DR. KIMBERLY NICOLE GOSS WILSON (NPI# 1649546490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649546490 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY NICOLE GOSS WILSON |
| Credential | M.D. |
| Practice Address |
2502 W Saint Isabel St Suite B Tampa FL 33607-6370 |
| Practice Telephone | 8138745707 |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2015-12-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | ME119165 | FL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407465420 | Kimberly Frances Wilson | Doula | 6911 Deorsam Loop, Killeen, TX 76542-6377 | 2020-07-26 |
| 1689132250 | Kimberly Jo Wilson | Registered Nurse | 3765 King Rd, Saginaw, MI 48601-7146 | 2019-03-03 |
| 1265905038 | Kimberly Ann Wilson | Speech-Language Pathologist | 658 Lions Gate Ln, Odenton, MD 21113-1490 | 2019-01-04 |
| 1114462793 | Kimberly Wilson | Social Worker | 1820 T St Nw Apt 2, Washington, DC 20009-7144 | 2017-01-05 |
| 1841749439 | Kimberly Ann Wilson | Nurse Practitioner | 4333 S 172nd East Ave, Tulsa, OK 74134-7281 | 2016-09-24 |
| 1700246709 | Kimberly Moss Wilson | Counselor | 1116 E Ponce De Leon Ave, Decatur, GA 30030-2711 | 2016-03-03 |
| 1427451939 | Kimberly Wilson | Occupational Therapist | 6608 Covington Cv, Canfield, OH 44406-8161 | 2014-09-29 |
| 1083036701 | Kimberly Wilson | Social Worker | 6210 Belcrest Rd Apt 1228, Hyattsville, MD 20782-2967 | 2014-01-15 |
| 1801220579 | Kimberly Patrice Wilson | Counselor | 205 North Liberty St, Centreville, MD 21617 | 2013-08-29 |
| 1164795704 | Kimberly Renee Wilson | Speech-Language Pathologist | 107 S Keswick Ave, Glenside, PA 19038-4509 | 2012-02-13 |
| Street Address |
2502 W SAINT ISABEL ST SUITE B |
| City | TAMPA |
| State | FL |
| Zip Code | 33607-6370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023011335 | Anthony M Messina | Obstetrics & Gynecology | 2502 W Saint Isabel St, Ste A, Tampa, FL 33607-6355 | 2005-05-31 |
| 1447896055 | Holly O'hearn | Nurse Practitioner | 2502 W Saint Isabel St, Tampa, FL 33607-6318 | 2019-11-19 |
| 1649762139 | Lyndsey Leeann Hawkins | Physician Assistant | 2502 W Saint Isabel St, Tampa, FL 33607-6370 | 2018-05-31 |
| 1750871935 | Neil Edward Collom | Physician Assistant | 2502 W Saint Isabel St, Tampa, FL 33607-6370 | 2018-05-14 |
| 1659725141 | Zoya Khan | Physician Assistant | 2502 W Saint Isabel St, Suite B, Tampa, FL 33607-6370 | 2016-04-20 |
| 1235595877 | Krista Babyak | Nurse Practitioner | 2502 W Saint Isabel St, Suite B, Tampa, FL 33607-6370 | 2016-01-12 |
| 1164828448 | Reynier Garcia | Nurse Practitioner | 2502 W Saint Isabel St, Suite B, Tampa, FL 33607-6370 | 2014-11-13 |
| 1992148134 | Ciara Egan Calitri | Physician Assistant | 2502 W Saint Isabel St, Tampa, FL 33607-6370 | 2013-04-08 |
| 1356601652 | Shields Duss Hoida | Emergency Medicine | 2502 W Saint Isabel St, Suite B, Tampa, FL 33607-6370 | 2012-05-21 |
| 1770873242 | Phillip Daniel Mcconnell | Emergency Medicine | 2502 W Saint Isabel St, Suite B, Tampa, FL 33607-6370 | 2011-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326656265 | Sky City Pharmacy LLC | Pharmacy | 2812 W. Dr Martin Luther King Jr Blvd, Tampa, FL 33607 | 2020-07-16 |
| 1821614413 | Tammy Sue Alleyn | Social Worker | 4414 N. Armenia Av., Tampa, FL 33607 | 2020-06-19 |
| 1912528290 | Advanced Mobile Medical Services | Clinic/Center | 2136 W. Mlk Blvd, Tampa, FL 33607 | 2020-04-28 |
| 1659909232 | Rachel Sobiech | Social Worker | 2006 Pan Am Circle, Suite 270, Tampa, FL 33607 | 2020-03-30 |
| 1295379733 | Melizza Liz Sanchez Ayala | Registered Nurse | 1701 N Lois Avenue, Valera Apt Unit 224, Tampa, FL 33607 | 2019-10-28 |
| 1720647191 | Caretyme LLC | Clinic/Center | 1923 West St. John Street, Tampa, FL 33607 | 2019-06-10 |
| 1720545981 | Amante Medical and Diabetic Center, P.a. | Internal Medicine | 1001 N Macdill Ave. Suite B, Tampa, FL 33607 | 2019-02-25 |
| 1609360908 | Misty Dawn Ray Ross | Social Worker | 2902 N Armenia Ave Ste 200, Tampa, FL 33607 | 2018-06-20 |
| 1255825154 | Kenneth Konrad Schirer | Physical Therapist | 2700 W Dr. Mlk Blvd, Suite 300, Tampa, FL 33607 | 2018-06-14 |
| 1902314875 | Cardiac Cin of Florida, LLC | Internal Medicine | 3001 W Martin Luther King Jr Blvd, Tampa, FL 33607 | 2018-01-13 |
| Find all providers in zip 33607 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407472723 | Dispatchhealth-florida Inc. | Emergency Medicine | 5421 Beaumont Center Blvd Ste 660, Tampa, FL 33634-5223 | 2020-06-23 |
| 1053796342 | Tomislav Jelic | Emergency Medicine | One Davis Blvd, Suite 503, Tampa, FL 33606 | 2015-07-28 |
| 1669857108 | Keystone Medical Services of Tn, Pa | Emergency Medicine | 1201 W Swann Ave, Tampa, FL 33606-2639 | 2015-07-27 |
| 1710383849 | Jamshed Ahmad | Emergency Medicine | 11136 Ancient Futures Dr, Tampa, FL 33647-3577 | 2014-11-18 |
| 1124421409 | Bay Area Emergency Physicians Urgent Care LLC | Emergency Medicine | 6909 W Waters Ave, Tampa, FL 33634-2213 | 2014-10-01 |
| 1164842225 | Travel Doctor, Pl | Emergency Medicine | 10970 Cross Creek Blvd., Suite D, Tampa, FL 33647-4034 | 2014-04-16 |
| 1508283482 | Christian Nader Sobky | Emergency Medicine | 3614 Cypress Meadows Rd, Tampa, FL 33624-2912 | 2014-03-27 |
| 1104180538 | John Peter Santamaria | Emergency Medicine | 11327 Carrollwood Dr, Tampa, FL 33618-3703 | 2012-06-29 |
| 1710133673 | Jennifer Anne Locke | Emergency Medicine | 3001 West Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 | 2008-08-12 |
| 1336302348 | Sumera Haroon Memon | Emergency Medicine | 12950 Race Track Rd, Suite 106, Tampa, FL 33626-1309 | 2008-07-09 |
| Find all providers in TAMPA | ||||
Please comment or provide details below to improve the information on DR. KIMBERLY NICOLE GOSS 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.