DR. GREGORY L WILSON (NPI# 1619030996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619030996 |
| Entity Type | Individual |
| Full Name | DR. GREGORY L WILSON |
| Credential | D.O. |
| Practice Address |
9709 E 79th St Tulsa OK 74133-4566 |
| Practice Telephone | 9189944000 |
| Practice Fax Number | 9189944090 |
| Mailing Telephone | 9189944000 |
| Mailing Fax Number | 9189944090 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-09-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204D00000X | Neuromusculoskeletal Medicine & OMM | 2754 | OK | Allopathic & Osteopathic Physicians |
| Y | 207T00000X | Neurological Surgery | 2754 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100125210A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124371489 | Gregory Blake Wilson | Dentist | 858 Wycliffe Dr, Houston, TX 77079-3512 | 2012-10-23 |
| 1417215310 | Gregory Scott Wilson | Physical Therapy Assistant | 2581 Purdum Mill Rd, Appomattox, VA 24522-9688 | 2012-04-27 |
| 1619142262 | Gregory Stephen Wilson | Occupational Therapist | 551 W Lancaster Avenue, Staffing Plus, Haverford, PA 19041 | 2008-04-24 |
| 1932399151 | Gregory Wilson | Counselor | Wramc Bldg 2room 2j38, 6900 Georgia Ave, Washington, DC 20307-0001 | 2007-07-25 |
| 1447386875 | Gregory L Wilson | Dentist | 710 Federal Drive, Selmer, TN 38375 | 2007-02-27 |
| 1740382027 | Gregory Edward Wilson | Physical Therapist | 1615 Us Highway 17, Suite 9, Young Harris, GA 30582 | 2006-09-05 |
| 1003877507 | Gregory D Wilson | Chiropractor | 633 W Main St Ste 1, Mount Pleasant, PA 15666-1846 | 2006-04-01 |
| 1215923420 | Gregory Luis Wilson | Optometrist | 1055 Tekulve Rd, Batesville, IN 47006-8979 | 2005-09-22 |
| 1124628623 | Gregory Wilson | Pharmacist | 212 Northside Dr, Bennington, VT 05201-1723 | 2020-10-26 |
| 1528444858 | Gregory Maclean Wilson | Counselor | 3625 Chapel Rd, Newtown Square, PA 19073-3602 | 2015-08-10 |
| Street Address |
9709 E 79TH ST |
| City | TULSA |
| State | OK |
| Zip Code | 74133-4566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659922201 | Hatton Anesthesia LLC | Anesthesiology | 9709 E 79th St, Tulsa, OK 74133-4566 | 2019-09-25 |
| 1245731124 | Lindsay Renee Propst | Registered Nurse | 9709 E 79th St, Tulsa, OK 74133-4566 | 2018-02-26 |
| 1174042444 | Serena Searcy | Registered Nurse | 9709 E 79th St, Tulsa, OK 74133-4566 | 2017-09-18 |
| 1639575160 | Uber Group Pllc | Anesthesiology | 9709 E 79th St, Tulsa, OK 74133-4566 | 2014-11-11 |
| 1346652930 | Kelly Wratten | Nurse Practitioner | 9709 E 79th St, Tulsa, OK 74133-4566 | 2014-05-30 |
| 1134565369 | Christopher Delozier | Physician Assistant | 9709 E 79th St, Tulsa, OK 74133 | 2013-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932725058 | Economy Pharmacy | Pharmacy | 10120 E 91st, Tulsa, OK 74133 | 2020-06-24 |
| 1710539424 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 9310 East 91st Street, Tulsa, OK 74133 | 2019-07-12 |
| 1003382060 | Carefirst Pharmacy Tulsa, Inc. | Pharmacy | 6214 S. Sheridan Rd, Tulsa, OK 74133 | 2018-10-17 |
| 1003397332 | Adekemi Taiwo | Nurse Practitioner | Hillcrest South Medical Plaza, 8803 S. 101 St E. Ave. Suite 350, Tulsa, OK 74133 | 2018-08-24 |
| 1346732013 | Lauren Nichols | Dentist | 7707 E 111th St Ste 105, Tulsa, OK 74133 | 2018-05-30 |
| 1699264259 | Courtney N Johnson, Pllc | Dentist | 7901 S Sheridan Rd Unit A, Tulsa, OK 74133 | 2018-05-08 |
| 1417464199 | Tulsa Medical and Orthopedic Center PC | Family Medicine | 8165 S Mingo Rd Ste 200, Tulsa, OK 74133 | 2018-01-04 |
| 1013421023 | Susan C. Willard, Do, Pllc | Family Medicine | 6532 E. 71st Street, Suite 150, Tulsa, OK 74133 | 2017-11-29 |
| 1851800825 | Seyva LLC | Clinic/Center | 8522 S 70th E Ave, Tulsa, OK 74133 | 2017-09-21 |
| 1477072031 | Amanda Dawn Long | Registered Nurse | 10507 E 91st St Ste 310, Tulsa, OK 74133 | 2017-09-14 |
| Find all providers in zip 74133 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114560554 | Secure Interpretation, LLC | Neurological Surgery | 5561 South Lewis Ave, Tulsa, OK 74105 | 2019-10-17 |
| 1811222094 | John Albert Coates | Neurological Surgery | 6416 S Quebec Ave, Tulsa, OK 74136-1611 | 2009-10-06 |
| 1003050493 | Tyler Sean Auschwitz | Neurological Surgery | 2000 South Wheeling, Ste 200, St. Johns Neuroscience Institute, Tulsa, OK 74104 | 2009-04-29 |
| 1881867547 | Rongsheng Cai | Neurological Surgery | 6151 S Yale Ave Ste 2403, Tulsa, OK 74136-1907 | 2008-04-02 |
| 1235322595 | Oklahoma Neurosurgical Associates | Neurological Surgery | 1809 E 13th St Ste 405, Tulsa, OK 74104-4431 | 2007-08-21 |
| 1932241742 | Ryan C Rahhal | Neurological Surgery | 6767 South Yale Avenue, Suite A, Tulsa, OK 74136-3303 | 2007-02-12 |
| 1508967811 | Alm Pllc | Neurological Surgery | 7702 E 91st St, Suite 220, Tulsa, OK 74133-6054 | 2006-09-26 |
| 1447264205 | L. Keith Simmons | Neurological Surgery | 9709 E 79th St S, Tulsa, OK 74133-4566 | 2006-07-28 |
| 1790722239 | Neurologic Services of Oklahoma LLC | Neurological Surgery | 5563 S Lewis Ave, Tulsa, OK 74105-7103 | 2006-06-01 |
| 1942247788 | Neurosurgical Specialists of Tulsa Inc | Neurological Surgery | 2128 S Atlanta Pl, Tulsa, OK 74114-1755 | 2006-06-01 |
| Find all providers in TULSA | ||||
Please comment or provide details below to improve the information on DR. GREGORY L 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.