KAYE WILSON (NPI# 1679608004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679608004 |
| Entity Type | Individual |
| Full Name | KAYE WILSON |
| Other Name | KAYE WILSON UMANA |
| Credential | M.D. |
| Practice Address |
1320 Montauk Hwy Watermill NY 11976 |
| Mailing Address |
1320 Montauk Hwy P.o. Box 960 Watermill NY 11976 |
| Practice Telephone | 6317265556 |
| Mailing Telephone | 6317265556 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2017-01-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 153573 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00820439 | 05 |
| Street Address |
1320 MONTAUK HWY |
| City | WATERMILL |
| State | NY |
| Zip Code | 11976 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447745062 | Richard M. Lawless | Counselor | 860 Montauk Highway, Building 1, Water Mill, NY 11976 | 2018-06-26 |
| 1982040176 | Jack Walter Carl Hagstrom | Pathology | 876, Seven Ponds Towd Road, Water Mill, NY 11976 | 2013-05-15 |
| 1093009003 | Liane Hayward | Physical Therapist | 70 Scuttle Hole Road, Water Mill, NY 11976 | 2011-06-07 |
| 1437374840 | Joanne Mercer | Podiatrist | 708 Montauk Hwy, Water Mill, NY 11976 | 2007-04-13 |
| 1215032297 | Damian A Marrese | Family Medicine | 860 Montauk Hwy, #247, Water Mill, NY 11976-0247 | 2006-09-14 |
| 1619272408 | Gertrud Elisabeth Hoertnagl-pereira | Occupational Therapist | 262 Roses Grove Rd, Water Mill, NY 11976-2034 | 2011-01-25 |
| 1285996173 | Pamela Ann Wittenberg | Specialist | 472 Blank Ln, Water Mill, NY 11976-2136 | 2012-06-15 |
| 1922423847 | Anthony Lombardo | Registered Nurse | 32 Deer Run, Water Mill, NY 11976-2144 | 2014-02-28 |
| 1619489531 | Nicole Elizabeth Gambino | Specialist | 35 Winding Way, Water Mill, NY 11976-2325 | 2017-11-01 |
| 1912330630 | Anna Silverberg | Nurse Practitioner | 16 Fairbanks Ct, Water Mill, NY 11976-2340 | 2013-08-16 |
| Find all providers in zip 11976 | ||||
| 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 |
|---|---|---|---|---|
| 1881295558 | Mamoon Malik | Family Medicine | 90 Menands Rd, Albany, NY 12204-1400 | 2020-11-08 |
| 1336749571 | Chowdhury Medical PC | Family Medicine | 155 Alkier St, Brentwood, NY 11717-5129 | 2020-10-27 |
| 1356940084 | Rebecca Jean Smouse | Family Medicine | 1107 Prendergast Ave, Jamestown, NY 14701-3315 | 2020-10-23 |
| 1336748136 | Rapha House Calls | Family Medicine | 2 Fernglade Ct, Chester, NY 10918-2637 | 2020-10-22 |
| 1174122980 | Richmond Health Partners Ipa LLC | Family Medicine | 1161 Victory Blvd, Staten Island, NY 10301-3621 | 2020-10-22 |
| 1730787128 | Michael C Secallus | Family Medicine | 66 Kirkwood Gdns, Kirkwood, NY 13795-1623 | 2020-10-16 |
| 1861099053 | Julia Gross Family Health Nurse Practitioner, Pllc | Family Medicine | 950 Route 146 Ste 100, Clifton Park, NY 12065-3667 | 2020-10-01 |
| 1013523190 | Steinway Hope Medical LLC | Family Medicine | 8829 54th Ave Fl 2, Elmhurst, NY 11373-4543 | 2020-09-23 |
| 1538774500 | Jenny Brandt | Family Medicine | 3048 Sunset Ln # 2, Schenectady, NY 12303-5528 | 2020-09-15 |
| 1992319016 | Sarah Glaser | Family Medicine | 30 W 24th St, New York, NY 10010-3207 | 2020-09-04 |
| 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.