GRANT THOMAS WILSON (NPI# 1720624695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720624695 |
| Entity Type | Individual |
| Full Name | GRANT THOMAS WILSON |
| Practice Address |
1407 N Michigan St Plymouth IN 46563-1119 |
| Mailing Address |
Po Box 562 Rochester IN 46975-0562 |
| Practice Telephone | 5749412220 |
| Mailing Telephone | 5742232167 |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2019-11-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | 17001521A | IN | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467493031 | Grant Wilson IIi | Specialist/Technologist | 140 Patrick Gym 97 Spear St, Burlington, VT 05405-0001 | 2006-06-08 |
| 1558738963 | Grant Wilson | Physician Assistant | 802 Kenyon Rd, Fort Dodge, IA 50501-5740 | 2015-09-02 |
| 1386024297 | Grant Wilson | Case Manager/Care Coordinator | 25 Gap Rd, Batesville, AR 72501-8679 | 2015-06-05 |
| Street Address |
1407 N MICHIGAN ST |
| City | PLYMOUTH |
| State | IN |
| Zip Code | 46563-1119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891201034 | Marjorie Ann Gutierrez | Hearing Instrument Specialist | 1407 N Michigan St, Plymouth, IN 46563-1119 | 2017-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811547748 | Steven N Wolff | Pharmacist | Walmart #1978, 2505 North Oak Drive, Plymouth, IN 46563 | 2019-09-12 |
| 1295280923 | Multi-county Ems LLC | Ambulance | 5034 Redwood Road, Plymouth, IN 46563 | 2016-08-23 |
| 1356473060 | Donna Michelle Eggers | Speech-Language Pathologist | 1915 Lake Avenue, Plymouth, IN 46563 | 2007-03-09 |
| 1629103684 | Marshall County Council On Aging | Home Delivered Meals | 1305 W Harrison Street, Plymouth, IN 46563 | 2007-02-22 |
| 1063561272 | Associates In Clinical Psychology PC | Psychiatric Residential Treatment Facility | 317 West Monroe St, Plymouth, IN 46563 | 2007-01-09 |
| 1316005911 | Michiana Eye Center LLC | Optometrist | 320 Meadow Ln, Plymouth, IN 46563 | 2006-12-05 |
| 1487722948 | Allen Edward Reese | Hearing Instrument Specialist | 322 N. Michigan St., Suite C, Plymouth, IN 46563 | 2006-12-01 |
| 1508932252 | Thomas A Miller | Chiropractor | 1071 Lincolnway E, Plymouth, IN 46563 | 2006-11-27 |
| 1679540991 | Mukesh Garg | Internal Medicine | 2349 Lake Ave Ste 99, Plymouth, IN 46563 | 2006-03-06 |
| 1982686242 | Woodlawn Hospital | Skilled Nursing Facility | 9601 Union Rd, Plymouth, IN 46563 | 2005-11-14 |
| Find all providers in zip 46563 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356821516 | Elizabeth A Noftsger | Hearing Instrument Specialist | 322 N Michigan St Ste C, Plymouth, IN 46563-1760 | 2018-08-17 |
| 1891201034 | Marjorie Ann Gutierrez | Hearing Instrument Specialist | 1407 N Michigan St, Plymouth, IN 46563-1119 | 2017-12-26 |
| 1679093702 | Micahel Anthony Winkler | Hearing Instrument Specialist | 3021 Harbor Ln N Ste 212, Plymouth, MN 55447-5120 | 2017-06-20 |
| 1821451386 | Alvin Neil Hunter | Hearing Instrument Specialist | 568 N Oak Dr, Plymouth, IN 46563-1664 | 2016-04-01 |
| 1881050987 | Megan Roy | Hearing Instrument Specialist | 101 Boulder Point Dr Ste 2, Plymouth, NH 03264-3170 | 2016-01-06 |
| 1265781595 | David Rioux | Hearing Instrument Specialist | 116 Long Pond Rd., Unit 1, Plymouth, MA 02360 | 2012-08-31 |
| 1447535638 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 15600 36th Ave N Ste 240, Plymouth, MN 55446-4523 | 2011-10-19 |
| 1497989826 | Robert Olson | Hearing Instrument Specialist | 5000 Cheshire Pkwy N, Plymouth, MN 55446-4103 | 2009-05-13 |
| 1487722948 | Allen Edward Reese | Hearing Instrument Specialist | 322 N. Michigan St., Suite C, Plymouth, IN 46563 | 2006-12-01 |
| 1558997858 | Jennifer Natale | Hearing Instrument Specialist | 116 Long Pond Rd, Plymouth, MA 02360-2663 | 2020-03-18 |
| Find all providers in PLYMOUTH | ||||
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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.