SHIRLEY DIANN WILSON (NPI# 1790711851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790711851 |
| Entity Type | Individual |
| Full Name | SHIRLEY DIANN WILSON |
| Credential | M.D. |
| Practice Address |
2500 Starling St Suite 606 Brunswick GA 31520-4219 |
| Practice Telephone | 9124665636 |
| Practice Fax Number | 9124665639 |
| Mailing Telephone | 9124665636 |
| Mailing Fax Number | 9124665639 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2014-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 034742 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00516139D | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962709972 | Shirley Wilson | Rehabilitation Practitioner | 2452 Daks Loden Ct, Henderson, NV 89044-8767 | 2011-02-28 |
| 1780828699 | Shirley Jo Wilson | Counselor | 765 Manitou Road, Lakeview Counseling Center, Manitou Beach, MI 49253 | 2009-04-22 |
| 1871630178 | Shirley Ann Wilson | Psychologist | 7165 B Swinnea, Ste 1, Southaven, MS 38671 | 2007-01-30 |
| 1679643050 | Shirley Rue Wilson | Pharmacist | 2 Fig Street, Cape Charles, VA 23310 | 2006-11-09 |
| 1235740721 | Shirley Ann Wilson | Technician | 820 Poplar St, Kenova, WV 25530-1530 | 2020-08-10 |
| 1437713526 | Shirley Wilson | Health Educator | 3220 Blume Dr Ste 154, Richmond, CA 94806-1980 | 2019-04-24 |
| 1891269593 | Shirley Wilson | Case Manager/Care Coordinator | 3100 E 45th St Ste 314, Cleveland, OH 44127-1095 | 2019-01-15 |
| 1124271630 | Shirley Ann Wilson | Case Manager/Care Coordinator | 238 Summar Dr, Jackson, TN 38301-3906 | 2008-10-28 |
| 1730335035 | Shirley Marie Wilson | Counselor | 500 8th Ave, 3rd Floor, New York, NY 10018-6504 | 2008-08-18 |
| 1427170067 | Shirley M. Wilson | Dental Assistant | 450 Sutter St, Suite 2439, San Francisco, CA 94108-4206 | 2007-04-04 |
| Street Address |
2500 STARLING ST SUITE 606 |
| City | BRUNSWICK |
| State | GA |
| Zip Code | 31520-4219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851387310 | Coleman David Sudduth Jr. | Internal Medicine | 2500 Starling St, Suite 504, Brunswick, GA 31520-4265 | 2005-09-21 |
| 1811401854 | Sarah Renee Mobbs | Registered Nurse | 2500 Starling St, Brunswick, GA 31520 | 2017-11-29 |
| 1366987844 | Kristin Stenzel Orendorf | Nurse Practitioner | 2500 Starling St, Suite 501, Brunswick, GA 31520-4265 | 2016-12-20 |
| 1124576616 | Julie Small | Nurse Practitioner | 2500 Starling St, Suite 107, Brunswick, GA 31520-4265 | 2016-09-14 |
| 1083083547 | Laura Winkelman | Nurse Practitioner | 2500 Starling St, Suite 601, Brunswick, GA 31520-4265 | 2015-09-15 |
| 1215305305 | Ahmed Elsharkawi, Md LLC | Internal Medicine | 2500 Starling St, Suite 601, Brunswick, GA 31520-4265 | 2015-09-08 |
| 1619344223 | Elizabeth Blair Coleman | Physician Assistant | 2500 Starling St, Ste 403, Brunswick, GA 31520-4265 | 2015-08-31 |
| 1982967709 | Genesis Dme, Inc. | Durable Medical Equipment & Medical Supplies | 2500 Starling St, Suite 105 Seghs, Brunswick, GA 31520-4265 | 2012-06-18 |
| 1801166749 | Marion E Alston | Nurse Practitioner | 2500 Starling St, Suite 503, Brunswick, GA 31520-4265 | 2012-01-10 |
| 1376853507 | John F. Ellenberg, M.d., P.C. | Obstetrics & Gynecology | 2500 Starling St, 406, Brunswick, GA 31520-4265 | 2010-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760953434 | David S Deuser Md & Associates PC | Psychiatry & Neurology | 7 Saint Andrews Court, Brunswick, GA 31520 | 2018-12-06 |
| 1063961845 | Irene Limon | Licensed Practical Nurse | 2009 Ellis Street, Brunswick, GA 31520 | 2016-09-22 |
| 1770936551 | Elaine Latimer-tandy | Counselor | 1801 Gloucester St Ste E, Brunswick, GA 31520 | 2016-07-18 |
| 1710336326 | Giva, Inc. | Home Health | 8 St Andrews Court, Brunswick, GA 31520 | 2016-06-06 |
| 1447618525 | Parmelee Eye Care LLC | Point of Service | 1909 Gloucester St, Brunswick, GA 31520 | 2016-02-04 |
| 1578947800 | Holly Diskin Kinsey | Nurse Practitioner | 3400 Parkwood Drive, Brunswick, GA 31520 | 2015-07-16 |
| 1679976419 | Miriam Hosey | Registered Nurse | 2747 Fourth Street, Glynn County Health Dept., Brunswick, GA 31520 | 2014-10-08 |
| 1558779348 | Tracey Renee Price | Internal Medicine | 3025 Shrine Rd Ste 290, Brunswick, GA 31520 | 2014-07-24 |
| 1770901951 | Candace Shepherd | Social Worker | 707 F Street, Brunswick, GA 31520 | 2014-04-03 |
| 1699193599 | Enrique Martinez, M.d., P.C. | Internal Medicine | 3114 A Shrine Road, Brunswick, GA 31520 | 2014-03-29 |
| Find all providers in zip 31520 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851749089 | Erica Leigh Jacovetty | Obstetrics & Gynecology | 121 Medical Center Dr Ste 2700, Brunswick, ME 04011-2669 | 2016-05-27 |
| 1174877187 | Karen Lynn King | Obstetrics & Gynecology | 8 Balsam Ave, Brunswick, ME 04011-9369 | 2012-10-30 |
| 1417280322 | Ultimate Med Inc | Obstetrics & Gynecology | 2888 Nationwide Pkwy, Brunswick, OH 44212-2362 | 2009-09-09 |
| 1346423191 | Anna M. Cabeca Do PC | Obstetrics & Gynecology | 2712 Parkwood Dr, Brunswick, GA 31520-4727 | 2007-12-14 |
| 1871600486 | Women's Health Group Se Ga | Obstetrics & Gynecology | 418 Eh Court Unit 4b, Brunswick, GA 31520 | 2006-08-23 |
| 1093829384 | Henry Warnock Flournoy | Obstetrics & Gynecology | 2444 Parkwood Dr, Brunswick, GA 31520-4721 | 2006-08-17 |
| 1972572923 | Matthew M Johnston | Obstetrics & Gynecology | 418 Eh Ct, Unit 4b, Brunswick, GA 31520-2199 | 2006-03-14 |
| 1902874043 | Nancy A Denlea | Obstetrics & Gynecology | 3025 Shrine Rd, Suite 190, Brunswick, GA 31520-4788 | 2006-03-14 |
| 1437128485 | Tina F Mitchell | Obstetrics & Gynecology | 7000 Wellness Way Ste 7220, Brunswick, GA 31522-2286 | 2006-03-14 |
| 1154396703 | Natalie A Bowersox | Obstetrics & Gynecology | 3574 Center Rd, Brunswick, OH 44212-3618 | 2006-02-17 |
| Find all providers in BRUNSWICK | ||||
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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.