Kathleen Woodhouse Wilson


Address: 24810 Burnt Pine Dr, Suite 3, Bonita Springs, FL 34134-1973

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.

Physician Overview

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

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100244 CAPE CORAL HOSPITAL - 100244

Other Locations

Address Phone Organization
24810 Burnt Pine Dr, Suite 3, Bonita Springs, FL 34134-1973

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
MIPS_EC_047_overall Care Plan 0%

Organization Information

Office Location

Street Address 24810 BURNT PINE DR
SUITE 3
City BONITA SPRINGS
State FL
Zip 34134-1973

Physicians in the same location

Name Specialty Organization Address
Darlene Welton Ballew Qualified Audiologist 24810 Burnt Pine Dr, Suite 2, Bonita Springs, FL 34134-1973

Physicians in the same zip code

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

Competitor

Search similar physicians

City BONITA SPRINGS
Zip Code 34134
Specialty INTERNAL MEDICINE
City + Specialty BONITA SPRINGS + INTERNAL MEDICINE

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Dataset Information

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.

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