Jonathan B Wilson (NPI# 1205197878, PAC ID# 7416104575) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1205197878 |
| PAC ID by PECOS | 7416104575 |
| Professional Enrollment ID | I20120823000793 |
| Full Name | Jonathan B Wilson |
| Organization Legal Name | FOOT AND ANKLE CLINIC OF CENTRAL NEBRASKA PC |
| Address |
620 N Diers Ave Suite 100 Grand Island NE 68803-4985 |
| Phone Number | 3083810404 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 2264435569 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 281365 | JENNIE M MELHAM MEMORIAL MEDICAL CENTER |
| 280032 | MARY LANNING HEALTHCARE |
| 280023 | CHI HEALTH ST. FRANCIS |
| Address | Phone | Organization |
|---|---|---|
| 145 Memorial Dr, Broken Bow, NE 68822-1378 | 3088724100 | FOOT AND ANKLE CLINIC OF CENTRAL NEBRASKA PC |
| 620 N Diers Ave, Suite 100, Grand Island, NE 68803-4985 | 3083810404 | FOOT AND ANKLE CLINIC OF CENTRAL NEBRASKA PC |
| 223 E 14th St, Suite 250, Hastings, NE 68901-3239 | 3083810404 | FOOT AND ANKLE CLINIC OF CENTRAL NEBRASKA PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | FOOT AND ANKLE CLINIC OF CENTRAL NEBRASKA PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin J Larsen | Podiatry | Foot and Ankle Clinic of Central Nebraska PC | 2011 N Lincoln Ave, York, NE 68467-1071 |
| Amanda L Walsh | Podiatry | Foot and Ankle Clinic of Central Nebraska PC | 620 N Diers Ave, Suite 100, Grand Island, NE 68803-4985 |
| Street Address |
620 N DIERS AVE SUITE 100 |
| City | GRAND ISLAND |
| State | NE |
| Zip | 68803-4985 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyle C Shaffer | Physical Therapy | Central Nebraska Rehabilitation Services LLC | 620 N Diers Ave, 300 Grand Island Physical Therapy, Grand Island, NE 68803-4985 |
| Bruce Albrecht | Occupational Therapy | Central Nebraska Rehabilitation Services LLC | 620 N Diers Ave, 300 Grand Island Physical Therapy, Grand Island, NE 68803-4985 |
| Gregory S Sextro | Orthopedic Surgery | Central Nebraska Orthopedics and Sports Medicine PC | 620 N Diers Ave, Grand Island, NE 68803-4984 |
| Amanda L Walsh | Podiatry | Foot and Ankle Clinic of Central Nebraska PC | 620 N Diers Ave, Suite 100, Grand Island, NE 68803-4985 |
| Delton R Friesen | Occupational Therapy | Central Nebraska Rehabilitation Services LLC | 620 N Diers Ave, 300 Grand Island Physical Therapy, Grand Island, NE 68803-4985 |
| Scott B Lukens | Orthopedic Surgery | Central Nebraska Orthopedics and Sports Medicine PC | 620 N Diers Ave, Grand Island, NE 68803-4984 |
| Brian M Dinkelman | Physical Therapy | Central Nebraska Rehabilitation Services LLC | 620 N Diers Ave, 300 Grand Island Physical Therapy, Grand Island, NE 68803-4985 |
| Stacy M Ladwig | Physical Therapy | Central Nebraska Rehabilitation Services LLC | 620 N Diers Ave, 300 Grand Island Physical Therapy, Grand Island, NE 68803-4985 |
| Micah Kern | Physical Therapy | Central Nebraska Rehabilitation Services LLC | 620 N Diers Ave, 300 Grand Island Physical Therapy, Grand Island, NE 68803-4985 |
| Joshua Buechler | Physical Therapy | Central Nebraska Rehabilitation Services LLC | 620 N Diers Ave, 300 Grand Island Physical Therapy, Grand Island, NE 68803-4985 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tabitha A Carlson | Clinical Psychologist | 3532 W Capital Ave, Grand Island, NE 68803-1205 | |
| Susan G Lindblad | Clinical Psychologist | Family Resources of Greater Nebraska PC | 3532 W Capital Ave, Grand Island, NE 68803-1205 |
| Joyce Heger | Clinical Social Worker | Family Resources of Greater Nebraska PC | 3532 W Capital Ave, Grand Island, NE 68803-1205 |
| Andrew Brugman | Chiropractic | Active Family Chiropractic and Acupuncture PC | 2441 N Diers Ave, Grand Island, NE 68803-1240 |
| Monica C Schmucker | Nurse Practitioner | Heartland Health Center Inc | 3307 W Capital Ave, Grand Island, NE 68803-1334 |
| Kirsten Rohde | Nurse Practitioner | Heartland Health Center Inc | 3307 W Capital Ave, Grand Island, NE 68803-1334 |
| Thomas G Cobler Jr. | Chiropractic | Cobler Chiropractic Inc | 2237 N Webb Rd, Grand Island, NE 68803-1740 |
| Mitchell L Maire | Chiropractic | Cobler Chiropractic Inc | 2237 N Webb Rd, Grand Island, NE 68803-1740 |
| Jayne E Halsey | Clinical Social Worker | 2121 N Webb Rd, Suite 300, Grand Island, NE 68803-1751 | |
| Nicholas R Rech | Physical Therapy | Genesis Eldercare Rehabilitation Services LLC | 2300 W Capitol Ave, Grand Island Veterans Home, Grand Island, NE 68803-2003 |
| Find all physicians in zip 68803 | |||
| City | GRAND ISLAND |
| Zip Code | 68803 |
| Specialty | PODIATRY |
| City + Specialty | GRAND ISLAND + PODIATRY |
Please comment or provide details below to improve the information on Jonathan B 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.