MISS PATRICIA ANN WILSON (NPI# 1750318937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750318937 |
| Entity Type | Individual |
| Full Name | MISS PATRICIA ANN WILSON |
| Credential | P.A. |
| Practice Address |
4600 4th St N St Petersburg FL 33703-3802 |
| Mailing Address |
5880 49th St N Suite 104 St Petersburg FL 33709-2150 |
| Practice Telephone | 7275275272 |
| Practice Fax Number | 7275227412 |
| Mailing Telephone | 7275286100 |
| Mailing Fax Number | 7275287895 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2019-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9102428 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 291615100 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5880 49th St N, Suite 104, St Petersburg, FL 337092150 | 7275286100 | 7275287895 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033755681 | Patricia Diane Marie Wilson | Registered Nurse | 5496 Mountain View Ave, Riverside, CA 92504-1254 | 2019-11-19 |
| 1982129995 | Patricia Wilson | Home Health Aide | 3808 Saddleback Dr, Dallas, TX 75227-5262 | 2017-08-10 |
| 1619348596 | Patricia Wilson | Community/Behavioral Health | 22980 Lynx Ct, Sorrento, FL 32776-9330 | 2015-10-17 |
| 1508232604 | Patricia Ann Wilson | Specialist/Technologist, Other | 1019 Sagewood Pl, Pocatello, ID 83201-2729 | 2015-08-12 |
| 1750634119 | Patricia Lynn Wilson | Counselor | 109 Holiday Ct Ste A2, Franklin, TN 37067-3046 | 2012-10-23 |
| 1811249642 | Patricia Mae Wilson | Social Worker | 9421 1/2 W Olympic Blvd, Beverly Hills, CA 90212-4511 | 2012-10-03 |
| 1043593742 | Patricia Ann Wilson | Marriage & Family Therapist | 877 Island Ave, 207, San Diego, CA 92101-7116 | 2011-09-20 |
| 1780982678 | Patricia Shanahan Wilson | Speech-Language Pathologist | 4931 Old Dominion Dr, Arlington, VA 22207-2833 | 2011-03-02 |
| 1932366010 | Patricia H. Wilson | Developmental Therapist | 2117 Mound Ave, Panama City, FL 32405-1442 | 2008-05-17 |
| 1013187103 | Patricia Ann Wilson | Counselor | 2316 Armory Dr, Murfreesboro, TN 37129-6930 | 2008-03-05 |
| Street Address |
4600 4TH ST N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33703-3802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912989625 | Glenn S Fuoco | Physical Medicine & Rehabilitation | 4600 4th St N, St Petersburg, FL 33703-3802 | 2005-11-17 |
| 1013540913 | Musculoskeletal Institute Chartered | Orthopaedic Surgery | 4600 4th St N, St Petersburg, FL 33703-3802 | 2020-02-19 |
| 1275164501 | Musculoskeletal Institute Chartered | Clinic/Center | 4600 4th St N, St Petersburg, FL 33703-3802 | 2020-01-27 |
| 1538701131 | Erin Melissa Gordy | Physician Assistant | 4600 4th St N, St Petersburg, FL 33703-3802 | 2019-10-15 |
| 1184282907 | Mark Daicoff | Physician Assistant | 4600 4th St N, St Petersburg, FL 33703-3802 | 2019-06-05 |
| 1790283331 | William Travis Hupp | Physician Assistant | 4600 4th St N, St Petersburg, FL 33703 | 2018-01-29 |
| 1790201507 | Weston Thomas | Orthopaedic Surgery | 4600 4th St N, St Petersburg, FL 33703-3802 | 2017-08-15 |
| 1275056244 | Anthony Fittipaldi | Physical Therapist | 4600 4th St N, St Petersburg, FL 33703-3802 | 2017-07-21 |
| 1639691991 | Clare Harvey | Specialist/Technologist | 4600 4th St N, St Petersburg, FL 33703-3802 | 2017-07-08 |
| 1255781696 | Jocelyn Doina | Specialist/Technologist | 4600 4th St N, St Petersburg, FL 33703-3802 | 2016-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376150276 | Stephanie Gayle Barnes | Rehabilitation Practitioner | 610 47th Ave N, St Petersburg, FL 33703 | 2020-09-25 |
| 1366945099 | St. Petersburg Free Clinic | General Practice | 5501 - 4th Street North, St. Petersburg, FL 33703 | 2018-03-08 |
| 1306381363 | Dominique Timothee | Behavioral Analyst | 4301 16th Street N, St Petersburg, FL 33703 | 2016-12-30 |
| 1962849455 | Bobbie Vaughn | Behavioral Analyst | 880 6th St. South, St. Petersburg, FL 33703 | 2013-05-24 |
| 1255672796 | Mary Paige Bourbeau | Nurse Practitioner | 5500 9th St N., St Petersburg, FL 33703 | 2013-03-07 |
| 1437435237 | Lynn Bonner-nelson | Counselor | 6161 Dr. Mlk Jr Street N. #204, Saint Petersburg, FL 33703 | 2011-10-25 |
| 1245545953 | Patricia Reynolds | Speech-Language Pathologist | 3950 3rd Street North, Suite D, Community Rehab Associates, St. Petersburg, Fl, FL 33703 | 2010-08-18 |
| 1326367145 | Sigurd T Rutkis | Occupational Therapist | 3835 1st Street Northeast, St. Petersburg, FL 33703 | 2010-05-18 |
| 1922338136 | Christy Carr | Mechanotherapist | 5560 Kelly Dr N, Saint Petersburg, FL 33703 | 2010-01-11 |
| 1871730317 | Ronald H Copenhaver Dmd Pa | Dentist | 4338 1st Street N, Suite C, St. Petersburg, FL 33703 | 2009-01-20 |
| Find all providers in zip 33703 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972168052 | Carlee Freed | Physician Assistant | 2191 9th Ave N Ste 270, St Petersburg, FL 33713-7149 | 2019-05-05 |
| 1558633602 | Jennifer Michelle Boyd | Physician Assistant | 636 16th Ave Ne, St Petersburg, FL 33704-4719 | 2012-02-06 |
| 1457511685 | Sheila Faye Zimmardi | Physician Assistant | 625 6th Ave S Ste 450, St Petersburg, FL 33701-4629 | 2008-06-11 |
| 1215987029 | Claudia B Botero | Physician Assistant | 239 2nd Ave S, Suite 200, St Petersburg, FL 33701-4333 | 2006-05-11 |
| 1700875960 | Angela Bowersock | Physician Assistant | 601 7th St S Ste 205, St Petersburg, FL 33701-4708 | 2005-10-19 |
| 1962499723 | Jennifer Mary Broderick | Physician Assistant | 960 7th Ave N, St Petersburg, FL 33705-1347 | 2005-10-05 |
| 1174177927 | Us Medical Solutions, LLC | Physician Assistant | 871 Ibis Walk Pl N Unit 3204, St Petersburg, FL 33716-3857 | 2019-07-30 |
| 1184282907 | Mark Daicoff | Physician Assistant | 4600 4th St N, St Petersburg, FL 33703-3802 | 2019-06-05 |
| 1760045272 | Savannah Kelly Poor | Physician Assistant | 625 6th Ave S Ste 450, St Petersburg, FL 33701-4629 | 2019-04-19 |
| 1588138499 | Chandler Melton | Physician Assistant | 625 6th Ave S Ste 450, St Petersburg, FL 33701-4629 | 2019-01-14 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33703 |
Please comment or provide details below to improve the information on MISS PATRICIA ANN 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.