DR. DUANE CHARLES WILSON (NPI# 1780664664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780664664 |
| Entity Type | Individual |
| Full Name | DR. DUANE CHARLES WILSON |
| Credential | M.D. |
| Practice Address |
57638 Red Alder Lane Sunriver OR 97707 |
| Mailing Address |
11995 Singletree Ln Ste 500 Eden Prairie MN 55344-5349 |
| Practice Telephone | 9525951100 |
| Practice Fax Number | 6122944903 |
| Mailing Telephone | 9525951301 |
| Mailing Fax Number | 6122944903 |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2018-09-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD15015 | OR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437256245 | Duane Wilson | Pharmacist | 1100 Tunnel Rd, Asheville, NC 28805-2043 | 2006-09-20 |
| Street Address |
57638 RED ALDER LANE |
| City | SUNRIVER |
| State | OR |
| Zip Code | 97707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770196586 | Sacha Ariana Lodge | Dental Hygienist | 17065 Shawnee Circle, Bend, OR 97707 | 2020-08-31 |
| 1437527504 | Rebecca Rachel Freidman | Speech-Language Pathologist | 102 Sanhedria Murchevet, Apartment 16b, Jerusalem, JERUSALEM 97707 | 2015-09-08 |
| 1023438439 | Sunriver Pharmacy | Pharmacy | 56890 Venture Lane, Sunriver, OR 97707 | 2014-04-24 |
| 1033431382 | Tamara Lee Goen | Massage Therapist | 57195 Beaver Dr, Sunriver, OR 97707 | 2010-02-26 |
| 1760716393 | Victor Bonchek | Psychologist | Sanhedria Murchevet 127/4, Jerusalem, ISRAEL 97707 | 2009-09-30 |
| 1427282938 | Julie Thibodeaux Radloff | Family Medicine | 7 Lassen Lane, Sunriver, OR 97707 | 2009-05-12 |
| 1972718310 | Douglas W Anderson | Dentist | 18160 Cottonwood Rd, Pmb 258, Sunriver, OR 97707 | 2007-05-11 |
| 1093935322 | James Philip Smith | Counselor | 56881 Enterprise Dr., Sunriver, OR 97707 | 2007-04-27 |
| 1013133495 | Harvey A Abrams | Anesthesiology | 57655 Tan Oak Lane, Sunriver, OR 97707 | 2007-04-17 |
| 1801966031 | Active Care Physical Therapy Inc | Physical Therapist | 18135 Cottonwood Rd, Sunriver, OR 97707 | 2006-11-08 |
| Find all providers in zip 97707 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932621588 | Cascade Medical Imaging LLC | Radiology | 61270 Se Coombs Pl Ste 100, Bend, OR 97702-3704 | 2017-07-14 |
| 1003338963 | Central Oregon Magnetic Resonance Imaging LLC | Radiology | 61270 Se Coombs Pl Ste 150, Bend, OR 97702-3704 | 2017-07-12 |
| 1740713908 | Radiology Associates, PC | Radiology | 60472 Snap Shot Loop, Bend, OR 97702-2539 | 2017-04-05 |
| 1528413754 | Bay Area Radiology, PC | Radiology | 2823 Ne 55th Ave, Portland, OR 97213-3439 | 2016-04-25 |
| 1336503341 | Central Oregon Magnetic Resonance Imaging LLC | Radiology | 1253 Nw Canal Blvd Ste 101, Redmond, OR 97756-1334 | 2016-04-06 |
| 1790171585 | Dianna Howard | Radiology | 3181 Sw Sam Jackson Rd, Portland, OR 97239-3011 | 2015-04-08 |
| 1093147985 | Telerad of Or Account Management LLC | Radiology | 2315 W 28th Ave, Eugene, OR 97405-5901 | 2013-08-02 |
| 1245674506 | Jaryd Yee | Radiology | Ohsu Radiology Department, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239-3011 | 2013-04-17 |
| 1700175874 | Ramsey Al-hakim | Radiology | 3181 Sw Sam Jackson Park Rd # L605, Portland, OR 97239-3011 | 2011-03-29 |
| 1386961712 | Yama Kharoti | Radiology | 2801 N Gantenbein Ave Ste 4239, Portland, OR 97227-1623 | 2010-04-25 |
| Find all providers with the same taxonomy | ||||
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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.