LARA CORBETT WILSON (NPI# 1649233412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649233412 |
Entity Type | Individual |
Full Name | LARA CORBETT WILSON |
Other Name | LARA LOU CORBETT |
Credential | MD |
Practice Address |
851 Leonard Fulghum Blvd Suite 201 Mt Pleasant SC 29464-3787 |
Practice Telephone | 8438845133 |
Practice Fax Number | 8438493343 |
Mailing Telephone | 8438845133 |
Mailing Fax Number | 8438493343 |
Enumeration Date | 2006-04-11 |
Last Update Date | 2014-08-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207V00000X | Obstetrics & Gynecology | 20495 | SC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | T42692 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427370345 | Lara Noel Wilson | Nurse Anesthetist, Certified Registered | 68 West Dominion Boulevard, Columbus, OH 43214 | 2010-02-19 |
1780188771 | Lara Jean Wilson | Student in an Organized Health Care Education/Training Program | 1401 Madison St Ste 100, Seattle, WA 98104-1316 | 2018-03-22 |
1730573122 | Lara S. Wilson | Nurse Practitioner | 6675 Holmes Rd, Ste 550, Kansas City, MO 64131-1150 | 2015-03-24 |
1982726329 | Lara Jean Wilson | Marriage & Family Therapist | 592 Rio Lindo Ave, Chico, CA 95926-1817 | 2007-04-05 |
Street Address |
851 LEONARD FULGHUM BLVD SUITE 201 |
City | MT PLEASANT |
State | SC |
Zip Code | 29464-3787 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720049414 | Lynn W Crymes | Obstetrics & Gynecology | 851 Leonard Fulghum Blvd, Suite 201, Mt Pleasant, SC 29464-3787 | 2006-03-31 |
1427484245 | East Cooper Obgyn, LLC | Obstetrics & Gynecology | 851 Leonard Fulghum Blvd, Suite 200, Mt Pleasant, SC 29464-3787 | 2013-09-25 |
1558698621 | Tenet South Carolina Lowcountry Ob Gyn, LLC | Obstetrics & Gynecology | 851 Leonard Fulghum Blvd, Suite 201, Mt Pleasant, SC 29464-3787 | 2009-11-11 |
1053568428 | Southern Orthopedics and Sports Medicine, LLC | Emergency Medicine | 851 Leonard Fulghum Blvd, Suite 101, Mt Pleasant, SC 29464-3787 | 2008-08-27 |
1235285859 | Natalie Gregory | Obstetrics & Gynecology | 851 Leonard Fulghum Blvd, Suite 201, Mt Pleasant, SC 29464-3787 | 2007-01-26 |
1932112604 | Amy S Warner | Specialist | 851 Leonard Fulghum Blvd, Suite 201, Mt Pleasant, SC 29464-3787 | 2006-08-14 |
1598777864 | Brodie Eden Mckoy | Orthopaedic Surgery | 851 Leonard Fulghum Blvd, Suite 101, Mt Pleasant, SC 29464-3787 | 2006-08-13 |
1336156405 | Carl David Geier Jr. | Orthopaedic Surgery | 851 Leonard Fulghum Blvd, Suite 101, Mt Pleasant, SC 29464-3787 | 2006-08-02 |
1740201805 | Harold Del Schutte Jr. | Orthopaedic Surgery | 851 Leonard Fulghum Blvd, Suite 101, Mt Pleasant, SC 29464-3787 | 2006-07-22 |
1003832155 | Maggie Wolman Evans | Obstetrics & Gynecology | 851 Leonard Fulghum Blvd, Suite 201, Mt Pleasant, SC 29464-3787 | 2006-07-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811548241 | Bradley Paul Anuszkiewicz | Chiropractor | 1501 Johnnie Dodds Blvd, Suite C, Mount Pleasant, SC 29464 | 2019-09-26 |
1447808696 | Laura Mariah Crouse | Speech-Language Pathologist | Coastal Therapy Services, 1127 Queensborough Blvd, Mt Pleasant, SC 29464 | 2019-08-30 |
1912461807 | Independent Optical | Optometrist | 1710 Shoremead Rd, Suite 420, Mount Pleasant, SC 29464 | 2019-01-25 |
1417446204 | Michael Adam Sugarman | Clinical Neuropsychologist | 1459 Stuart Engals Blvd Ste 204a, Mt Pleasant, SC 29464 | 2018-05-07 |
1578064192 | Ancillary Specialists LLC | Durable Medical Equipment & Medical Supplies | 636 Long Point Road, Unit G, #19, Mount Pleasant, SC 29464 | 2018-02-28 |
1346769015 | Christin Solomon Zerega | Counselor | Lowcountry Psychiatry Group, 913 Bowman Rd, #4, Mount Pleasant, SC 29464 | 2017-09-14 |
1336660315 | Charleston Neuropsychology LLC | Psychologist | 1459 Stuart Engals Blvd., Suite 204a, Mount Pleasant, SC 29464 | 2017-06-29 |
1790219970 | Adam Hudepohl | Family Medicine | 1400 Ben Sawyer Blvd, Mt Pleasant, SC 29464 | 2017-04-14 |
1386181204 | Alicia Taylor | Speech-Language Pathologist | 381 Stonewall Ct Apt 6207, Mount Pleasant, SC 29464 | 2017-01-30 |
1285181941 | Tara Lynn Mast | Physical Therapist | 1400 Caliper Oak Circle, Apt 316, Mount Pleasant, SC 29464 | 2016-09-09 |
Find all providers in zip 29464 |
Taxonomy Code | 207V00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740297993 | Antonio P Reyes | Obstetrics & Gynecology | 2005 N Jefferson Ave, Mt Pleasant, TX 75455-2336 | 2006-08-01 |
1861499295 | Christian Smith Cook | Obstetrics & Gynecology | 851 Leonard Fulghum Dr, Suite 200, Mt Pleasant, SC 29464-3787 | 2005-06-30 |
1427484245 | East Cooper Obgyn, LLC | Obstetrics & Gynecology | 851 Leonard Fulghum Blvd, Suite 200, Mt Pleasant, SC 29464-3787 | 2013-09-25 |
1245591403 | Lindsay Denise Foley | Obstetrics & Gynecology | 3510 N Highway 17 Ste 225, Mt Pleasant, SC 29466-8233 | 2012-06-05 |
1558698621 | Tenet South Carolina Lowcountry Ob Gyn, LLC | Obstetrics & Gynecology | 851 Leonard Fulghum Blvd, Suite 201, Mt Pleasant, SC 29464-3787 | 2009-11-11 |
1902047236 | Roper Saint Francis Physicians Network | Obstetrics & Gynecology | 570 Long Point Rd, Suite 130, Mt Pleasant, SC 29464-7930 | 2009-03-17 |
1760673917 | Lauri Wilkes Bullen | Obstetrics & Gynecology | 3510 N Highway 17 Ste 225, Mt Pleasant, SC 29466-8233 | 2007-08-05 |
1235285859 | Natalie Gregory | Obstetrics & Gynecology | 851 Leonard Fulghum Blvd, Suite 201, Mt Pleasant, SC 29464-3787 | 2007-01-26 |
1912082595 | Meghan E.r. Lynch | Obstetrics & Gynecology | 3510 Highway 17 N, Ste 225, Mt Pleasant, SC 29466-8227 | 2006-10-25 |
1558443994 | Gratiot Medical Center | Obstetrics & Gynecology | 1970 Ashland Dr, Mt Pleasant, MI 48858-1219 | 2006-10-19 |
Find all providers in MT PLEASANT |
City | MT PLEASANT |
Zip Code | 29464 |
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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.