MR. SEAN MACKEY WILSON (NPI# 1992770572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992770572 |
| Entity Type | Individual |
| Full Name | MR. SEAN MACKEY WILSON |
| Credential | PA-C |
| Practice Address |
4140 Ferncreek Dr Suite 801 Fayetteville NC 28314-2563 |
| Practice Telephone | 9104842171 |
| Practice Fax Number | 9104844568 |
| Mailing Telephone | 9104842171 |
| Mailing Fax Number | 9104844568 |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
103952 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023545720 | Sean Wilson | Counselor | 1221 E Dyer Rd St. 220, Santa Ana, CA 92705 | 2017-05-12 |
| 1568777332 | Sean A Wilson | Counselor | 53 Garden St, Haverhill, MA 01830-3944 | 2010-08-17 |
| 1952921496 | Sean Austin Wilson | Student in an Organized Health Care Education/Training Program | 7501 Riverside Pkwy, Tulsa, OK 74136-5056 | 2020-04-24 |
| 1073147302 | Sean Wilson | Registered Nurse | 2130 Pinehurst Ave, Charleston, SC 29414-6455 | 2020-02-25 |
| 1568994846 | Sean Mcferran Wilson | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2017-03-28 |
| 1770933665 | Sean Wilson | Emergency Medicine | 100 Fairview Dr, Franklin, VA 23851-1238 | 2016-06-21 |
| 1528320231 | Sean P Wilson | Emergency Medicine | 3440 E La Palma Ave, Anaheim, CA 92806-2020 | 2012-06-10 |
| 1386946747 | Sean Michael Wilson | Physician Assistant | 2401 S 31st St, Temple, TX 76508-0001 | 2010-11-17 |
| 1346564788 | Sean Miller Wilson | Student in an Organized Health Care Education/Training Program | 5955 Zeamer Ave, Jber, AK 99506-3702 | 2010-03-14 |
| 1477886182 | Sean William Wilson | Radiology | 1959 Ne Pacific St, Rr215 Uw Box 357115, Seattle, WA 98195-0001 | 2009-09-13 |
| Street Address |
4140 FERNCREEK DR SUITE 801 |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28314-2563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366447757 | Paul Eric Szwejbka | Psychiatry & Neurology | 4140 Ferncreek Dr, Ste 401, Fayetteville, NC 28314-2563 | 2005-06-14 |
| 1619438819 | Amber June Gendron | Physician Assistant | 4140 Ferncreek Dr, Fayetteville, NC 28314-2563 | 2019-03-29 |
| 1336657428 | Carey Lennon | Orthopaedic Surgery | 4140 Ferncreek Dr, Fayetteville, NC 28314-2563 | 2018-01-11 |
| 1497297451 | Zachary John Collins | Physical Therapist | 4140 Ferncreek Dr, Suite 801, Fayetteville, NC 28314-2563 | 2016-11-08 |
| 1932657798 | Jared Kenneth Casazza | Physical Therapist | 4140 Ferncreek Dr, Suite 801, Fayetteville, NC 28314-2563 | 2016-09-21 |
| 1821545005 | Wendy T Bartley | Physical Therapist | 4140 Ferncreek Dr, Suite 801, Fayetteville, NC 28314-2563 | 2016-09-06 |
| 1477941367 | Sarah Busbin | Physician Assistant | 4140 Ferncreek Dr, Suite 801, Fayetteville, NC 28314-2563 | 2014-12-31 |
| 1265820260 | Ashley Ronk | Physician Assistant | 4140 Ferncreek Dr, Suite 801, Fayetteville, NC 28314-2563 | 2014-12-30 |
| 1689071458 | Abighail Castro | Physical Therapist | 4140 Ferncreek Dr, Suite 801, Fayetteville, NC 28314-2563 | 2014-11-22 |
| 1942647300 | Le-ann Mancio | Physical Therapist | 4140 Ferncreek Dr, Fayetteville, NC 28314-2563 | 2013-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528677812 | Lamonica Laveta Greene | Massage Therapist | 7804 Loxley Drive, Fayetteville, NC 28314 | 2020-07-23 |
| 1467086496 | The Pair Center for Couples Counseling Pllc | Counselor | 5085 Morganton Road, Suite 300, Fayetteville, NC 28314 | 2020-02-28 |
| 1346898335 | Chaitanya Joopally Dds Pllc | Dentist | 2050 Skibo Rd. Ste 104, Fayetteville, NC 28314 | 2019-09-03 |
| 1780231894 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 2360 Williamwood Lane, Fayetteville, NC 28314 | 2019-08-22 |
| 1164075982 | A Touch of Grace Inc | Day Training/Habilitation Specialist | 2153 Heathcote Drive, Fayetteville, NC 28314 | 2019-07-21 |
| 1093284465 | Candice Gorremans | Physician Assistant | 108th Air Defense Artillery Brigade, Fort Bragg, NC 28314 | 2018-11-15 |
| 1861983439 | Jessica Lynne Smith | Counselor | 6885 Cliffdale Rd Ste 2002, Fayetteville, NC 28314 | 2018-05-19 |
| 1073003752 | Gooden Mobile Pod Nc Pllc | Podiatrist | 311 Mcfadyen Dr, Fayetteville, NC 28314 | 2018-05-17 |
| 1093222101 | Lauren Bonneau | Behavioral Analyst | 6985 Nexus Ct, Suite 107, Fayetteville, NC 28314 | 2018-01-10 |
| 1760900153 | Elali Alisha Marie Moukwa | Dentist | 1916 Skibo Rd Ste C3, Fayetteville, NC 28314 | 2017-09-06 |
| Find all providers in zip 28314 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083046635 | Jason David Kranenburg | Physician Assistant | 170 Hayden Ct, Fayetteville, GA 30215-2549 | 2013-08-06 |
| 1831391655 | Mandy Suzanne Mooneyham | Physician Assistant | 3053 N College Ave, Fayetteville, AR 72703-3417 | 2007-06-04 |
| 1730266453 | Mary Lee Cudd | Physician Assistant | 1774 Metromedical Drive, Fayetteville, NC 28304 | 2006-11-01 |
| 1043318611 | Dena Marie Pozeg | Physician Assistant | 4140 Ferncreek Drive, Suite 601, Fayetteville, NC 28314-2569 | 2006-09-20 |
| 1407460843 | Alexandra Paige Brown | Physician Assistant | 1695 E Rainforest Rd, Fayetteville, AR 72703-5385 | 2020-09-02 |
| 1134668007 | Gerald Crist | Physician Assistant | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2017-02-13 |
| 1477941367 | Sarah Busbin | Physician Assistant | 4140 Ferncreek Dr, Suite 801, Fayetteville, NC 28314-2563 | 2014-12-31 |
| 1265820260 | Ashley Ronk | Physician Assistant | 4140 Ferncreek Dr, Suite 801, Fayetteville, NC 28314-2563 | 2014-12-30 |
| 1275894826 | Timothy Richard Key | Physician Assistant | 115 Edenton Estates Dr, Fayetteville, GA 30214-4442 | 2012-05-30 |
| 1932258993 | Alexandra Fischell Fitzgerald | Physician Assistant | 4140 Ferncreek Dr, Suite 801, Fayetteville, NC 28314-2563 | 2007-01-09 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28314 |
Please comment or provide details below to improve the information on MR. SEAN MACKEY WILSON.
| 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.