MEGAN WILSON (NPI# 1629484233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629484233 |
| Entity Type | Individual |
| Full Name | MEGAN WILSON |
| Credential | MD |
| Practice Address |
2307 Gordon Cooper Dr Shawnee OK 74801-9007 |
| Mailing Address |
2307 S. Gordon Cooper Dr. Shawnee OK 74801 |
| Practice Telephone | 4052735236 |
| Mailing Telephone | 4052735236 |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2017-11-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 32769 | OK | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700432564 | Megan A Wilson | Physician Assistant | 696 Vistawilla Dr, Winter Springs, FL 32708-3894 | 2019-08-16 |
| 1457914475 | Megan Wilson | Registered Nurse | 2109 Meadowview Dr, Corinth, TX 76210-2268 | 2019-04-16 |
| 1811496581 | Megan K Wilson | Social Worker | 3604 Jamesdale Rd, Columbia, MO 65202-3560 | 2018-02-07 |
| 1063808640 | Megan Gauthey Wilson | Speech-Language Pathologist | 3751 Will Scarlet Rd, Winston Salem, NC 27104-1648 | 2015-04-10 |
| 1275937526 | Megan Wilson | Pharmacist | 1017 Highway 46, Redfield, AR 72132 | 2014-10-15 |
| 1013283209 | Megan Breffney Wilson | Family Medicine | 112 West 5th Street, Okmulgee, OK 74447 | 2012-04-01 |
| 1689994691 | Megan Wilson | Social Worker | 2 Hawksbeard Ln, Savannah, GA 31411-2818 | 2010-06-02 |
| 1063044873 | Megan Wilson | Case Manager/Care Coordinator | 2325 S Harvard Ave, Tulsa, OK 74114-3300 | 2020-02-10 |
| 1538721501 | Megan Lorraine Wilson | Nurse Practitioner | 2340 Knob Creek Rd, Suite 720, Johnson City, TN 37604 | 2019-07-01 |
| 1225590888 | Megan Nicole Wilson | Nurse Practitioner | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2019-04-03 |
| Street Address |
2307 GORDON COOPER DR |
| City | SHAWNEE |
| State | OK |
| Zip Code | 74801-9007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598752503 | Kent H Potts | Internal Medicine | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2005-10-04 |
| 1619505179 | Kiley Nicole Henderson | Licensed Practical Nurse | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2020-03-31 |
| 1801422944 | Joni Pataki | Licensed Practical Nurse | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2020-03-20 |
| 1265063960 | Stephanie Alvillar | Nurse Practitioner | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2020-01-31 |
| 1629618640 | Savannah Nycole Bagwell | Licensed Practical Nurse | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2020-01-07 |
| 1770130379 | Darci Leigh Jenkins | Licensed Practical Nurse | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2019-08-20 |
| 1356997423 | Christina Marie Trout | Registered Nurse | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2019-08-14 |
| 1720630262 | Dayna Kathleen Grandstaff | Licensed Practical Nurse | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2019-07-15 |
| 1891251575 | Monica Jinkins | Licensed Practical Nurse | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2019-02-18 |
| 1700351392 | Shelby Janae Parsons | Registered Nurse | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2018-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538609037 | Melissa Lanier | Specialist | 801 N. Louisa, Shawnee, OK 74801 | 2017-03-02 |
| 1518365287 | Melanie A. Croy | Counselor | 1605 N. Harrison, Shawnee, OK 74801 | 2014-12-12 |
| 1134532229 | Megan Malouf | Registered Nurse | 2307 Gordon Cooper Dr., Shawnee, OK 74801 | 2014-06-05 |
| 1063836609 | Daniel Antwain Shaw | Counselor | 605 S. Pottenger Ave, Shawnee, OK 74801 | 2014-02-18 |
| 1639514862 | Cheryl Jeannette Left Hand | Counselor | 101 N. Union, Shawnee, OK 74801 | 2013-05-01 |
| 1881948644 | Lena I Samilton | Counselor | 319 S. Kennedy Ave., Apt.112, Shawnee, OK 74801 | 2012-11-01 |
| 1235433681 | Jenifer Sloan | Case Manager/Care Coordinator | 2029 S. Gordon Cooper Dr., Shawnee, OK 74801 | 2010-12-28 |
| 1295854958 | Jack C Luman | Dentist | 1410 N Harrison St, Shawnee, OK 74801 | 2007-03-27 |
| 1942375274 | M Gerald Ball | Psychologist | 819 North Kickapoo, Shawnee, OK 74801 | 2006-11-21 |
| 1205912573 | Regina Steciak Tanner | Physical Therapist | 909 N Kickapoo, Shawnee, OK 74801 | 2006-10-31 |
| Find all providers in zip 74801 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316450133 | Shawnee Mission Medical Center Inc | Family Medicine | 10824 Shawnee Mission Pkwy, Shawnee, KS 66203-3512 | 2017-11-15 |
| 1962807123 | Xpress Wellness LLC | Family Medicine | 8 E Macarthur St, Shawnee, OK 74804-2135 | 2014-10-30 |
| 1639512395 | Marjon Monfared | Family Medicine | 6815 Hilltop Rd Ste 100, Shawnee, KS 66226 | 2013-04-12 |
| 1902146723 | Mashek Health Services, LLC | Family Medicine | 4521 Gracelann, Shawnee, OK 74804-2366 | 2013-02-15 |
| 1710244124 | Blake Jerald Williamson | Family Medicine | 14611 W 50th St, Shawnee, KS 66216-5116 | 2012-04-23 |
| 1821126566 | Jawaria Khalid | Family Medicine | 10824 Shawnee Mission Parkway, Shawnee, KS 66203-3512 | 2007-03-02 |
| 1740338359 | Terese A Bauer | Family Medicine | 10820 W 64th St Ste 202, Gianna Family Care, Shawnee, KS 66203-3571 | 2007-01-08 |
| 1174608319 | Mitchell A Wolf | Family Medicine | 3214 Kethley Rd, Shawnee, OK 74804-9625 | 2006-10-26 |
| 1215029392 | George J Bures Jr. | Family Medicine | 7255 Renner Rd., Shawnee, KS 66217 | 2006-09-28 |
| 1942317854 | Shawnee Mission Medical Center, Inc. | Family Medicine | 11245 Shawnee Mission Parkway, Shawnee, KS 66203-3333 | 2006-08-24 |
| Find all providers in SHAWNEE | ||||
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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.