12-19 |
1992206544 | Brittany Michelle Mcgregor | Pediatrics | 7237 E Southgate Dr Ste A, Sacramento, CA 95823-2637 | 2018-02-27 |
1528440708 | Adrienne Hoyt-austin | Pediatrics | 2103 Stockton Blvd, Sacramento, CA 95817-1354 | 2015-06-23 |
1043618689 | Zachary Chaffin | Pediatrics | 2516 Stockton Blvd Ste 216, Sacramento, CA 95817-2208 | 2014-12-14 |
1316363104 | Howard N Futerman | Pediatrics | 1618 Alhambra Blvd Unit 160546, Sacramento, CA 95816-7622 | 2014-03-17 |
1063755932 | Joan Manansala Villaflor | Pediatrics | 7501 Hospital Dr Ste 203, Sacramento, CA 95823-5405 | 2013-03-29 |
1972847747 | Lauren E Wilson | Pediatrics | 425 University Avenue, Suite 200, Sacramento, CA 95825 | 2012-11-19 |
1982954103 | Virgina Lee | Pediatrics | 1111 Exposition Blvd # 700, Suite 102, Sacramento, CA 95815-4314 | 2012-09-14 |
1508113390 | Garrett Hau Sheng | Pediatrics | 1625 Stockton Blvd Ste 106, Sacramento, CA 95816-7098 | 2012-08-10 |
Find all providers in SACRAMENTO |
City | SACRAMENTO |
Zip Code | 95827 |
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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.