DR. IAN JERMAINE WILSON


Address: 1892 Winton Rd S Ste 190, Rochester, NY 14618-3996
Phone: 5859020444

DR. IAN JERMAINE WILSON (NPI# 1871793570) 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) 1871793570
Entity Type Individual
Full Name DR. IAN JERMAINE WILSON
Credential M.D.
Practice Address 1892 Winton Rd S Ste 190
Rochester
NY 14618-3996
Practice Telephone 5859020444
Practice Fax Number 5854175513
Mailing Telephone 5859020444
Mailing Fax Number 5854175513
Enumeration Date 2007-07-20
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
244637 NY Allopathic & Osteopathic Physicians
N 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
244637 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 02933948 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1892 Winton Rd S Ste 190, Rochester, NY 146183996 5859020444 5854175513
601 Elmwood Ave, Rochester, NY 146420001 5852751381 5852731003

Other Providers IAN WILSON

NPI Name Taxonomy Address Enumeration
1750729216 Ian William Wilson Licensed Practical Nurse 2141 Crotona Ave, Apt. 2b, Bronx, NY 10457-2705 2013-06-06
1730484858 Ian Thomas Wilson Counselor 1600 E Olive St, Sound Mental Health, Seattle, WA 98122-2735 2011-01-20
1568781615 Ian Glen Wilson Behavioral Analyst 6400 Tupelo Dr, Citrus Heights, CA 95621-1741 2010-05-27
1023238243 Ian Fitzsimmons Wilson Surgery 10000 Bay Pines Blvd, Baypines, FL 33744 2007-04-27
1760598239 Ian J Wilson Internal Medicine 625 Africa Rd Ste 200, Westerville, OH 43082 2006-08-21

Office Location

Street Address 1892 WINTON RD S STE 190
City ROCHESTER
State NY
Zip Code 14618-3996

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962056499 Zahavi Dental of Rochester Dentist 1815 S. Clinton Ave, 510, Rocheter, NY 14618 2019-08-01
1760047278 Inner Power Physical Therapy Pllc Clinic/Center 2561 Lac Deville Boulevard, Suite 100, Rochester, NY 14618 2019-05-09
1659859858 Steven Sanfilippo Counselor 2000 S. Winton Rd., Building 4, Suite 303, Rochester, NY 14618 2018-07-31
1578064853 Feet First Inc Durable Medical Equipment & Medical Supplies 1900 Clinton Ave S Ste 5, Rochester, NY 14618 2018-02-22
1558805374 Jennifer Virella Social Worker 2000 South Winton Road, Bldg 2, Rochester, NY 14618 2016-12-13
1235589300 Andrew Cyrus Marcy Nurse Practitioner 95 Allens Creek Road Bld 1 Ste 306, Rochester, NY 14618 2016-06-20
1932561073 Legacy Pediatrics Pediatrics 1815 South Clinton Avenue Ste 360, Rochester, NY 14618 2016-03-28
1790143105 Marie Lynn Bieber Dietitian, Registered 919 Winton Rd S Ste 220, Rochester, NY 14618 2016-02-01
1720443096 Brittany Rose Masetta Marriage & Family Therapist 2000 S Winton Rd, Bldg 4, Suite #200, Rochester, NY 14618 2015-12-30
1437543097 Kathleen Skye Kemp Internal Medicine 2400 S Clinton Ave Ste G2, Rochester, NY 14618 2015-03-22
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306333109 John Warren Kirby Radiology 200 1st St Sw # 507284, Rochester, MN 55905 2018-04-17
1235687088 Jeffery E. Illman Radiology 1082 Southern Ridge Dr Sw, Rochester, MN 55902-1854 2016-09-21
1518209675 Peter Alan Dvorak Radiology 36 Edgemont Rd, Rochester, NY 14620-4520 2013-03-26
1144519992 Daniel C Oppenheimer Radiology 601 Elmwood Ave Box 648, Rochester, NY 14642-1016 2011-04-01
1992094072 Joel P Thompson Radiology 995 Senator Keating Blvd Ste 100, Rochester, NY 14618-2777 2011-03-29
1487860482 Nadia Fatima Yusaf Radiology 2623 South Clinton Ave, Rochester, NY 14618-2623 2007-05-15
1356413470 Man-mei Nadine Su Radiology 1776 11th Ave Ne, Rochester, MN 55906-4215 2006-11-14
1639184377 Arun Basu Radiology 601 Elmwood Ave # 648, Rochester, NY 14642-0001 2006-07-30
1811901135 Devang Butani Radiology 601 Elmwood Ave / Univ. of Roch. Med Ctr, Imaging Sciences, Box 648, Rochester, NY 14642-1698 2006-07-29
1801822853 Michael Joseph Johnston Radiology 102 Elton Hills Dr Nw, Rochester, MN 55901-3562 2006-06-23
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Competitor

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City ROCHESTER
Zip Code 14618

Improve Information

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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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