MR. JEREMY OREN WILSON


Address: 700 S. Main, Mountain Home, AR 72653-4445
Phone: 8704251041

MR. JEREMY OREN WILSON (NPI# 1619124096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619124096
Entity Type Individual
Full Name MR. JEREMY OREN WILSON
Credential MHPP
Practice Address 700 S. Main
Mountain Home
AR 72653-4445
Mailing Address 1815 Pleasant Grove Rd
Jonesboro
AR 72401-7870
Practice Telephone 8704251041
Practice Fax Number 8704251049
Mailing Telephone 8709336886
Mailing Fax Number 8709339395
Enumeration Date 2008-08-27
Last Update Date 2016-12-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

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1154933364 Jeremy Gordon Wilson Behavior Technician 900 Branchview Dr Ne, Concord, NC 28025-2213 2020-08-19
1609347699 Jeremy Wilson Behavior Technician 41521 W 11 Mile Rd, Novi, MI 48375-1803 2018-12-17
1245747757 Jeremy Shane Wilson Social Worker 5400 Edalbert Dr, Cincinnati, OH 45239-7604 2018-01-05
1053863027 Jeremy Wilson Massage Therapist 2701 Northwest Ave, Bellingham, WA 98225-2300 2016-10-26
1295289593 Jeremy Daniel Wilson Case Manager/Care Coordinator 1815 Pleasant Grove Rd, Jonesboro, AR 72401-7870 2016-08-04
1447703277 Jeremy Wilson Chiropractor 3710 I 55 N, Jackson, MS 39211-6323 2016-07-28
1902275142 Jeremy L Wilson Registered Nurse 888 Swift Blvd, Richland, WA 99352-3514 2015-09-17
1801106158 Jeremy R Wilson Chiropractor 3223a N Pleasantburg Dr, Greenville, SC 29609-2900 2010-10-19

Office Location

Street Address 700 S. MAIN
City MOUNTAIN HOME
State AR
Zip Code 72653-4445

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104247469 Richard R. Melick Case Manager/Care Coordinator 700 S. Main, Mountain Home, AR 72653 2014-01-03
1851737951 Joy Smith Case Manager/Care Coordinator 700 S. Main, Mountain Home, AR 72653 2013-05-15
1548517030 Joy Melick Case Manager/Care Coordinator 700 S. Main, Mountain Home, AR 72653 2012-08-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619513934 Maranda Hickman Physical Therapy Assistant 347 Hwy 62 East College Plaza, Mountain Home, AR 72653 2019-11-21
1659929156 Gale E Bacan Technician 1703 Monroe Ave, Mountain Home, AR 72653 2019-08-28
1891259321 Kidspiration Pediatric Therapy Services Clinic/Center 710 Bradley Dr., Mountain Home, AR 72653 2019-01-29
1093279275 Piper's Vision Xpress, LLC Optometrist 50 Paul Wood Lane, Mountian Home, AR 72653 2019-01-22
1346769155 Heather Bollinger Nurse Practitioner 65 Walmart Drive, C/o Clinic At Walmart, Mountain Home, AR 72653 2017-09-12
1447774989 Natalie D Ahrent Physical Medicine & Rehabilitation 804 Coley Dr, Mountain Home, AR 72653 2017-07-26
1417486028 Andrew David Hatman Case Manager/Care Coordinator 1349 Hampshire Circle, Mountain Home, AR 72653 2017-06-07
1568848315 Taylor Chiropractic Plc Health Maintenance Organization 103 S Main St Ste 5, Mountain Home, AR 72653 2015-08-04
1942606306 Harps Food Stores, Inc Pharmacy 2089 Highway 62 West, Mountain Home, AR 72653 2014-11-13
1972920726 Lavonne Armstrong Counselor 8 Medical Plaza, Mountain Home, AR 72653 2014-03-18
Find all providers in zip 72653

Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104478031 Christopher E Cupples Case Manager/Care Coordinator 707 N Cardinal Dr Ste 107, Mountain Home, AR 72653-3253 2019-07-11
1417486028 Andrew David Hatman Case Manager/Care Coordinator 1349 Hampshire Circle, Mountain Home, AR 72653 2017-06-07
1467989400 Shelby Tayler Feeney Case Manager/Care Coordinator 75 Kenmar Ln, Mountain Home, AR 72653-5490 2017-05-22
1568842516 Matthew Hafer Case Manager/Care Coordinator 706 S Main St Ste 1, Mountain Home, AR 72653-4408 2015-06-04
1831462225 Cindy Wilbur Case Manager/Care Coordinator 700 S. Main Street, Mountain Home, AR 72653-6544 2012-02-15
1346552940 Laurie Ann. James Case Manager/Care Coordinator 700 S Main Street, Mountain Home, AR 72653-3143 2010-07-12
1548477425 Amber Raley Case Manager/Care Coordinator 1310 Bradley Dr, Mountain Home, AR 72653-2730 2007-05-17
1083211882 Miranda Lauren Reynolds Case Manager/Care Coordinator 353 E 8th St, Mountain Home, AR 72653-4423 2020-10-05
1336767698 Ashley Hogan Case Manager/Care Coordinator 700 S Main Street, Mountain Home, AR 72653-3143 2020-07-13
1104453067 Carolyn Featherstone Case Manager/Care Coordinator 707 N Cardinal Dr Ste 7, Mountain Home, AR 72653-3274 2020-03-23
Find all providers in MOUNTAIN HOME

Competitor

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City MOUNTAIN HOME
Zip Code 72653

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Dataset Information

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.

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