DR. LORI L WILSON (NPI# 1679578249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679578249 |
| Entity Type | Individual |
| Full Name | DR. LORI L WILSON |
| Credential | DPM |
| Practice Address |
104 Delaware Ave Suite 246 Uniontown PA 15401-3100 |
| Practice Telephone | 7244391300 |
| Practice Fax Number | 7244398727 |
| Mailing Telephone | 7244391300 |
| Mailing Fax Number | 7244398727 |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171W00000X | Contractor | SC003555R | PA | Other Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
SC003555R | PA | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
SC003555R | PA | Podiatric Medicine & Surgery Service Providers |
| N | 261QP1100X |
Clinic/Center Specialization: Podiatric |
SC003555R | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 001214510003 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427665660 | Lori Lyn Wilson | Peer Specialist | 12700 Sw 53rd St, Mustang, OK 73064-7257 | 2020-09-30 |
| 1588205058 | Lori Wilson | Registered Nurse | 5512 Canyon Bluff Ln, Rosharon, TX 77583-2091 | 2019-10-04 |
| 1538401344 | Lori Rhae Wilson | Rehabilitation Practitioner | 1620 Granite Dr, Reno, NV 89509-3997 | 2013-03-19 |
| 1528344611 | Lori A. Wilson | Speech-Language Pathologist | 3830 Paulding Ave., Lavelle School for The Blind, Bronx, NY 10469 | 2011-11-02 |
| 1518274505 | Lori Anne Wilson | Acupuncturist | 3010 5th Ave, San Diego, CA 92103-5841 | 2010-09-11 |
| 1679727010 | Lori N Wilson | Marriage & Family Therapist | 615 Piikoi St., #203, Honolulu, HI 96814 | 2008-11-12 |
| 1629256409 | Lori Sue Wilson | Counselor | 2480 N Palo Verde Blvd, #103, Tucson, AZ 85716-2548 | 2008-02-04 |
| 1134340714 | Lori Anne Wilson | Psychologist | 6602 N. 75th Ave, Glendale, AZ 85303-3536 | 2007-05-01 |
| 1861409203 | Lori S Wilson | Dentist | 2010 Wakefield Ave, Petersburg, VA 23805-2112 | 2006-08-01 |
| 1417970682 | Lori B Wilson | Midwife, Lay | 2211 N Weber St, Colorado Springs, CO 80907-6946 | 2006-07-26 |
| Street Address |
104 DELAWARE AVE SUITE 246 |
| City | UNIONTOWN |
| State | PA |
| Zip Code | 15401-3100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710431168 | Heather Lucy | Nurse Practitioner | 104 Delaware Ave, Suite 240, Uniontown, PA 15401-3100 | 2016-08-14 |
| 1194132183 | Christina Triplett | Nurse Practitioner | 104 Delaware Ave, Uniontown, PA 15401-3100 | 2014-07-22 |
| 1447678594 | The Orthopedic Group | Physical Therapist | 104 Delaware Ave, Ste 103, Uniontown, PA 15401-3100 | 2014-04-04 |
| 1609293737 | Advanced Foot and Ankle of Southwest Pa | Podiatrist | 104 Delaware Ave, Suite 246, Uniontown, PA 15401-3100 | 2014-03-26 |
| 1417259706 | Christie Autumn Gaudiano | Physician Assistant | 104 Delaware Ave, Suite 244, Uniontown, PA 15401-3100 | 2010-11-19 |
| 1871724245 | Danielle Mohar | Nurse Practitioner | 104 Delaware Ave, Suite 244, Uniontown, PA 15401-3100 | 2009-08-04 |
| 1982722294 | Subodh G. Patel M.d.p.c. | Urology | 104 Delaware Ave, Suite 240, Uniontown, PA 15401-3100 | 2007-03-26 |
| 1659338598 | Subodh G. Patel | Urology | 104 Delaware Ave, Suite 240, Uniontown, PA 15401-3100 | 2006-04-26 |
| 1356304141 | Southwest Womens Healthcare Inc | Obstetrics & Gynecology | 104 Delaware Ave, Suite 244, Uniontown, PA 15401-3100 | 2006-04-11 |
| 1831163948 | Fayette Medical Associates Inc | Family Medicine | 104 Delaware Ave, Suite 240, Uniontown, PA 15401-3100 | 2006-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811541808 | Kevin C Kutchman | Physical Medicine & Rehabilitation | 15 Morgantown Street, Uniontown, PA 15401 | 2019-07-28 |
| 1316502958 | Rosalia Friess | Occupational Therapist | 147 Lafayette Street, Uniontown, PA 15401 | 2019-05-09 |
| 1801369012 | Jill Cristen Bellush | Occupational Therapy Assistant | Lafayette Manor, Inc, 147 Lafayette Manor Road, Uniontown, PA 15401 | 2019-01-10 |
| 1679054183 | Wellness Recovery LLC | Counselor | 9-11 Veech St., Uniontown, PA 15401 | 2018-08-23 |
| 1851802185 | Young Men's Christian Association of Uniontown | Health Educator | One Ymca Drive, Uniontown, PA 15401 | 2017-10-13 |
| 1942730759 | Michele Dice | Social Worker | 89 W. Fayette Street, Uniontown, PA 15401 | 2017-06-14 |
| 1427593425 | Revital Metro | Counselor | 1203 Pittsburgh Road, Suite 101, Uniontown, PA 15401 | 2016-12-29 |
| 1366987729 | Michelle Carolla | Physician Assistant | 141 Wayland Smith Drive, Uniontown, PA 15401 | 2016-12-21 |
| 1558805176 | Samantha Helmantoler | Counselor | 1023 Pittsburgh Road, Uniontown, PA 15401 | 2016-12-16 |
| 1639527351 | Fayette Resources, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Millennium Drive Suite 2, Uniontown, PA 15401 | 2016-06-03 |
| Find all providers in zip 15401 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609293737 | Advanced Foot and Ankle of Southwest Pa | Podiatrist | 104 Delaware Ave, Suite 246, Uniontown, PA 15401-3100 | 2014-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326656208 | Delaney Wickramage | Podiatrist | 111 N 9th St Unit 203, Philadelphia, PA 19107-2449 | 2020-07-16 |
| 1841819463 | Michael A Savisky | Podiatrist | West Penn Hospital, 4800 Friendship Avenue/foot and Ankle Institute, Pittsburgh, PA 15224-1793 | 2020-04-14 |
| 1114551140 | Gretchen M Perschke | Podiatrist | 104 Technology Dr Ste 103, Butler, PA 16001-1801 | 2020-02-28 |
| 1912537960 | Brian J Morris | Podiatrist | 103 Tamara Dr, Old Forge, PA 18518-2342 | 2020-01-17 |
| 1205477973 | New Step Podiatry Associates, LLC | Podiatrist | 2076 Huber Dr, Quakertown, PA 18951-3888 | 2019-10-03 |
| 1336780345 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 4033 Linglestown Rd Ste 1, Harrisburg, PA 17112-1153 | 2019-10-01 |
| 1417598426 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 2025 Technology Pkwy Ste 201, Mechanicsburg, PA 17050-9401 | 2019-10-01 |
| 1891345104 | Bay City Associates In Podiatry Inc | Podiatrist | 105 Mead Ave Ste A, Meadville, PA 16335-3531 | 2019-09-18 |
| 1093367203 | Gary A. Raymond Dpm PC | Podiatrist | 195 Memorial Dr Ste 6, Everett, PA 15537-7056 | 2019-07-09 |
| 1992357115 | Gary A. Raymond, Dpm, PC | Podiatrist | 1225 Warm Springs Avenue, 3rd Floor, Huntingdon, PA 16652-7146 | 2019-07-09 |
| Find all providers with the same taxonomy | ||||
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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.