Kathleen Woodhouse Wilson (NPI# 1316993272, PAC ID# 4385667062) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1316993272 |
PAC ID by PECOS | 4385667062 |
Professional Enrollment ID | I20060109000546 |
Full Name | Kathleen Woodhouse Wilson |
Address |
24810 Burnt Pine Dr Suite 3 Bonita Springs FL 34134-1973 |
Gender | F |
Credential | MD |
Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
Graduation Year | 1975 |
Primary Specialty | INTERNAL MEDICINE |
Secondary Specialties | GASTROENTEROLOGY |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
100244 | CAPE CORAL HOSPITAL - 100244 |
Address | Phone | Organization |
---|---|---|
24810 Burnt Pine Dr, Suite 3, Bonita Springs, FL 34134-1973 |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
MIPS_EC_047_overall | Care Plan | 0% |
Street Address |
24810 BURNT PINE DR SUITE 3 |
City | BONITA SPRINGS |
State | FL |
Zip | 34134-1973 |
Name | Specialty | Organization | Address |
---|---|---|---|
Darlene Welton Ballew | Qualified Audiologist | 24810 Burnt Pine Dr, Suite 2, Bonita Springs, FL 34134-1973 |
Name | Specialty | Organization | Address |
---|---|---|---|
Vicky A Hingst | Qualified Audiologist | Advanced Hearing Technology, Inc. | 3350 Woods Edge Cir, Suite 101, Bonita Springs, FL 34134-1366 |
Caryl H Rosen | Psychologist, Clinical | 3384 Woods Edge Circle, Suite 104, Bonita Springs, FL 34134-1367 | |
Scott H Jaffe | Family Practice | 3384 Woods Edge Cir, Suite 103, Bonita Springs, FL 34134-1367 | |
Chip Tran Shemansky | Chiropractic | 24830 Burnt Pine Dr, Suite 3, Bonita Springs, FL 34134-1974 | |
Stephen Pascucci Jr. | Ophthalmology | Eye Consultants of Bonita Springs Pllc | 24820 Burnt Pine Dr, Suite 4, Bonita Springs, FL 34134-2028 |
Gary Gendron | Chiropractic | 28315 S Tamiami Trail, Suite 101, Bonita Springs, FL 34134-3217 | |
Guillermo Bohm | Internal Medicine | Endocrinology Institute of South Fl LLC | 4061 Bonita Beach Rd, Suite 101, Bonita Springs, FL 34134-4073 |
Orlando Fernandez | Endocrinology | Endocrinology Institute of South Fl LLC | 4061 Bonita Beach Rd, Suite 101, Bonita Springs, FL 34134-4073 |
Michele L Pelletiere | Chiropractic | 3411 Bonita Beach Rd, Suite 302, Bonita Springs, FL 34134-4155 | |
Gilberto A Riveron | Family Medicine | Nchmd Inc | 3302 Bonita Beach Rd, Suite 170, Bonita Springs, FL 34134-4217 |
Find all physicians in zip 34134 |
City | BONITA SPRINGS |
Zip Code | 34134 |
Specialty | INTERNAL MEDICINE |
City + Specialty | BONITA SPRINGS + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Kathleen Woodhouse 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.