DR. MICHAEL WILSON (NPI# 1649232943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649232943 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL WILSON |
| Credential | DPM |
| Practice Address |
190 Kimel Park Dr Winston-salem NC 27103-6946 |
| Mailing Address |
813 Holly Hedge Dr Lewisville NC 27023-9664 |
| Practice Telephone | 3367683296 |
| Practice Fax Number | 3367948668 |
| Mailing Telephone | 3369462729 |
| Mailing Fax Number | 3369462729 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 100 | SC | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386203537 | Michael John Wilson | Clinical Neuropsychologist | 9301 Madison St Rm 369, Crown Point, IN 46307-7745 | 2019-06-11 |
| 1982268017 | Michael Donavan Wilson | Counselor | 200 North Lewis, Waukegan, IL 60087 | 2019-04-24 |
| 1891201604 | Michael Paul Wilson | Technician/Technologist | 324 Garden Rd, Springfield, PA 19064-3505 | 2017-12-18 |
| 1659897536 | Michael Wilson | Driver | 1628 Bucktown Dr, Danville, VA 24543 | 2017-08-22 |
| 1386096501 | Michael Wilson | Home Health | 596 North Hawkins Ave, Akron, OH 44313 | 2016-07-12 |
| 1164895728 | Michael Wilson | Counselor | 3027 Pleasant Grv, Bossier City, LA 71111-5758 | 2015-11-04 |
| 1013384379 | Michael Wilson | Counselor | 7110 Sw Fir Loop Ste 220, Tigard, OR 97223 | 2015-08-21 |
| 1467828350 | Michael Wilson | Social Worker | 30500 Southfield Road Apt. 200, Michael Wilson, Southfield, MI 48076 | 2015-08-14 |
| 1356723803 | Michael Wilson II | Home Health Aide | 348 Wilson Ave, Port Clinton, OH 43452-1740 | 2015-06-22 |
| 1467641399 | Michael C. Wilson | Developmental Therapist | 820 E 38th Pl Unit 1, Chicago, IL 60653-1969 | 2007-10-16 |
| Street Address |
190 KIMEL PARK DR |
| City | WINSTON-SALEM |
| State | NC |
| Zip Code | 27103-6946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588623003 | Mark Lee Seatvet | Physician Assistant | 190 Kimel Park Dr, Winston-salem, NC 27103-6946 | 2006-03-22 |
| 1376508911 | Wade Gibbs | Pharmacist | 190 Kimel Park Dr, Winston-salem, NC 27103-6946 | 2006-04-18 |
| 1972567618 | David Schreiner | Internal Medicine | 190 Kimel Park Dr, Winston-salem, NC 27103-6946 | 2006-04-12 |
| 1366405417 | Clarence Earl Lloyd Jr. | Radiology | 190 Kimel Park Dr, Va Outpatient Clinic, Winston-salem, NC 27103-6946 | 2006-04-10 |
| 1013970987 | Shih-ching Lee | Internal Medicine | 190 Kimel Park Dr, Winston-salem, NC 27103-6946 | 2006-04-10 |
| 1568425445 | Suzanne Lynn Burks-bermudez | Internal Medicine | 190 Kimel Park Dr, Winston-salem, NC 27103-6946 | 2006-04-10 |
| 1760445118 | Paul Warren Bailey | Physician Assistant | 190 Kimel Park Dr, Winston-salem, NC 27103-6946 | 2006-04-07 |
| 1437110186 | Joseph Christian Pardue | Dietitian, Registered | 190 Kimel Park Dr, Winston-salem, NC 27103-6946 | 2006-03-31 |
| 1538120910 | Dept of Veterans Affairs Outpatient Clinic | Nurse Practitioner | 190 Kimel Park Dr, Winston-salem, NC 27103-6946 | 2006-03-28 |
| 1760443147 | Stephen Charles Beuttel | Internal Medicine | 190 Kimel Park Dr, Winston-salem, NC 27103-6946 | 2006-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316993033 | Sprinkle Foot & Ankle Center Pa | Podiatrist | 751 Bethesda Road, Sprinkle Foot and Ankle Center Pa Ste 102, Winston-salem, NC 27103 | 2006-05-25 |
| 1396717005 | J Barry Johnson | Podiatrist | 3314 Healy Dr, Suite 102, Winston-salem, NC 27103-1408 | 2006-02-06 |
| 1477931020 | Ashleigh Elizabeth Wells | Podiatrist | 1 Medical Center Blvd, Department of Orthopaedic Surgery, Winston-salem, NC 27103 | 2015-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457913006 | Caromont Medical Group Inc | Podiatrist | 2555 Court Dr Ste 250, Gastonia, NC 28054-2185 | 2019-07-03 |
| 1902370968 | Mission Foot and Ankle, Pllc | Podiatrist | 4140 Fayetteville Rd, Lumberton, NC 28358-2669 | 2019-01-14 |
| 1912474784 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 1004 Werrington Drive, Suite 300, Holly Springs, NC 27540 | 2018-10-30 |
| 1598240525 | Innovative Foot and Ankle Care Pllc | Podiatrist | 318 English Oak Rd, Fletcher, NC 28732-8368 | 2018-09-25 |
| 1568949915 | Natalie Patricia Martinez-jones | Podiatrist | 9601 Holly Point Dr Ste 203, Huntersville, NC 28078-5069 | 2018-07-27 |
| 1073003752 | Gooden Mobile Pod Nc Pllc | Podiatrist | 311 Mcfadyen Dr, Fayetteville, NC 28314 | 2018-05-17 |
| 1508215179 | Bryan Joseph Williams | Podiatrist | 428 N Trade St Ste 100, Matthews, NC 28105-1729 | 2016-06-06 |
| 1477908846 | James Keith Smith | Podiatrist | 6 Regional Dr Suite D, Pinehurst, NC 28374-8850 | 2016-05-04 |
| 1578941423 | Kristin A Kirby | Podiatrist | 15419 Hodges Cir Ste 200, Huntersville, NC 28078 | 2015-05-12 |
| 1396138228 | Barnabas Podiatry & Health Wellness Center LLC | Podiatrist | 2709 Southern Trace Dr, Waxhaw, NC 28173-0010 | 2015-03-17 |
| Find all providers with the same taxonomy | ||||
| City | WINSTON-SALEM |
| Zip Code | 27103 |
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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.