DR. JASON DAVID WILSON


Address: 2020 Gravier St, Rm 748, New Orleans, LA 70112-2272
Phone: 5045686123

DR. JASON DAVID WILSON (NPI# 1700952744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700952744
Entity Type Individual
Full Name DR. JASON DAVID WILSON
Credential M.D.
Practice Address 2020 Gravier St
Rm 748
New Orleans
LA 70112-2272
Practice Telephone 5045686123
Mailing Telephone 5045686123
Enumeration Date 2006-11-28
Last Update Date 2013-06-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207T00000X Neurological Surgery 205122 LA Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
AL 128732 05
LA 2183559 05
IN 200974460 05
AL BLUE CROSS 51115470 01

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1235132531 Jason B Wilson Obstetrics & Gynecology 3424 Medical Park Dr, Ste 1, Monroe, LA 71203-2378 2005-05-31
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Office Location

Street Address 2020 GRAVIER ST
RM 748
City NEW ORLEANS
State LA
Zip Code 70112-2272

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548200090 Jayne S Weiss Ophthalmology 2020 Gravier St, Ste. B, New Orleans, LA 70112-2272 2006-06-06
1417584814 Tova Leah Weiss Student in an Organized Health Care Education/Training Program 2020 Gravier St, New Orleans, LA 70112-2272 2020-03-25
1740814086 Morgan Mcdougal Student in an Organized Health Care Education/Training Program 2020 Gravier St, New Orleans, LA 70112-2272 2020-02-25
1558822189 Andrea Fa Student in an Organized Health Care Education/Training Program 2020 Gravier St, New Orleans, LA 70112-2272 2019-03-27
1457884710 Jared Michael Robichaux Student in an Organized Health Care Education/Training Program 2020 Gravier St, 7th Floor, New Orleans, LA 70112-2272 2017-04-04
1548622467 Sara Mamman Student in an Organized Health Care Education/Training Program 2020 Gravier St, Suite 602, New Orleans, LA 70112-2272 2016-03-22
1922460880 Leo Joseph Webb Jr. Student in an Organized Health Care Education/Training Program 2020 Gravier St, New Orleans, LA 70112-2272 2016-03-22
1528445608 Simon Peter Tiu Student in an Organized Health Care Education/Training Program 2020 Gravier St, Suite 602, New Orleans, LA 70112-2272 2015-04-28
1376920512 Ryan Michael Cruz Student in an Organized Health Care Education/Training Program 2020 Gravier St, Suite 602, New Orleans, LA 70112-2272 2015-04-27
1679960140 Jessica Shields Student in an Organized Health Care Education/Training Program 2020 Gravier St, New Orleans, LA 70112-2272 2015-04-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346867306 Suayp Oygen Student in an Organized Health Care Education/Training Program 1430 Tulane Ave., #8545 Suite 7209, New Orleans, LA 70112 2020-06-25
1073132692 Bianca Ngwe Ndeso Fomukong Student in an Organized Health Care Education/Training Program 450a South Claiborne, Room 521, New Orleans, LA 70112 2020-04-14
1184253510 Arya Mohammad Reza Loghmani Student in an Organized Health Care Education/Training Program 1542 Tulane Avenue, Box T4m-2, New Orleans, LA 70112 2020-04-07
1447889365 Kinnah Menta Hughes Student in an Organized Health Care Education/Training Program 1900 Gravier Street, New Orlens, LA 70112 2020-04-02
1396373924 Carson Mills Student in an Organized Health Care Education/Training Program Tulane University School of Medicine, Dept of Surgery, 1430 Tulane Ave., Mail Code 8622, New Orleans, LA 70112 2020-03-30
1417585134 Pate Duddleston Student in an Organized Health Care Education/Training Program 131 S. Robertson St., Ste. 1300 Mail Code 8047, New Orleans, LA 70112 2020-03-29
1467090084 Camilla Henderson Technician, Pathology 1415 Tulane Hospital, New Orleans, LA 70112 2019-12-13
1942850615 Shannon R. Bierma Psychologist 1542 Tulane Ave, Department of Psychiatry, New Orleans, LA 70112 2019-09-16
1326608035 Julia Obehi Aigbogun Student in an Organized Health Care Education/Training Program Tulane Hospital and Clinics 1415 Tulane Avenue, New Orleans, LA 70112 2019-06-14
1477016970 Nicole Marie Crozat Student in an Organized Health Care Education/Training Program Dept of Psych, 1542 Tulane Avenue, New Orleans, LA 70112 2019-04-11
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Taxonomy Information

Taxonomy Code 207T00000X
Grouping Allopathic & Osteopathic Physicians
Classification Neurological Surgery

Taxonomy Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144681800 Hill Country Monitoring LLC Neurological Surgery 650 Poydas St, Ste 1400, New Orleans, LA 70130 2016-03-09
1184028367 Arthur Wang Neurological Surgery 1430 Tulane Ave # 8047, New Orleans, LA 70112-2632 2014-10-16
1184727299 Bradley Joseph Bartholomew Neurological Surgery 3629 Prytania St, New Orleans, LA 70115-3610 2006-09-06
1023026879 Robert L Applebaum Neurological Surgery 3434 Prytania St., Suite 230, New Orleans, LA 70115 2006-08-04
1124040308 Aaron S. Dumont Neurological Surgery 131 S Robertson St, Suite 1300, New Orleans, LA 70112-2807 2006-07-24
1528409968 Kareem Elzamly Neurological Surgery 1415 Tulane Ave, New Orleans, LA 70112-2600 2013-07-15
1104168541 Derrick Umansky Neurological Surgery 131 S Robertson St, #8047, New Orleans, LA 70112-2807 2013-03-25
1295093482 Jennifer A. Kosty Neurological Surgery 1514 Jefferson Hwy, New Orleans, LA 70121 2012-04-25
1851657100 Esther Beeson Dupepe Neurological Surgery 1514 Jefferson Hwy, New Orleans, LA 70121-2429 2012-04-11
1326332388 Lora Kahn Neurological Surgery 1514 Jefferson Hwy, New Orleans, LA 70121 2011-06-07
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Competitor

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City NEW ORLEANS
Zip Code 70112

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Dataset Information

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.

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