John J Wilson (NPI# 1407825755, PAC ID# 2567473655) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is SPORTS MEDICINE.
| Nation Provider ID (NPI) | 1407825755 |
| PAC ID by PECOS | 2567473655 |
| Professional Enrollment ID | I20060607000063 |
| Full Name | John J Wilson |
| Organization Legal Name | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC |
| Address |
621 Science Dr Madison WI 53711-1074 |
| Phone Number | 6082638400 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
| Graduation Year | 2003 |
| Primary Specialty | SPORTS MEDICINE |
| Secondary Specialties | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 6608785464 |
| Number of Group Practice Members | 1845 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520098 | UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY |
| 520089 | MERITER HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4602 Eastpark Blvd, Madison, WI 53718-2002 | 6084406400 | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC |
| 600 Highland Ave, Madison, WI 53792-0001 | 6082636400 | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC |
| 621 Science Dr, Madison, WI 53711-1074 | 6082638400 | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC |
| Organization Legal Name | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC |
| Physicians | 1953 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Ann Nowak | Nurse Practitioner | University of Wisconsin Medical Foundation Inc | 202 S Park St, Madison, WI 53715-1507 |
| Ronak Mehta | Family Medicine | University of Wisconsin Medical Foundation Inc | 4590 County Rd N, Cottage Grove, WI 53527-9208 |
| Kimberly E Daniel | Gastroenterology | University of Wisconsin Medical Foundation Inc | 750 University Row, Madison, WI 53705-1311 |
| James D Thompson | Otolaryngology | University of Wisconsin Medical Foundation Inc | 600 Highland Ave, Madison, WI 53792-0001 |
| Katherine A Mccreary | Family Medicine | University of Wisconsin Medical Foundation Inc | 5543 E Cheryl Pkwy, Fitchburg, WI 53711-5376 |
| Adam James Blanchard | Diagnostic Radiology | University of Wisconsin Medical Foundation Inc | 1620 Mehta Ln, Fort Atkinson, WI 53538-9178 |
| Emily J Staudt | Physician Assistant | University of Wisconsin Medical Foundation Inc | 4131 Meridian Dr, Windsor, WI 53598-9699 |
| Muhammad S Karim | Nephrology | University of Wisconsin Medical Foundation Inc | 4600 American Pkwy, Suite 108, Madison, WI 53718-8337 |
| Gillian I Silberzahn | Nurse Practitioner | University of Wisconsin Medical Foundation Inc | 5115 N Biltmore Ln, Madison, WI 53718-2161 |
| Sara E Odonnell | Nurse Practitioner | University of Wisconsin Medical Foundation Inc | 5618 Odana Rd, Madison, WI 53719-1208 |
| Street Address |
621 SCIENCE DR |
| City | MADISON |
| State | WI |
| Zip | 53711-1074 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul J Johnson | Orthopedic Surgery | University of Wisconsin System Non Payroll | 621 Science Dr, Madison, WI 53711-1074 |
| Joseph Y Tang | Diagnostic Radiology | University of Wisconsin Medical Foundation Inc | 621 Science Dr, Madison, WI 53711-1074 |
| David T Bernhardt | Pediatric Medicine | University of Wisconsin Medical Foundation Inc | 621 Science Dr, Madison, WI 53711-1074 |
| Linda L Eckhardt | Cardiac Electrophysiology | University of Wisconsin Medical Foundation Inc | 621 Science Dr, Madison, WI 53711-1074 |
| Richard Kijowski | Diagnostic Radiology | University of Wisconsin Medical Foundation Inc | 621 Science Dr, Madison, WI 53711-1074 |
| Jonathan C Makielski | Cardiovascular Disease (cardiology) | University of Wisconsin Medical Foundation Inc | 621 Science Dr, Madison, WI 53711-1074 |
| Scott Sheehan | Diagnostic Radiology | University of Wisconsin Medical Foundation Inc | 621 Science Dr, Madison, WI 53711-1074 |
| Geoffrey S Baer | Sports Medicine | University of Wisconsin Medical Foundation Inc | 621 Science Dr, Madison, WI 53711-1074 |
| Nathaniel Brooks | Neurosurgery | University of Wisconsin Medical Foundation Inc | 621 Science Dr, Madison, WI 53711-1074 |
| John Frederick Orwin | Sports Medicine | University of Wisconsin Medical Foundation Inc | 621 Science Dr, Madison, WI 53711-1074 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael G Wirth | Chiropractic | Group Health Cooperative of South Central Wisconsin | 5301 Tokay Blvd, Madison, WI 53711-1027 |
| Daniel K Resnick | Neurosurgery | University of Wisconsin Medical Foundation Inc | 621 Science Dr, Madison, WI 53711-1074 |
| Kathleen E Walsh | Geriatric Medicine | University of Wisconsin Medical Foundation Inc | 621 Science Dr, Madison, WI 53711-1074 |
| Michael J Tuite | Diagnostic Radiology | University of Wisconsin Medical Foundation Inc | 621 Science Dr, Madison, WI 53711-1074 |
| Rebecca L Nelson | Physician Assistant | University of Wisconsin Medical Foundation Inc | 621 Science Dr, Madison, WI 53711-1074 |
| Janice M Singles | Psychologist, Clinical | University of Wisconsin System Non Payroll | 621 Science Dr, Madison, WI 53711-1074 |
| Amy S Hof | Nurse Practitioner | University of Wisconsin Medical Foundation Inc | 621 Science Dr, Madison, WI 53711-1074 |
| Brian Edmund Walczak | Sports Medicine | University of Wisconsin Medical Foundation Inc | 621 Science Dr, Madison, WI 53711-1074 |
| Jonathan Karnes | Orthopedic Surgery | University of Wisconsin System Non Payroll | 621 Science Dr, Madison, WI 53711-1074 |
| Donna G Blankenbaker | Diagnostic Radiology | University of Wisconsin Medical Foundation Inc | 621 Science Dr, Madison, WI 53711-1074 |
| Find all physicians in zip 53711 | |||
| City | MADISON |
| Zip Code | 53711 |
| Specialty | SPORTS MEDICINE |
| City + Specialty | MADISON + SPORTS MEDICINE |
Please comment or provide details below to improve the information on John J Wilson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.