DEREK TIMOTHY WILSON


Address: 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015
Phone: 8659837211

DEREK TIMOTHY WILSON (NPI# 1841668035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841668035
Entity Type Individual
Full Name DEREK TIMOTHY WILSON
Credential CRNA
Practice Address 907 E Lamar Alexander Pkwy
Maryville
TN 37804-5015
Mailing Address Po Box 24776
Chattanooga
TN 37422-4776
Practice Telephone 8659837211
Practice Fax Number 8659838043
Mailing Telephone 8772881799
Mailing Fax Number 8654509374
Enumeration Date 2015-09-04
Last Update Date 2015-10-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered RN186783 TN Physician Assistants & Advanced Practice Nursing Providers

Other Providers DEREK WILSON

NPI Name Taxonomy Address Enumeration
1134640741 Derek James Wilson Pharmacist 2a Walter E Foran Blvd, Flemington, NJ 08822 2017-07-05
1093143950 Derek Wilson Counselor 204 S Irwin Ave, Charlotte, NC 28202-1117 2013-10-30
1043829302 Derek Alan Wilson Developmental Therapist 4160 Piedmont Pkwy Ste 207, Greensboro, NC 27410-8174 2020-07-23
1558760132 Derek James Wilson Physician Assistant 1600 Sw Archer Rd, Gainesville, FL 32610-0371 2014-08-19
1114348729 Derek James Wilson Counselor 360 Bloomfield Ave Ste 301, Windsor, CT 06095-2700 2013-12-27
1417034026 Derek Edward Wilson Physician Assistant 800 W Laurel St, Independence, KS 67301-3211 2006-11-01

Office Location

Street Address 907 E LAMAR ALEXANDER PKWY
City MARYVILLE
State TN
Zip Code 37804-5015

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023004363 Blount Memorial Hospital, Inc. Home Infusion 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 2005-09-22
1023617842 Katherine Jeanne Talmont Radiology 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 2020-10-22
1639791643 Susie Danielle Clerge Nurse Practitioner 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5016 2020-05-13
1992331433 Blount Radiation Oncology Associates, Pllc Radiology 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 2020-03-17
1679122071 Jody M Hinton Nurse Practitioner 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 2019-09-09
1750936076 Danielle Stephanie Vittatoe Registered Nurse 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5016 2019-08-04
1962907709 John-michael Eric Galbraith Physician Assistant 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 2018-03-26
1134622418 Kelli Morrison Nurse Practitioner 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 2018-03-13
1205345378 Margaret C Saunders Nurse Practitioner 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 2017-09-21
1023532215 Dalya Tobea Frank Nurse Practitioner 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 2017-07-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659835825 Matthew David Mallory Physical Therapist Morning View Village 2320 E. Lamar Alexander Parway, Maryville, TN 37804 2019-01-22
1063937290 Rachel Ryan Mcmillan Counselor 362 High Street, Maryville, TN 37804 2017-08-09
1316461460 Steven Casey Boring Nurse Practitioner 907 E. Lamar Alexander Pkwy., Maryville, TN 37804 2017-07-31
1851738751 Robert Kane Mccall Pathology 250 E. Broadway, Maryville, TN 37804 2013-05-31
1619242849 Jennifer Mcclements Physical Therapy Assistant 4004 Samuel Circle, Maryville, TN 37804 2012-03-21
1316223886 Sabrina Nicole Powers Social Worker 1704 East Broadway, Maryville, TN 37804 2011-10-28
1407138381 Russmann, Inc. Ambulance 4163 Benny Delozier Drive, Maryville, TN 37804 2011-09-15
1184932485 Complete Family Care of Maryville, Pllc Internal Medicine 2004 E. Broadway, Maryville, TN 37804 2010-09-21
1093975096 Kristi Clark Correll Speech-Language Pathologist 2030 East Lamar Alexander Parkway, Maryville, TN 37804 2008-06-12
1134388267 Barbara Frantz Poulsen Speech-Language Pathologist 2030 E Lamar Alexander Parkway, Maryville, TN 37804 2008-06-04
Find all providers in zip 37804

Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043750540 Gina Saal Nurse Anesthetist, Certified Registered 6800 Rt 162, Maryville, IL 62062 2017-03-02
1952709446 David Kinlaw Nurse Anesthetist, Certified Registered 2903 W Woodbine Dr, Maryville, TN 37803-0591 2014-12-15
1023055696 Novamed Eye Surgery Center of Maryville, LLC Nurse Anesthetist, Certified Registered 12 Maryville Professional Park, Maryville, IL 62062 2006-06-01
1598373052 Brittany Smith Nurse Anesthetist, Certified Registered 6800 State Route 162, Maryville, IL 62062-8500 2020-07-21
1285251033 Cory Ray Austin Nurse Anesthetist, Certified Registered 6800 State Route 162, Maryville, IL 62062-8500 2020-06-28
1194210393 Jared T Holton Nurse Anesthetist, Certified Registered 6800 State Route 162, Maryville, IL 62062-8500 2018-06-29
1396235933 Amy Catherine Schollenberger Nurse Anesthetist, Certified Registered 6800 State Route 162, Maryville, IL 62062-8500 2018-05-17
1760905855 Coleen Michele Spotts Nurse Anesthetist, Certified Registered 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 2017-07-20
1841713955 Tiffany Michelle Foster Nurse Anesthetist, Certified Registered 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 2017-07-20
1124541248 Donna Marie Mcmahan Nurse Anesthetist, Certified Registered 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 2017-07-20
Find all providers in MARYVILLE

Competitor

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City MARYVILLE
Zip Code 37804

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Dataset Information

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.

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