DR. JEFFREY L WILSON (NPI# 1790768133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790768133 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY L WILSON |
| Credential | MD |
| Practice Address |
28905 Woodward Ave Berkley MI 48072-0923 |
| Practice Telephone | 2485442293 |
| Practice Fax Number | 2485441624 |
| Mailing Telephone | 2485442293 |
| Mailing Fax Number | 2485441624 |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2009-12-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 4301033906 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1091529 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720505274 | Jeffrey L Wilson | Counselor | 14201 S Mur Len Rd Ste 101, Olathe, KS 66062-1859 | 2017-08-25 |
| 1700317153 | Jeffrey Wilson | Student in an Organized Health Care Education/Training Program | Florida Atlantic University Internal Medicine Residency, 800 Meadows Road, Boca Raton, FL 33486 | 2017-03-27 |
| 1962955435 | Jeffrey John Wilson | Specialist/Technologist | 24062 Taft Rd, Novi, MI 48375-3022 | 2016-08-01 |
| 1073909883 | Jeffrey Lynn Wilson | Clinical Nurse Specialist | 5516 Barons Pt, Ooltewah, TN 37363-8875 | 2015-04-08 |
| 1801185814 | Jeffrey Matthew Wilson | Registered Nurse | 7750 Via Francesco Unit 2, San Diego, CA 92129-5149 | 2011-03-30 |
| 1447425798 | Jeffrey Joseph Wilson | Dentist | 1542 Union St, Schenectady, NY 12309 | 2008-04-28 |
| 1184701658 | Jeffrey M Wilson | Dentist | 73 Greentree Dr # 407, Dover, DE 19904-7646 | 2006-11-01 |
| 1922108745 | Jeffrey Lynn Wilson | Family Medicine | 1810 Eldron Blvd., Se, Palm Bay, FL 32909 | 2006-09-22 |
| 1184727612 | Jeffrey F Wilson | Optometrist | 126 W Wheatland Ave, Remus, MI 49340 | 2006-09-07 |
| 1417065715 | Jeffrey Whiteside Wilson | Psychiatry & Neurology | 10229 W Greenfield Ave, West Allis, WI 53214 | 2006-08-27 |
| Street Address |
28905 WOODWARD AVE |
| City | BERKLEY |
| State | MI |
| Zip Code | 48072-0923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639534886 | Allison Filary | Nurse Practitioner | 28905 Woodward Ave, Berkley, MI 48072-0923 | 2015-12-15 |
| 1679839161 | Christine Weglarz | Nurse Practitioner | 28905 Woodward Ave, Berkley, MI 48072-0923 | 2012-04-09 |
| 1487717807 | Northwood Physicians, P.C. | Family Medicine | 28905 Woodward Ave, Berkley, MI 48072-0923 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336759539 | Embodied Wellness, Pllc | Counselor | 1354 Harvard Rd, Berkley, MI 48072 | 2020-08-03 |
| 1790202224 | Medcrafters Rx Pharmacy LLC | Pharmacy | 3348 W 12 Mile Rd, Berkley, MI 48072 | 2017-08-25 |
| 1144684861 | Marilyn Ann Hawkins | Registered Nurse | 2766 West 11 Mile Rd., Beckley, MI 48072 | 2016-04-08 |
| 1134547862 | Rimma Polevoy | Internal Medicine | 1949 12 Mile Rd Ste 100, Berkley, MI 48072 | 2014-03-31 |
| 1245676212 | Chelsea Peraino Smoots | Social Worker | 892 11 Mile Rd, Berkley, MI 48072 | 2013-05-17 |
| 1770730483 | Bryce Paul Roekle | Counselor | 1799 Phillips Avenue, Berkley, MI 48072 | 2008-08-25 |
| 1003003617 | Oakland Family Services | Community/Behavioral Health | 2351 West 12 Mile Road, Berkley, MI 48072 | 2007-09-27 |
| 1063605012 | Care Plus Home Health Services, Inc | Home Health | 28139 Woodward Ave, Berkley, MI 48072 | 2007-08-23 |
| 1346370020 | David Jason Carpenter | Social Worker | 2345 West 12 Mile Road, Berkley, MI 48072 | 2007-03-06 |
| 1871674192 | Robert Igwe | Internal Medicine | 1949 West Twelve Mile Rd, Ste 200, Berkley, MI 48072 | 2006-10-17 |
| Find all providers in zip 48072 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134547862 | Rimma Polevoy | Internal Medicine | 1949 12 Mile Rd Ste 100, Berkley, MI 48072 | 2014-03-31 |
| 1295017051 | Hassen A Saleh | Internal Medicine | 3270 Greenfield Rd, Berkley, MI 48072-1161 | 2011-09-16 |
| 1033133319 | Philip Sciturro | Internal Medicine | 1695 W. 12 Mile Road, Suite 200, Berkley, MI 48072-2100 | 2006-07-27 |
| 1508880428 | Stig E Aronsson | Internal Medicine | 1695 W 12 Mile Road, Suite 200, Berkley, MI 48072-2100 | 2006-07-26 |
| 1003893934 | Armen A Korkigian | Internal Medicine | 2635 Coolidge Hwy, Berkley, MI 48072-1554 | 2005-12-30 |
| 1184607129 | Dinesh M Shah | Internal Medicine | 2905 W 12 Mile Rd, Berkley, MI 48072 | 2005-11-23 |
| 1184146326 | Justin K Skrzynski, Md, Pllc | Internal Medicine | 28747 Woodward Ave, Berkley, MI 48072-0929 | 2017-07-10 |
| 1447794102 | Associated Physicians Group Plc | Internal Medicine | 1695 W 12 Mile Rd, Suite 200, Berkley, MI 48072-2182 | 2016-12-14 |
| 1437530516 | Sara Gerhardt I | Internal Medicine | 1949 12 Mile Rd, Berkley, MI 48072-1868 | 2015-06-15 |
| 1720407737 | John Hosford Cooke | Internal Medicine | 1949 W 12 Mile Rd Ste 100, Berkley, MI 48072 | 2014-04-08 |
| Find all providers in BERKLEY | ||||
Please comment or provide details below to improve the information on DR. JEFFREY L 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.