JEFFREY MICHAEL WILSON (NPI# 1992062137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992062137 |
| Entity Type | Individual |
| Full Name | JEFFREY MICHAEL WILSON |
| Practice Address |
2955 Ivy Rd Ste 311 Charlottesville VA 22903-9353 |
| Mailing Address |
Po Box 9007 Charlottesville VA 22906-9007 |
| Practice Telephone | 4349242227 |
| Practice Fax Number | 4342444503 |
| Mailing Telephone | 4342951000 |
| Mailing Fax Number | 4349724266 |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2020-10-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | 0101266957 | VA | Allopathic & Osteopathic Physicians |
| 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 |
| 1962955435 | Jeffrey John Wilson | Specialist/Technologist | 24062 Taft Rd, Novi, MI 48375-3022 | 2016-08-01 |
| 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 |
| Street Address |
2955 IVY RD STE 311 |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22903-9353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912984709 | Anubha Tripathi | Internal Medicine | 2955 Ivy Rd Ste 311, Charlottesville, VA 22903-9353 | 2005-12-22 |
| 1508156555 | Thamiris V. Palacios-kibler | Allergy & Immunology | 2955 Ivy Rd Ste 311, Charlottesville, VA 22903-9353 | 2011-04-11 |
| 1265722466 | Anna R Smith | Allergy & Immunology | 2955 Ivy Rd Ste 311, Charlottesville, VA 22903-9353 | 2011-04-09 |
| 1053584532 | Emily C. Mcgowan | Allergy & Immunology | 2955 Ivy Rd Ste 311, Charlottesville, VA 22903-9353 | 2008-04-07 |
| 1770795486 | Scott P Commins | Allergy & Immunology | 2955 Ivy Rd Ste 311, Charlottesville, VA 22903-9353 | 2007-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326671009 | Ticynn Symone London | Specialist/Technologist | 723 Retriever Run, Ticynn London, Charlottesville, VA 22903 | 2020-02-20 |
| 1043853542 | Elaine Mccall | Dietitian, Registered | 1335 Jefferson Park Ave, Charlottesville, VA 22903 | 2019-10-28 |
| 1205480753 | Sean Robert Bennett | Clinic/Center | 433 Ednam Drive, Charlottesville, VA 22903 | 2019-08-01 |
| 1922562818 | Lynn Owen Taggart | Student in an Organized Health Care Education/Training Program | 300 Grassmere Rd, Charlottesville, VA 22903 | 2019-01-25 |
| 1831636166 | Sarah Michelle Richin | Social Worker | 709 A West Main St, Charlottesville, VA 22903 | 2017-01-25 |
| 1962868851 | Kelly Stewart Maurer | Counselor | 3101 Fontaine Avenue, Charlottesville, VA 22903 | 2016-01-07 |
| 1831592039 | Bearley Dental PC | Dentist | 901 Preston Ave, Suite 200, Charlottesville, VA 22903 | 2014-10-01 |
| 1730437823 | Frances Eva Demmerle | Neuromusculoskeletal Medicine & OMM | 1149 Rose Hill Dr., Charlottesville, VA 22903 | 2012-08-21 |
| 1801142229 | University of Virginia | General Acute Care Hospital | 1925 Beechcrest Court, Charlottesville, VA 22903 | 2012-08-03 |
| 1407123516 | Laura P. Handler | Counselor | 500 Old Lynchburg Rd., Region Ten Csb, Charlottesville, VA 22903 | 2011-11-18 |
| Find all providers in zip 22903 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982869897 | Erin J Klaffky | Allergy & Immunology | 1415 Rolkin Ct Ste 102, Charlottesville, VA 22911-3643 | 2008-07-21 |
| 1699854307 | Arvind Madaan | Allergy & Immunology | 1532 Insurance Ln, Charlottesville, VA 22911-7229 | 2006-11-03 |
| 1245277037 | Gary Paige Rakes | Allergy & Immunology | 1415 Rolkin Ct, Suite 102, Charlottesville, VA 22911-3642 | 2006-06-01 |
| 1629335641 | Christina Funari Ortiz | Allergy & Immunology | 1215 Lee St, Box 800386, Charlottesville, VA 22908-0816 | 2012-04-15 |
| 1508156555 | Thamiris V. Palacios-kibler | Allergy & Immunology | 2955 Ivy Rd Ste 311, Charlottesville, VA 22903-9353 | 2011-04-11 |
| 1265722466 | Anna R Smith | Allergy & Immunology | 2955 Ivy Rd Ste 311, Charlottesville, VA 22903-9353 | 2011-04-09 |
| 1265767750 | Allergy Partners, Pllc | Allergy & Immunology | 1415 Rolkin Ct Ste 102, Charlottesville, VA 22911-3643 | 2009-10-16 |
| 1053584532 | Emily C. Mcgowan | Allergy & Immunology | 2955 Ivy Rd Ste 311, Charlottesville, VA 22903-9353 | 2008-04-07 |
| 1043428410 | Madeline Adams Dillon | Allergy & Immunology | 1415 Rolkin Ct, Suite 102, Charlottesville, VA 22911-3642 | 2007-05-18 |
| 1770795486 | Scott P Commins | Allergy & Immunology | 2955 Ivy Rd Ste 311, Charlottesville, VA 22903-9353 | 2007-05-04 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22903 |
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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.