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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | RN186783 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| 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 |
| Street Address |
907 E LAMAR ALEXANDER PKWY |
| City | MARYVILLE |
| State | TN |
| Zip Code | 37804-5015 |
| 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 |
| Find all providers in the same location | ||||
| 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 Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (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. |
| 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 | ||||
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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.