DR. AUGUSTINE REID WILSON (NPI# 1770014755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770014755 |
| Entity Type | Individual |
| Full Name | DR. AUGUSTINE REID WILSON |
| Credential | MD |
| Practice Address |
4015 Bayshore Blvd Apt 3c Tampa FL 33611-1700 |
| Mailing Address |
900 S Clark St Apt 2304 Chicago IL 60605-3710 |
| Practice Telephone | 2394648981 |
| Mailing Telephone | 3123583800 |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2017-06-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 125070644 | IL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
4015 BAYSHORE BLVD APT 3C |
| City | TAMPA |
| State | FL |
| Zip Code | 33611-1700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912519224 | Health & Glow Primary Care & Med Spa LLC | Internal Medicine | 4331 S Manhattan Ave, Tampa, FL 33611 | 2020-08-18 |
| 1245867597 | Susannah M Bultron | Home Health | 1663 Williambrg Sq, 1663 Williambrg Sq, Tampa, FL 33611 | 2020-03-26 |
| 1265077499 | Jenna Davis | Counselor | 4517 S Shamrock Rd, Tampa, FL 33611 | 2019-11-12 |
| 1023585114 | Samantha Lee Hamlin | Dietitian, Registered | 4003 S West Shore Blvd, Apt 4810, Tampa, FL 33611 | 2018-10-27 |
| 1023502572 | Sunset Chiropractic P.a. | Chiropractor | 3826 South Dale Mabry Hwy, South Tampa, FL 33611 | 2018-06-19 |
| 1033654843 | Nicole A Devlieger | Specialist/Technologist | 4539 S Dale Mabry Hwy Ste 110, Tampa, FL 33611 | 2017-01-03 |
| 1740633064 | Charles Lindsey | Case Manager/Care Coordinator | 5215 South Westshore Blvd. #31, Tampa, FL 33611 | 2016-07-21 |
| 1699145078 | Sarah Milam | Physical Therapist | 3111 W.martin Luther King Jr Blvd, Suite # 500, Tampa, FL 33611 | 2015-09-29 |
| 1912399163 | Robert Robertson | Pharmacist | 4317 Gandy Blvd, Tampa, FL 33611 | 2015-02-25 |
| 1730514225 | Charles Samuel Mahan | Obstetrics & Gynecology | 3111 E. Fletcher Av., Tampa, FL 33611 | 2013-09-04 |
| Find all providers in zip 33611 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720601768 | Ked Medical, P.a. | Surgery | 3001 N Rocky Point Dr E Ste 100, Tampa, FL 33607-5860 | 2020-05-26 |
| 1164941639 | J.f. Garcia Md Surgical and Wound Care Services LLC | Surgery | 2123 W Martin Luther King Blvd., Suite 101, Tampa, FL 33607 | 2017-09-15 |
| 1992191142 | Daniel Hall | Surgery | 1 Tampa General Cir Rm G417, Tampa, FL 33606-3571 | 2015-04-14 |
| 1124434485 | Joseph Sujka | Surgery | Harbourside Medical Tower, Suite 740.15, 5 Tampa General Circle, Tampa, FL 33606 | 2014-07-08 |
| 1235544677 | Carolina Martinez | Surgery | 5 Tampa General Cir Ste 740, Tampa, FL 33606-3601 | 2014-06-24 |
| 1205193760 | Anthony Dinallo | Surgery | 109 W Fortune St # 1525, Tampa, FL 33602 | 2012-04-20 |
| 1265723944 | Bradley Cameron Stephan | Surgery | 105 S Macdill Ave Ste 202, Tampa, FL 33609-3490 | 2011-04-28 |
| 1346550720 | James A Christensen Md Pa | Surgery | 4600 North Habana Avenue, Suite 21, Tampa, FL 33614 | 2010-10-19 |
| 1295051134 | Rosebel Monteiro | Surgery | 602 S Audubon Ave Ste A, Tampa, FL 33609-4217 | 2010-04-16 |
| 1427388644 | Michael J. Wiley, M.d., P.a. | Surgery | 3901 Henderson Blvd, Tampa, FL 33629-5015 | 2010-01-11 |
| Find all providers in TAMPA | ||||
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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.