MR. PAUL THOMAS WILSON (NPI# 1770782997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770782997 |
| Entity Type | Individual |
| Full Name | MR. PAUL THOMAS WILSON |
| Credential | P.A. |
| Practice Address |
230 North Rd Lexington Ctr for Recovery-mmtp Poughkeepsie NY 12601-1328 |
| Mailing Address |
99 Hoof Print Rd Millbrook NY 12545-6001 |
| Practice Telephone | 8454862850 |
| Practice Fax Number | 8454862770 |
| Mailing Telephone | 8456778248 |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2007-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
002282-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013475268 | Paul Anthony Wilson | Behavior Technician | 3101 Grant St, Mckinney, TX 75071-2989 | 2019-03-06 |
| 1700210283 | Paul Wilson | Registered Nurse | 150-48 113th Ave, Jamaica, NY 11433 | 2013-09-03 |
| 1215221916 | Paul D Wilson | Psychologist | 8575 West 110th Street, 304, Overland Park, KS 66210 | 2011-05-31 |
| 1013247246 | Paul James Wilson | Optometrist | 26077 Arjuna Ave, Temecula, CA 92590-3541 | 2010-01-11 |
| 1912137217 | Paul Kent Wilson | Podiatrist | 110 Bermuda Dr, Jonesborough, TN 37659-3166 | 2009-07-21 |
| 1073782140 | Paul Joseph Wilson | Chiropractor | 2828 Old Route 33, Horner, WV 26372-9705 | 2008-02-22 |
| 1548456312 | Paul T Wilson | Optometrist | 653 E Cottonwood Lane, Casa Grande, AZ 85122 | 2007-09-14 |
| 1063622439 | Paul Thomas Wilson | Counselor | 307 Simpson St, Greencastle, IN 46135-0066 | 2007-05-23 |
| 1275678617 | Paul Hudson Wilson | Ophthalmology | 2389 South Collins Street, Arlington, TX 76014-1236 | 2007-02-21 |
| 1992770218 | Paul J Wilson IIi | Family Medicine | 967 E Lancaster Ave, Downingtown, PA 19335-3328 | 2006-02-21 |
| Street Address |
230 NORTH RD LEXINGTON CTR FOR RECOVERY-MMTP |
| City | POUGHKEEPSIE |
| State | NY |
| Zip Code | 12601-1328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508858523 | Christine Elizabeth Blossy | Nurse Practitioner | 230 North Rd, Poughkeepsie, NY 12601-1328 | 2005-08-16 |
| 1841890795 | Emily Campanella | Student in an Organized Health Care Education/Training Program | 230 North Rd, Poughkeepsie, NY 12601-1328 | 2020-10-29 |
| 1043823040 | Lea Tanenbaum | Student in an Organized Health Care Education/Training Program | 230 North Rd, Poughkeepsie, NY 12601-1328 | 2020-08-28 |
| 1558971523 | Christine Knudsen | Social Worker | 230 North Rd, Poughkeepsie, NY 12601-1328 | 2020-08-05 |
| 1083223499 | Alicia Baxter-alfred | Social Worker | 230 North Rd, Poughkeepsie, NY 12601-1328 | 2020-07-31 |
| 1730710385 | Barrington Randall Atkins | Social Worker | 230 North Rd, Poughkeepsie, NY 12601-1328 | 2020-02-03 |
| 1417593633 | Brian Delsanto | Social Worker | 230 North Rd, Poughkeepsie, NY 12601-1328 | 2019-11-22 |
| 1811533169 | Hannah Brinnier | Social Worker | 230 North Rd, Poughkeepsie, NY 12601-1328 | 2019-11-21 |
| 1457995193 | Michael Levinson | Marriage & Family Therapist | 230 North Rd, Poughkeepsie, NY 12601-1328 | 2019-11-06 |
| 1164065918 | Cora Keith | Registered Nurse | 230 North Rd, Poughkeepsie, NY 12601-1328 | 2019-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348425 | Hudson Valley Radiologists, PC | Radiology | 57 Kingwood Park, Poughkeepsie, NY 12601 | 2020-05-21 |
| 1063049088 | Jaquellah Taylor | Student in an Organized Health Care Education/Training Program | Vassar Brother Medical Center 45 Reade Place, Poughkeepsie, NY 12601 | 2020-03-27 |
| 1053957050 | Jasmine Syin-lan Miller | Student in an Organized Health Care Education/Training Program | 3399 North Road, Marist College Msc 12617, Poughkeepsie, NY 12601 | 2019-11-25 |
| 1144864224 | Kim Beverly | Technician | 16 Tamidan Road, Poughkeepsle, NY 12601 | 2019-11-01 |
| 1851852768 | Marwa H Abdalla | Student in an Organized Health Care Education/Training Program | Vassar Brother Medical Center, 45 Reade Place, Poughkeepsie, NY 12601 | 2019-03-26 |
| 1619459047 | Victoria Bozydaj | Occupational Therapy Assistant | 50 Rinaldi Boulevard Apt 7r, Poughkeepsie, NY 12601 | 2018-09-01 |
| 1821589953 | Avo Gregory Serafino | Physician Assistant | 228 Donnelly, Poughkeepsie, NY 12601 | 2018-05-24 |
| 1649771486 | Raewyn Kalisha Clayton | Registered Nurse | 31 Forbus Street Apt C2, Poughkeepsie, NY 12601 | 2018-02-27 |
| 1780108761 | Ronica Dorothy White | Licensed Practical Nurse | 7c Muldowney Circle, Poughkeepsie, NY 12601 | 2017-08-01 |
| 1336662048 | Ashley Elizabeth Travers | Licensed Practical Nurse | 100 Innis Ave, Poughkeepsie, NY 12601 | 2017-07-25 |
| Find all providers in zip 12601 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679962690 | Adam Moscicki | Physician Assistant | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2015-01-14 |
| 1457762460 | Westchester Medical Regional Physician Services, PC | Physician Assistant | 241 North Rd, Poughkeepsie, NY 12601-1154 | 2014-05-13 |
| 1225313430 | Brandon J Ballister | Physician Assistant | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2011-10-19 |
| 1407134380 | Nicole Pasheek | Physician Assistant | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2011-07-27 |
| 1154619831 | Jessica Beth Wayman | Physician Assistant | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2011-07-15 |
| 1194017772 | Jonathan Thomas Humphreys | Physician Assistant | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2011-05-13 |
| 1932434412 | Alyssa F Ludwin | Physician Assistant | 21 Reade Pl Ste 3200, Poughkeepsie, NY 12601-3944 | 2009-10-16 |
| 1619202397 | Rachel Snider | Physician Assistant | 19 Baker Ave, Poughkeepsie, NY 12601-1359 | 2009-10-13 |
| 1346492238 | Vicenta Maria Montgomery I | Physician Assistant | 1 Columbia St, Dra Imaging, PC, Poughkeepsie, NY 12601-3923 | 2008-10-22 |
| 1093832099 | Ronda Debra Kosseff-salchert | Physician Assistant | 301 Manchester Rd, Poughkeepsie, NY 12603-2586 | 2007-03-23 |
| Find all providers in POUGHKEEPSIE | ||||
| City | POUGHKEEPSIE |
| Zip Code | 12601 |
Please comment or provide details below to improve the information on MR. PAUL THOMAS 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.