PHILIP L WILSON (NPI# 1821050600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821050600 |
| Entity Type | Individual |
| Full Name | PHILIP L WILSON |
| Credential | MD |
| Practice Address |
5700 Dallas Pkwy Frisco TX 75034-9580 |
| Mailing Address |
2222 Welborn St Dallas TX 75219-3924 |
| Practice Telephone | 4695157100 |
| Practice Fax Number | 2144437309 |
| Mailing Telephone | 2145595000 |
| Mailing Fax Number | 2144437309 |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2019-03-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
K2387 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 158913701 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811256084 | Philip Thomas Wilson | Family Medicine | 529 E Moye Dr, Montgomery, AL 36109 | 2012-05-09 |
| 1962842476 | Philip Joseph Wilson IIi | Ophthalmology | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | 2013-06-28 |
| 1609076025 | Philip Michael Wilson | Dentist | 1105 N University Dr, Suite 104, Nacogdoches, TX 75961-4294 | 2007-07-23 |
| 1750412250 | Philip A Wilson | Counselor | 329 Conway St, Greenfield, MA 01301-1526 | 2007-03-08 |
| 1770660359 | Philip E Wilson | Social Worker | 120 Chestnut Street, Ridgewood, NJ 07450 | 2006-11-01 |
| 1366459547 | Philip Wilson | Psychiatry & Neurology | 5448 Yorktowne Dr, Atlanta, GA 30349-5317 | 2006-08-01 |
| 1184697336 | Philip C Wilson | Preventive Medicine | 1025 Maine St, Quincy, IL 62301-4038 | 2006-02-08 |
| 1114902327 | Philip J. Wilson II | Ophthalmology | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | 2005-12-09 |
| Street Address |
5700 DALLAS PKWY |
| City | FRISCO |
| State | TX |
| Zip Code | 75034-9580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013528967 | Courtney Nicole Warren | Physical Therapist | 5700 Dallas Pkwy, Frisco, TX 75034-9580 | 2020-08-13 |
| 1477183663 | Steven Lacore | Physical Therapist | 5700 Dallas Pkwy, Frisco, TX 75034-9580 | 2020-01-16 |
| 1053971176 | Jessica Dabis | Physical Medicine & Rehabilitation | 5700 Dallas Pkwy, Frisco, TX 75034-9580 | 2019-06-20 |
| 1184284200 | Lindsey Beth Ham | Occupational Therapist | 5700 Dallas Pkwy, Frisco, TX 75034-9580 | 2019-06-20 |
| 1629444880 | Stephanie Centra | Nurse Anesthetist, Certified Registered | 5700 Dallas Pkwy, Frisco, TX 75034-9580 | 2015-08-11 |
| 1316344997 | Emily Stapleton | Counselor | 5700 Dallas Pkwy, Frisco, TX 75034-9580 | 2014-11-26 |
| 1740550300 | Shawne Theresea Barron | Clinical Nurse Specialist | 5700 Dallas Pkwy, Frisco, TX 75034-9580 | 2012-01-12 |
| 1346541224 | Amanda Leigh Fletcher | Nurse Practitioner | 5700 Dallas Pkwy, Frisco, TX 75034-9580 | 2010-11-09 |
| 1659696946 | Shawn Nguyen | Anesthesiology | 5700 Dallas Pkwy, Frisco, TX 75034-9580 | 2010-03-30 |
| 1588811756 | Charles Welton Wyatt | Nurse Practitioner | 5700 Dallas Pkwy, Frisco, TX 75034-9580 | 2008-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275463 | Chiroconcepts of Frisco North Pllc | Chiropractor | 13108 Dallas Pkwy, Suite 410, Frisco, TX 75034 | 2020-11-06 |
| 1790394625 | Lindsey Wertheim | Nurse Practitioner | 4325 Preston Rd, #300, Frisco, TX 75034 | 2020-07-27 |
| 1154948198 | Walker Plastic Surgery Pllc | Surgery | 12590 Dallas Pkwy, Ste 200, Frisco, TX 75034 | 2020-06-25 |
| 1700425055 | Goldfish Group Inc. | Clinic/Center | 6735 Salt Cedar Way, Building 1, 1039-300, Frisco, TX 75034 | 2020-01-04 |
| 1255979506 | Livelife LLC | Clinic/Center | 8668 John Hickman Parkway, Frisco, TX 75034 | 2019-12-17 |
| 1215581780 | Magnolia Pediatrics | Pediatrics | 2875 Main St. Suite 104, Frisco, TX 75034 | 2019-08-01 |
| 1811555386 | Alexis Deann Rickey | Speech-Language Pathologist | 4300 Cotton Gin Road, Frisco, TX 75034 | 2019-05-30 |
| 1316500952 | Jtma Inc | Pharmacy | 5899 Preston Road, Bldg 6 Ste 602, Frisco, TX 75034 | 2019-04-18 |
| 1194388173 | Amplify Chiropractic, Pllc | Chiropractor | 8250 Gaylord Pkwy, Ste. 3, Room 21, Frisco, TX 75034 | 2019-04-16 |
| 1740742030 | Princy Kurian | Occupational Therapist | Baylor Scott & White Institute for Rehabilitation Dn, Frisco, TX 75034 | 2019-04-04 |
| Find all providers in zip 75034 | ||||
| Taxonomy Code | 207XP3100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Pediatric Orthopaedic Surgery |
| An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093280463 | Baylor College of Medicine | Orthopaedic Surgery | 6363 San Felipe St Ste 150, Houston, TX 77057-2704 | 2018-10-11 |
| 1184945297 | Kathryn Denise Wiesman | Orthopaedic Surgery | 3533 South Alameda, Corpus Christi, TX 78411 | 2010-06-13 |
| 1205091683 | Gary Lee Douglas | Orthopaedic Surgery | 4020 Edgehill Rd, Fort Worth, TX 76116-7325 | 2008-07-24 |
| 1477758050 | Jaclyn F Hill | Orthopaedic Surgery | 6701 Fannin St Ste 660, Ms Ccc660, Houston, TX 77030-2610 | 2007-06-15 |
| 1205047867 | Robert D Graham, Md | Orthopaedic Surgery | 12176 N Mopac Expy, Suite D, Austin, TX 78758-2908 | 2007-05-25 |
| 1902025000 | Samer Tawakkol Md Pa | Orthopaedic Surgery | 12121 Richmond Ave Ste 408, Houston, TX 77082-2439 | 2007-04-25 |
| 1770610636 | Southern Orthopaedics & Sports Medicine Pa | Orthopaedic Surgery | 5009 S Mccoll Road, Edinburg, TX 78539 | 2007-02-27 |
| 1962422386 | David Scott Brown | Orthopaedic Surgery | 245 West State Highway 114, Suite 300, Southlake, TX 76092 | 2006-07-20 |
| 1528003076 | Pediatric Orthopedic Associates of San Antonio | Orthopaedic Surgery | 4499 Medical Dr., Suite 235, San Antonio, TX 78229-3712 | 2006-06-18 |
| 1447224357 | Earl Austin Stanley Jr. | Orthopaedic Surgery | 8300 Floyd Dr, 3rd Fl -3c, San Antonio, TX 78229 | 2006-02-15 |
| 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.