PATRICK R WILSON (NPI# 1609878909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609878909 |
| Entity Type | Individual |
| Full Name | PATRICK R WILSON |
| Credential | D.D.S. |
| Practice Address |
6744 Clayton Rd Ste 216 Saint Louis MO 63117-1634 |
| Practice Telephone | 3146451337 |
| Practice Fax Number | 3146455652 |
| Mailing Telephone | 3146451337 |
| Mailing Fax Number | 3146455652 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DEN 011921 | MO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588288864 | Patrick Wilson | Counselor | 1744 Roswell Rd Ste 102, Marietta, GA 30062-3979 | 2020-06-03 |
| 1801314547 | Patrick Joseph Wilson | Student in an Organized Health Care Education/Training Program | 416 Harrington Rd, Havertown, PA 19083-2109 | 2017-09-01 |
| 1245608074 | Patrick Wilson | Speech-Language Pathologist | 250 Cross Rd, Richmond, MA 01254-1000 | 2015-09-10 |
| 1003243445 | Patrick Wilson | Counselor | 4024 Woods Dr, Oklahoma City, OK 73111-5132 | 2013-09-30 |
| 1316100670 | Patrick C Wilson | Surgery | 805 Madison St., Suite 1d, Huntsville, AL 35801 | 2008-07-08 |
| 1104086438 | Patrick Thomas Wilson | Dentist | 9358 Dorchester St Ste 106, Highlands Ranch, CO 80129-2511 | 2008-06-10 |
| 1477733319 | Patrick Lewis Wilson | Genetic Counselor, MS | 1200 Childrens Ave Ste 1100, Prenatal Diagnostic Center, Oucpb, Oklahoma City, OK 73104-4637 | 2007-11-08 |
| 1578590238 | Patrick Henry Wilson | Specialist | 6200 Utsa Blvd, 100, San Antonio, TX 78249-1617 | 2006-06-27 |
| 1013913128 | Patrick Aloysius Wilson | Pathology | 200 Hawthorne Ln, Presbyterian Hospital Department of Pathology, Charlotte, NC 28204-2515 | 2005-06-23 |
| 1689282527 | Patrick Wilson | Dentist | 234 Summer St, Haverhill, MA 01830-6318 | 2020-07-16 |
| Street Address |
6744 CLAYTON RD STE 216 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63117-1634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639678923 | Alexander Booher | Physical Therapist | 6744 Clayton Rd, Saint Louis, MO 63117-1637 | 2018-02-02 |
| 1306362595 | Katelyn Chitkowski | Physical Therapist | 6744 Clayton Rd, Saint Louis, MO 63117-1637 | 2017-08-18 |
| 1114303047 | Xuezhao Zhang | Acupuncturist | 6744 Clayton Rd, Suite 202, Saint Louis, MO 63117-1637 | 2015-08-03 |
| 1467605071 | Cole Internal Medicine,inc | Internal Medicine | 6744 Clayton Rd, Suite 102, Saint Louis, MO 63117-1637 | 2008-10-28 |
| 1295981595 | Mary S. Levinson | Physical Therapist | 6744 Clayton Rd, Suite 220, Saint Louis, MO 63117-1637 | 2008-08-18 |
| 1477719813 | Jodi Ballmann | Occupational Therapist | 6744 Clayton Rd, Suite 220, Saint Louis, MO 63117-1637 | 2008-08-05 |
| 1730349762 | Carrie L. Pauk | Occupational Therapist | 6744 Clayton Rd, Suite 220, Saint Louis, MO 63117-1637 | 2008-06-12 |
| 1417117425 | Ann Sandweg Liberman | Physical Therapist | 6744 Clayton Rd, Suite 220, Saint Louis, MO 63117-1637 | 2008-06-12 |
| 1487813648 | Elizabeth C Sullivan | Occupational Therapist | 6744 Clayton Rd, Suite 220, Saint Louis, MO 63117-1637 | 2008-06-03 |
| 1215196472 | Cathy Briscoe-austin | Speech-Language Pathologist | 6744 Clayton Rd, Suite 220, Saint Louis, MO 63117-1637 | 2008-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956611 | Efehi Kelly Ogbomo | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Suite 2218, St. Louis, MO 63117 | 2020-06-11 |
| 1619533890 | Abdul Rauf | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road. Ssm Health St. Mary's Hospital, St. Louis, MO 63117 | 2019-05-14 |
| 1083278477 | Mohamed Maali Gumaa Mohamed | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road Ssm St. Mary's Hospital, Department of Internal Medicine, St. Louis, MO 63117 | 2019-05-01 |
| 1750945556 | Samrat Jun Jayanth | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm Health St Mary's Hospital, St. Louis, MO 63117 | 2019-04-26 |
| 1215491329 | Latonya Allen | Counselor | 1612 S. Big Bend Blvd, St. Louis, MO 63117 | 2019-01-23 |
| 1265917025 | Blue Stars Therapy, LLC | Occupational Therapist | 1101 Edward Terrace, Apt A, St. Louis, MO 63117 | 2018-09-27 |
| 1770060014 | Ultra Care Home Services LLC | Home Health | 7353 Dale Ave, Saint Louis, MO 63117 | 2018-07-19 |
| 1235623562 | Melissa Valerie Taylor | Counselor | Psychological Services of St Louis, LLC, 7110 Oakland Ave, St Louis, MO 63117 | 2018-06-20 |
| 1124517289 | Jideofor Ebony Obodozie | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm St. Mary's Hospital, St. Louis, MO 63117 | 2018-05-04 |
| 1770071706 | Sivaram Prabhuji Muppaneni | Student in an Organized Health Care Education/Training Program | Ssm St Mary's Hospital, 6420 Clayton Road, St. Louis, MO 63117 | 2018-04-25 |
| Find all providers in zip 63117 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801493762 | Alexander Ahmadi | Dentist | 4171 Crescent Dr Ste 102, Saint Louis, MO 63129-3645 | 2020-10-05 |
| 1396353876 | Michael Rehme Jr. | Dentist | 2821 N Ballas Rd Ste 245, Saint Louis, MO 63131-2378 | 2020-07-21 |
| 1235771155 | James T Fetsch Dmd LLC | Dentist | 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 | 2019-10-11 |
| 1013579010 | Jasmine Esmailzadegan | Dentist | 200 S Kirkwood Rd Ste 90, Saint Louis, MO 63122-4351 | 2019-07-01 |
| 1194295964 | Rivka Goldenhersh, D.m.d., LLC | Dentist | 620a N Mcknight Rd Ste 2a, Saint Louis, MO 63132 | 2018-12-04 |
| 1952895252 | Feras Al Khatib | Dentist | 7809 Watson Rd, Saint Louis, MO 63119-5408 | 2018-06-20 |
| 1255825675 | Brenton Patrick Ruopp | Dentist | 16 Hampton Village Plz Ste 229, Saint Louis, MO 63109-2111 | 2018-06-19 |
| 1598258501 | Daniel Thomas Doherty | Dentist | 621 S New Ballas Rd # 10, Saint Louis, MO 63141-8232 | 2018-06-13 |
| 1649700964 | Adam J Bree | Dentist | 605 Old Ballas Rd Ste 118, Saint Louis, MO 63141-7070 | 2017-06-19 |
| 1811448863 | We Care Mobile Dental LLC | Dentist | 6903 Waterman Ave, Saint Louis, MO 63130-4333 | 2016-10-14 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63117 |
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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.