MR. WILLIAM HENRY WILSON IV (NPI# 1801239892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801239892 |
| Entity Type | Individual |
| Full Name | MR. WILLIAM HENRY WILSON IV |
| Credential | M.D. |
| Practice Address |
9055 Springbrook Dr Nw Coon Rapids MN 55433 |
| Mailing Address |
2925 Chicago Ave Minneapolis MN 55407-1321 |
| Practice Telephone | 7637809155 |
| Mailing Telephone | 6122625000 |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2019-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
62362 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518515444 | William Wilson | Physician Assistant | 1037 E Caldwell St, Louisville, KY 40204-1857 | 2019-09-04 |
| 1437563293 | William Scot Wilson | Pharmacist | 285 Dunlop Blvd Sw, Suite A, Huntsville, AL 35824-1119 | 2014-06-19 |
| 1003188517 | William Carrel Wilson | Veterinarian | 1599 Major Ave, Riverton, WY 82501-2326 | 2012-01-30 |
| 1477889632 | William Lee Wilson | Massage Therapist | 9900 Sw Wilshire St # 190g, Portland, OR 97225-5035 | 2009-10-22 |
| 1144469644 | William Jarrett Wilson | Registered Nurse | 1554 Ainsworth Ln, Lincoln, CA 95648-3233 | 2009-02-07 |
| 1750570925 | William H Wilson | Chiropractor | 3701 Division St, Suite 131, Metairie, LA 70002-4617 | 2007-10-23 |
| 1316156417 | William Thomas Wilson | Social Worker | 455 Bay St, Suite F, Petoskey, MI 49770-4401 | 2007-05-22 |
| 1114040367 | William F Wilson Jr. | Dentist | 850 Desoto Ave, Extended, Clarksdale, MS 38614 | 2007-04-10 |
| 1336269208 | William Wilson | Ophthalmology | 415 Lakewood Dr, Hamilton, GA 31811-3636 | 2007-04-02 |
| 1902939267 | William Allen Wilson | Internal Medicine | 9261 Old Keene Mill Rd, Burke, VA 22015 | 2007-03-14 |
| Street Address |
9055 SPRINGBROOK DR NW |
| City | COON RAPIDS |
| State | MN |
| Zip Code | 55433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306833454 | Julie M Jones | Internal Medicine | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2005-10-04 |
| 1235745126 | Allison Usset Gilles | Nurse Practitioner | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2020-09-16 |
| 1649886565 | Allina Health System | Clinic/Center | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2020-09-16 |
| 1851924302 | Jenna Michele Borgstrom | Physician Assistant | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2020-02-12 |
| 1346887585 | Andria Sammon | Nurse Practitioner | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2019-12-06 |
| 1679126080 | Kayla Wenner | Dietitian, Registered | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 | 2019-07-24 |
| 1710541586 | Meri Ellen Parady | Social Worker | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2019-04-27 |
| 1659835734 | Alisha Leigh Freeburg | Registered Nurse | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2019-01-23 |
| 1588146732 | Erika Janet Hachey | Nurse Practitioner | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2018-09-04 |
| 1083192702 | Hannah Mork | Audiologist | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2018-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770134793 | Shelley Karee Peterson | Technician | 10311 Bittersweet St Nw, Coon Rapids, MN 55433 | 2019-09-20 |
| 1578122057 | Courtney Gau | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Dr. Nw, Coon Rapids, MN 55433 | 2019-06-10 |
| 1992275606 | Maliki Fofee Kamara | Licensed Practical Nurse | 2451 109th Ave Nw Apt. 1, Coon Rapids, MN 55433 | 2018-11-26 |
| 1992284541 | Sarah Vennes | Massage Therapist | 6400 Flying Cloud Dr, Suite 240, Eden Prairie, MN 55433 | 2018-08-13 |
| 1538646609 | Paige Prince | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Drive Nw, Coon Rapids, MN 55433 | 2018-07-23 |
| 1154828242 | Karin Lea Englund | Dentist | 9145 Springbrook Dr Nw Ste 100, Coon Rapids, MN 55433 | 2018-04-06 |
| 1235642513 | Vista Family Eye Care LLC | Optometrist | 9920 Foley Blvd Nw Ste 120, Coon Rapids, MN 55433 | 2017-11-09 |
| 1538697818 | Mohammed Nmn Ahmed | Internal Medicine | 9055 Spring Brook Drive, Allina Coon Rapids Clinic 9055, Coon Rapids, MN 55433 | 2017-05-31 |
| 1639531353 | Journi LLC | Nurse Practitioner | 277 Coon Rapids Blvd Suite 308, Coon Rapids, MN 55433 | 2016-03-22 |
| 1821457722 | Honorine Boyce | Licensed Practical Nurse | 2743 111th Ave. Nw, Coon Rapids, MN 55433 | 2016-02-19 |
| Find all providers in zip 55433 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821605874 | Healthstat Health Center Allianz | Preventive Medicine | 5901 Golden Hills Dr, Golden Valley, MN 55416-1225 | 2020-09-24 |
| 1073997094 | Healthstat Onsite Clinic-marvin Companies | Preventive Medicine | 802 State Ave Ne, Warroad, MN 56763 | 2015-07-20 |
| 1275931206 | Healthstat On-site Clinic Watlow Winona Mn | Preventive Medicine | 1241 Bundy Blvd, Winona, MN 55987-4873 | 2014-12-08 |
| 1164769527 | Miles Smith Snowden | Preventive Medicine | 3121 W 69th St, Apt 114, Edina, MN 55435-2559 | 2013-01-05 |
| 1629328299 | Healthstat Arkansas/pace Ind.- Pti | Preventive Medicine | 310 Congress St. W, Maple Lake, MN 55358 | 2012-09-11 |
| 1144570714 | Healthstat Arkansas/pace Ind.- St. Paul | Preventive Medicine | 3737 Lexington Ave. N, St. Paul, MN 55126 | 2012-09-11 |
| 1740418144 | Linda Karen Miller | Preventive Medicine | 620 16th St Sw, Rochester, MN 55902-2154 | 2009-06-24 |
| 1033256706 | Larry Ray Zobel | Preventive Medicine | 220 6w 08 3m Ctr, Saint Paul, MN 55144-0001 | 2007-01-31 |
| 1679673321 | Gary B Johnson | Preventive Medicine | 5100 Gamble Dr. Suite 100, Mail Stop 31200a, Healthpartners West Clinic, St. Louis Park, MN 55416-1582 | 2006-09-23 |
| 1255317376 | Michael N Goertz | Preventive Medicine | 401 Phalen Blvd - Ms 11503g, Healthpartners Specialty Center 401, St. Paul, MN 55130-5302 | 2005-12-20 |
| Find all providers with the same taxonomy | ||||
| City | COON RAPIDS |
| Zip Code | 55433 |
Please comment or provide details below to improve the information on MR. WILLIAM HENRY WILSON IV.
| 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.