JEFFERSON WILSON (NPI# 1821464645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821464645 |
| Entity Type | Individual |
| Full Name | JEFFERSON WILSON |
| Practice Address |
909 Walnut St Suite 320l Philadelphia PA 19107-5211 |
| Practice Telephone | 2156018976 |
| Mailing Telephone | 2156018976 |
| Enumeration Date | 2015-08-16 |
| Last Update Date | 2015-08-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD454836 | PA | Other Service Providers |
| Street Address |
909 WALNUT ST SUITE 320L |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107-5211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720076706 | Jack I Jallo | Neurological Surgery | 909 Walnut St, 2nd Floor, Philadelphia, PA 19107-5211 | 2005-10-12 |
| 1598370876 | Adam Drabman | Student in an Organized Health Care Education/Training Program | 909 Walnut St, Philadelphia, PA 19107-5211 | 2020-09-13 |
| 1023639671 | Lauren Malinowski-falk | Nurse Practitioner | 909 Walnut St, Philadelphia, PA 19107-5211 | 2020-05-05 |
| 1104399336 | Claire Wells | Nurse Practitioner | 909 Walnut St, Philadelphia, PA 19107-5211 | 2019-01-10 |
| 1841768231 | Kimberly Farley | Nurse Practitioner | 909 Walnut St, Philadelphia, PA 19107-5211 | 2018-11-05 |
| 1477040558 | Tzu-ying Chuang | Student in an Organized Health Care Education/Training Program | 909 Walnut St, Philadelphia, PA 19107-5211 | 2018-04-16 |
| 1386170272 | Colleen Ellen Brophy | Student in an Organized Health Care Education/Training Program | 909 Walnut St, Room 300, Philadelphia, PA 19107-5211 | 2017-05-11 |
| 1760918874 | Yichao Ethan Zhao | Internal Medicine | 909 Walnut St, Philadelphia, PA 19107-5211 | 2017-05-10 |
| 1609302207 | Alyssa Gail Flashburg | Student in an Organized Health Care Education/Training Program | 909 Walnut St, Room 300, Philadelphia, PA 19107-5211 | 2017-05-03 |
| 1982139077 | Nikolaos Mouchtouris | Student in an Organized Health Care Education/Training Program | 909 Walnut St, 2nd Floor, Philadelphia, PA 19107-5211 | 2017-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
| 1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| Find all providers in zip 19107 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174156012 | Sade Yolanda Davis | Specialist | 2414 N Garnet St, Philadelphia, PA 19132-3725 | 2020-02-19 |
| 1356803993 | Larkerra Goodson | Specialist | 1336 Arrott St Apt E15, Philadelphia, PA 19124-3281 | 2019-04-03 |
| 1306302617 | Keisha Robinson | Specialist | 6852 Regent St, Philadelphia, PA 19142-1213 | 2019-02-12 |
| 1740758168 | William Whitaker | Specialist | 1115 E Sanger St, Philadelphia, PA 19124-1130 | 2018-11-02 |
| 1902395536 | Ran Barzilay | Specialist | 3440 Market St, Suite 200, Philadelphia, PA 19104 | 2018-05-09 |
| 1093229668 | Danielle M Marshall | Specialist | 514 Seville St Apt 7, Philadelphia, PA 19128-2737 | 2017-11-19 |
| 1336651017 | Radhia Afif | Specialist | 5943 Weymouth St, Philadelphia, PA 19120-1122 | 2017-11-02 |
| 1306383401 | Helping Hair LLC | Specialist | 930 N 50th St, Philadelphia, PA 19131-5102 | 2017-01-26 |
| 1447796172 | Kristen Halvorson | Specialist | 3411 Cresson St, Apartment 6, Philadelphia, PA 19129-1654 | 2017-01-19 |
| 1174079131 | Sadia Randolph | Specialist | 6718 Paschall Ave, Philadelphia, PA 19142-1809 | 2016-08-30 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19107 |
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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.