MR. JOSEPH NEIL WILSON (NPI# 1003806118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003806118 |
| Entity Type | Individual |
| Full Name | MR. JOSEPH NEIL WILSON |
| Credential | MD |
| Practice Address |
140 Academy St Presque Isle ME 04769 |
| Mailing Address |
140 Academy St Presque Isle ME 04769-3102 |
| Practice Telephone | 2077684000 |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2018-06-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
59889 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BLUE CROSS BLUE SHIELD | J16205 | 01 |
| MA | 3143201 | 05 | |
| MA | HARVARD PILGRIM | 19535 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558893479 | Joseph Wilson | Substance Abuse Rehabilitation Facility | 273 Heberton Avenue, Staten Island, NY 10302 | 2017-03-30 |
| 1649660069 | Joseph Wilson | Social Worker | 720 Saint Charles St, Moore, OK 73160-6168 | 2015-01-24 |
| 1023241262 | Joseph V Wilson | Audiologist-Hearing Aid Fitter | 909 E. Republic Rd., E-200, Springfield, MO 65807 | 2009-09-03 |
| 1063622421 | Joseph Edward Wilson | Counselor | 623 Oaklawn Ave, Lafayette, LA 70506-3305 | 2007-05-23 |
| 1689891608 | Joseph Robert Wilson | Preventive Medicine | 18531 Henson Blvd # 10-a, Hagerstown, MD 21742-2471 | 2007-04-19 |
| 1164573085 | Joseph Wilson | Chiropractor | 755 S Telshor Blvd Ste 102, Las Cruces, NM 88011-4688 | 2007-01-16 |
| 1205911534 | Joseph Peter Wilson | Social Worker | 23316 Bent Arrow Dr, Clarksburg, MD 20871-4454 | 2006-10-26 |
| 1649367418 | Joseph Carroll Wilson | Counselor | 200 Forest St., Mccall, ID 83638 | 2006-10-05 |
| 1437250560 | Joseph Ross Wilson | Dentist | 2999 Corporate Lane, Suite B-9, Suffolk, VA 23434 | 2006-09-25 |
| 1669070041 | Joseph Wade Wilson | Optometrist | 22 Executive Dr, Tompkinsville, KY 42167-7478 | 2020-10-16 |
| Street Address |
140 ACADEMY ST |
| City | PRESQUE ISLE |
| State | ME |
| Zip Code | 04769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063415123 | Roy Frieband | Family Medicine | 140 Academy St, Presque Isle, ME 04769-3102 | 2005-05-23 |
| 1851900971 | Georgina Aguirre | Nurse Practitioner | 140 Academy St, Presque Isle, ME 04769-3171 | 2020-07-24 |
| 1144840570 | Angel Hebert | Dietitian, Registered | 140 Academy St, Presque Isle, ME 04769-3102 | 2020-04-27 |
| 1265052716 | Benjamin Mayhew | Dietitian, Registered | 140 Academy St, Presque Isle, ME 04769-3102 | 2020-04-24 |
| 1184253247 | Thomas Merrow | Dietitian, Registered | 140 Academy St, Presque Isle, ME 04769-3102 | 2020-04-02 |
| 1497395511 | Danielle Desjardins | Nurse Practitioner | 140 Academy St, Presque Isle, ME 04769-3102 | 2020-01-07 |
| 1598302309 | Elizabeth Cole | Registered Nurse | 140 Academy St, Presque Isle, ME 04769-3102 | 2019-11-30 |
| 1720638950 | Lindsay Ireland | Nurse Practitioner | 140 Academy St, Presque Isle, ME 04769-3102 | 2019-09-19 |
| 1902468671 | Jessica Rossignol | Nurse Practitioner | 140 Academy St, Presque Isle, ME 04769-3102 | 2019-07-02 |
| 1093378002 | Shea Gabriella Craig | Occupational Therapist | 140 Academy St, Presque Isle, ME 04769-3102 | 2019-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871088070 | Hong Na Yang | Dentist | 122 Academy Street, Presque Isle, Presque Isle, ME 04769 | 2018-06-29 |
| 1588185409 | Dwight David Hubacher | Physical Therapy Assistant | 162 Academy Strret, Presque Isle, ME 04769 | 2017-06-30 |
| 1831561562 | Vna Home Health & Hospice | Home Health | 18 Green Hill Rd Ste 1, Presque Isle, ME 04769 | 2015-10-21 |
| 1225439581 | A & L Clinical Services | Community/Behavioral Health | 742 Main Street, Presque Isle, ME 04769 | 2014-09-05 |
| 1568728343 | Enrique Octavio Bujanda-morun | Surgery | Ar Gould Hospital 140 Academy St, Presque Isle, ME 04769 | 2012-04-06 |
| 1669659603 | Susan Cambridge Dick | Occupational Therapist | 10 Bernadette, Caribou Rehab and Nursing Center, Caribou, ME 04769 | 2008-01-22 |
| 1285826792 | Osama Aziz | Internal Medicine | 146 Academy St, Suite 1b, The Aroostook Medical Center, Presque Isle, ME 04769 | 2007-08-17 |
| 1831220250 | Rachel Mary Swartz | Obstetrics & Gynecology | 140 Academy St Ste 4, Presque Isle, ME 04769 | 2007-03-08 |
| 1114053634 | Ralph U Scheidler | Social Worker | 20 Dyer Street, Community Care, Presque Isle, ME 04769 | 2007-02-26 |
| 1427158716 | Venkatram Nethala | Internal Medicine | 146 Academy Street, Suite 1b, Presque Isle, ME 04769 | 2006-09-25 |
| Find all providers in zip 04769 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588648323 | William Maxwell | Otolaryngology | 43 Baxter Blvd, Portland, ME 04101-1823 | 2005-12-05 |
| 1093944258 | Christina Marie Mimikos | Otolaryngology | 1250 Forest Ave Ste 301, Portland, ME 04103 | 2009-07-09 |
| 1184810400 | Head and Neck Surgical Associates | Otolaryngology | 1250 Forest Ave, Suite 301, Portland, ME 04103-1889 | 2007-09-20 |
| 1548456866 | Head and Neck Surgical Associates | Otolaryngology | 244 Kennedy Memorial Dr, Suite G, Waterville, ME 04901-4538 | 2007-09-20 |
| 1508052150 | Head and Neck Surgical Associates | Otolaryngology | 55 Main St, Bridgton, ME 04009-1117 | 2007-09-18 |
| 1508052143 | Head and Neck Surgical Associates | Otolaryngology | 6 Wellspring Rd, Biddeford, ME 04005-9415 | 2007-09-18 |
| 1265628804 | Head and Neck Surgical Associates | Otolaryngology | 193 Main St, Norway, ME 04268-5645 | 2007-09-18 |
| 1184684599 | Head and Neck Surgical Associates, Pa | Otolaryngology | 1250 Forest Ave, Suite 301, Portland, ME 04103-1884 | 2006-03-28 |
| 1174511158 | Christopher B Murry | Otolaryngology | 1250 Forest Ave, Suite 301, Portland, ME 04103-1884 | 2005-10-12 |
| City | PRESQUE ISLE |
| Zip Code | 04769 |
Please comment or provide details below to improve the information on MR. JOSEPH NEIL 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.