MICAH JAMES WILSON (NPI# 1760779904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760779904 |
| Entity Type | Individual |
| Full Name | MICAH JAMES WILSON |
| Credential | NP |
| Practice Address |
1050 Sw 3rd Ave Ste 3200 Ontario OR 97914-2193 |
| Practice Telephone | 5418817370 |
| Practice Fax Number | 5418817379 |
| Mailing Telephone | 5418817370 |
| Mailing Fax Number | 5418817379 |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2011-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 201150063NP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053720730 | Micah Loren Wilson | Nurse Practitioner | 111 Hilltop Street, Rutherford College, NC 28671 | 2014-08-07 |
| Street Address |
1050 SW 3RD AVE STE 3200 |
| City | ONTARIO |
| State | OR |
| Zip Code | 97914-2193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801892104 | Frank J Spokas Jr. | Surgery | 1050 Sw 3rd Ave, Ste 2600, Ontario, OR 97914 | 2005-06-22 |
| 1407265838 | Logan Bake | Physical Therapist | 1050 Sw 3rd Ave, Ontario, OR 97914-2193 | 2014-08-11 |
| 1649619966 | Ashley Rene Kossick | Speech-Language Pathologist | 1050 Sw 3rd Ave, Ontario, OR 97914-2193 | 2013-06-19 |
| 1518236785 | Stephanie Candice Johnson Mooney | Nurse Practitioner | 1050 Sw 3rd Ave, Ste 3200, Ontario, OR 97914 | 2011-12-17 |
| 1093034159 | Saint Alphonsus Medical Center - Ontario, Inc. | Podiatrist | 1050 Sw 3rd Ave, Ste 3200, Ontario, OR 97914-2193 | 2010-05-27 |
| 1538306725 | Richard T. Davis, Md PC | Orthopaedic Surgery | 1050 Sw 3rd Ave, Suite 1200, Ontario, OR 97914-2193 | 2009-01-09 |
| 1063692028 | Andrew W. Allen | Anesthesiology | 1050 Sw 3rd Ave, Ste 2600, Ontario, OR 97914-2193 | 2007-11-07 |
| 1518167634 | Ontario Ear, Nose and Throat | Otolaryngology | 1050 Sw 3rd Ave, Suite 3600, Ontario, OR 97914-2193 | 2007-07-18 |
| 1508083635 | Pamela Pember Bruce | Surgery | 1050 Sw 3rd Ave, Ste 2600, Ontario, OR 97914 | 2007-04-19 |
| 1952325458 | Donna Messersmith | Nurse Practitioner | 1050 Sw 3rd Ave, Ste 1600, Ontario, OR 97914 | 2006-07-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467925420 | The Family Place D/b/a Tfp Services Therapeutic | Case Manager/Care Coordinator | 390 Ne 2nd St., Ontario, OR 97914 | 2019-01-02 |
| 1154805729 | Ronald William Strohmeyer | Physician Assistant | 2327 S.w. 4th Ave, Ontario, OR 97914 | 2018-09-19 |
| 1700334117 | Arlene Schwenke | Social Worker | 686 Nw 9th St., Ontario, OR 97914 | 2016-09-14 |
| 1871990408 | Sally Melissa Sluder | Nurse Practitioner | 351 Sw 9th Ave, Ontario, OR 97914 | 2014-11-25 |
| 1932460870 | E Patricia Jeanne Engel | Surgery | 1050 Sw 3rd Ave Ste 2600, Ontario, OR 97914 | 2012-06-07 |
| 1487946521 | Tyler Jepson | Physical Therapist | 1182 Sw 4th Avenue, Ontario, OR 97914 | 2011-05-09 |
| 1255641577 | Cami Lyn Rebmann | Pharmacist | 728 S 4th Ave, Ontario, OR 97914 | 2010-10-20 |
| 1295051126 | Project Dove | Case Manager/Care Coordinator | 915-02 Sw 2nd Ave, Ontario, OR 97914 | 2010-04-16 |
| 1467666024 | Tfp Therapeutic Service, Inc. | Counselor | 390 Ne 2nd Street, Ontario, OR 97914 | 2007-05-10 |
| 1639381569 | Emeritus Corporation | Assisted Living Facility | 1372 Southwest 8th Avenue, Ontario, OR 97914 | 2007-05-04 |
| Find all providers in zip 97914 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104396274 | Family Health Np Immediate Care, Pllc | Nurse Practitioner | 6280 Furnace Road, Ontario, NY 14519 | 2018-11-30 |
| 1467963165 | Chinomso Mpumechi | Nurse Practitioner | 1520 N Mountain Ave Ste 128, Ontario, CA 91762-1132 | 2017-10-20 |
| 1447660873 | Agha Zulfequar Hayder | Nurse Practitioner | 1001 West 6th Street, Suite B., Ontario, CA 91762 | 2014-05-07 |
| 1710275425 | Sandra M. Zavala | Nurse Practitioner | 3401 Centre Lake Dr Ste 470, Ontario, CA 91761-1254 | 2011-07-14 |
| 1548574841 | Yolanda Berumen | Nurse Practitioner | 2100 S Cypress Ave Apt 902, Ontario, CA 91762-6230 | 2010-07-29 |
| 1447322672 | Stefanie Ann Varela | Nurse Practitioner | 2295 S Vineyard Ave Bldg D, Ontario, CA 91761 | 2006-11-14 |
| 1336123710 | Lynne W Smith | Nurse Practitioner | 1750 W 4th St, Ontario, OH 44906-1770 | 2005-11-30 |
| 1245226000 | Hope Posadas Santiago | Nurse Practitioner | 2618 Sherwin Creek Pl, Ontario, CA 91761-0207 | 2005-09-26 |
| 1184618860 | Debra Jean Alexander | Nurse Practitioner | 1008 Sw 4th Ave, Ontario, OR 97914-2128 | 2005-09-08 |
| 1841844503 | Deanna Sue Miller | Nurse Practitioner | 715 Richland Mall, Ontario, OH 44906-3802 | 2019-07-30 |
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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.