JEFFREY JOHN WILSON (NPI# 1962955435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962955435 |
| Entity Type | Individual |
| Full Name | JEFFREY JOHN WILSON |
| Credential | AT/L |
| Practice Address |
24062 Taft Rd Novi MI 48375-3022 |
| Mailing Address |
37480 Scotsdale Cir #301 Westland MI 48185-7553 |
| Practice Telephone | 4088062583 |
| Mailing Telephone | 4088062583 |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2016-08-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
542199 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720505274 | Jeffrey L Wilson | Counselor | 14201 S Mur Len Rd Ste 101, Olathe, KS 66062-1859 | 2017-08-25 |
| 1700317153 | Jeffrey Wilson | Student in an Organized Health Care Education/Training Program | Florida Atlantic University Internal Medicine Residency, 800 Meadows Road, Boca Raton, FL 33486 | 2017-03-27 |
| 1073909883 | Jeffrey Lynn Wilson | Clinical Nurse Specialist | 5516 Barons Pt, Ooltewah, TN 37363-8875 | 2015-04-08 |
| 1801185814 | Jeffrey Matthew Wilson | Registered Nurse | 7750 Via Francesco Unit 2, San Diego, CA 92129-5149 | 2011-03-30 |
| 1447425798 | Jeffrey Joseph Wilson | Dentist | 1542 Union St, Schenectady, NY 12309 | 2008-04-28 |
| 1184701658 | Jeffrey M Wilson | Dentist | 73 Greentree Dr # 407, Dover, DE 19904-7646 | 2006-11-01 |
| 1922108745 | Jeffrey Lynn Wilson | Family Medicine | 1810 Eldron Blvd., Se, Palm Bay, FL 32909 | 2006-09-22 |
| 1184727612 | Jeffrey F Wilson | Optometrist | 126 W Wheatland Ave, Remus, MI 49340 | 2006-09-07 |
| 1417065715 | Jeffrey Whiteside Wilson | Psychiatry & Neurology | 10229 W Greenfield Ave, West Allis, WI 53214 | 2006-08-27 |
| 1972522068 | Jeffrey S Wilson | Podiatrist | 381 Cline Ave, Mansfield, OH 44907 | 2006-07-19 |
| Street Address |
24062 TAFT RD |
| City | NOVI |
| State | MI |
| Zip Code | 48375-3022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134747363 | Quick Care Medical Devices, LLC | Durable Medical Equipment & Medical Supplies | 25500 Meadowbrook Rd 275b, Novi, MI 48375 | 2020-07-14 |
| 1205475209 | Terri Lynn Tiederman | Registered Nurse | Cns Healthcare 24230 Karim Blvd, Ste 100, Novi, MI 48375 | 2019-12-23 |
| 1588202089 | Kenneth Alexander | Pharmacist | 40339 Grand River Ave # 110, Novi, MI 48375 | 2019-12-15 |
| 1962044644 | Sam Pharmacy Rx | Pharmacy | 39915 Grand River Ave Suite 550, Novi, MI 48375 | 2019-10-14 |
| 1700440203 | Arman C. Moshyedi, Md, Pllc | Psychiatry & Neurology | 4000 Grand River Avenue, Suite 306, Novi, MI 48375 | 2019-04-30 |
| 1225593726 | Daniel Woodward Mead | Nurse Practitioner | 39500 W 10 Mile Rd Ste 100, Novi, MI 48375 | 2019-02-08 |
| 1700340569 | Nuch of Michigan, Inc. | Clinic/Center | 20782 Thirteen Mile Road, Roseville, MI 48375 | 2019-01-25 |
| 1447735626 | Timothy Holland | Behavior Technician | 41521 W Ll Mile Rd, Novi, MI 48375 | 2018-10-03 |
| 1750874376 | Christian Field | Behavior Technician | 41512 W 11 Mile Rd, Novi, MI 48375 | 2018-06-08 |
| 1114415668 | O2 Pharmacy, LLC | Pharmacy | 39765 Grand River Ave, Novi, MI 48375 | 2018-04-30 |
| Find all providers in zip 48375 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730726167 | Malorie A Most | Specialist/Technologist | 23602 N Rockledge, Novi, MI 48375-3759 | 2019-12-04 |
| 1497315840 | Kira Gabrielle Reading | Specialist/Technologist | 21600 Novi Rd Ste 400, Novi, MI 48375-5605 | 2019-06-18 |
| 1215492533 | Julia Marie Palushaj | Specialist/Technologist | 47181 Manhattan Cir, Novi, MI 48374-1834 | 2019-02-01 |
| 1558738377 | Cathryn Nicole Haller | Specialist/Technologist | 48845 Delmont Dr, Novi, MI 48374-2770 | 2015-08-27 |
| 1093930950 | Johnny Leo Bray | Specialist/Technologist | 40557 Brenda, Novi, MI 48375-2803 | 2007-04-16 |
| 1629126461 | Meredith A Crawford | Specialist/Technologist | 39830 Grand River Ave Ste B-3, Novi, MI 48375-2134 | 2007-01-08 |
| 1235286956 | Wendy L Hughes | Specialist/Technologist | 23663 Stonehenge Blvd, Novi, MI 48375-3776 | 2007-01-04 |
| 1770091878 | Serena Renee Wilson | Specialist/Technologist | 23655 Novi Rd, Novi, MI 48375-5442 | 2018-01-11 |
| 1699292698 | Jesse Ray Steenwyk | Specialist/Technologist | 26750 Providence Pkwy, Novi, MI 48374-1211 | 2017-08-29 |
| 1215232806 | Kelly Michelle Weir | Specialist/Technologist | 39450 W 12 Mile Rd, Novi, MI 48377-3600 | 2011-01-13 |
| Find all providers in NOVI | ||||
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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.