JAMES KEENAN WILSON (NPI# 1003841354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003841354 |
| Entity Type | Individual |
| Full Name | JAMES KEENAN WILSON |
| Credential | MD |
| Practice Address |
500 Veterans Memorial Blvd S Eupora MS 39744-2215 |
| Mailing Address |
307 College St Winona MS 38967-1901 |
| Practice Telephone | 6622586221 |
| Practice Fax Number | 6622589291 |
| Mailing Telephone | 6625085061 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2016-06-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 14441 | MS | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 14441 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 0113851 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992369102 | James Wilson | Assisted Living Facility | 15986 W Main St, Louisville, MS 39339-2636 | 2019-04-24 |
| 1841778735 | James Wilson | Contractor | 827 Highway 82 W, Greenville, MS 38701-5715 | 2018-08-01 |
| 1396246617 | James Wilson | Home Health Aide | 2052 Miles Woods Dr, Cincinnati, OH 45231-2150 | 2018-02-22 |
| 1942712781 | James Wilson | Technician | 41 Underwood St Nw, Washington, DC 20012-2115 | 2017-11-02 |
| 1366992158 | James Earl Wilson | Licensed Practical Nurse | 62 W Garden Dr, Rochester, NY 14606-4707 | 2016-10-05 |
| 1013463520 | James Wilson | Specialist/Technologist | 2117 Franklin Dr, North Augusta, SC 29841-9263 | 2016-08-26 |
| 1013360270 | James Wilson | Specialist/Technologist | 1001 E Fm 2410 Rd, Harker Heights, TX 76548-6845 | 2016-07-22 |
| 1134516644 | James Wilson | Occupational Therapy Assistant | 3903 Whirlwind St, Bryant, AR 72022-6710 | 2015-04-22 |
| 1205268000 | James William Wilson | Massage Therapist | 8219 River Country Dr, Weeki Wachee, FL 34607-2137 | 2013-08-02 |
| 1083050850 | James R Wilson | Physical Medicine & Rehabilitation | 4229 Pearl Rd # N2.42, Cleveland, OH 44109-4218 | 2013-05-20 |
| Street Address |
500 VETERANS MEMORIAL BLVD S |
| City | EUPORA |
| State | MS |
| Zip Code | 39744-2215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255991196 | Sky Family Dental, LLC | Clinic/Center | 200 Meadowlane Street, Eupora, MS 39744 | 2019-06-13 |
| 1598009466 | Encore Rehabilitation Inc | Physical Therapist | 1710 Veterans Memorial Blvd, Eupora, MS 39744 | 2012-11-16 |
| 1700943180 | Supervalue Pharmacy | Durable Medical Equipment & Medical Supplies | 210 A Veterans Blvd N, Eupora, MS 39744 | 2007-01-03 |
| 1285738518 | North Mississippi Medical Clinics Inc | Family Medicine | 500 A Highway 9 South, Eupora, MS 39744 | 2006-09-08 |
| 1336241678 | Daniel Dean Hall | Dentist | 405 West Roane Ave, Eupora, MS 39744 | 2006-09-05 |
| 1093795148 | Murphy Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 65 Medical Plaza, Eupora, MS 39744 | 2006-01-17 |
| 1750991311 | Candace Carolyne Cain | Nurse Practitioner | 1538 Veterans Memorial Blvd, Eupora, MS 39744 | 2020-08-07 |
| 1780062265 | April S Dabbs | Pharmacist | 1536 Veterans Memorial Blvd, Eupora, MS 39744 | 2015-05-15 |
| 1891279030 | Haley Murphy | Nurse Practitioner | 1538 Veterans Memorial Blvd, Eupora, MS 39744-2001 | 2018-09-24 |
| 1467862961 | Dabbs Family Pharmacy LLC | Pharmacy | 1536 Veterans Memorial Blvd, Eupora, MS 39744-2001 | 2014-05-06 |
| Find all providers in zip 39744 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780201145 | Sabrina Marie Azavedo | Emergency Medicine | 3283 Shadowood Ln, Corinth, MS 38834-6030 | 2020-07-01 |
| 1275172736 | Relias Emergency Medicine Specialists of West Point, LLC | Emergency Medicine | 150 Medical Center Dr, West Point, MS 39773-0428 | 2020-01-02 |
| 1790130151 | Patrick Bryant | Emergency Medicine | 5001 Hardy Street, Hattiesburg, MS 39402 | 2016-05-04 |
| 1679935381 | Rommel Asagwara | Emergency Medicine | 1060 E County Line Rd Ste 1a, Ridgeland, MS 39157-1937 | 2016-03-22 |
| 1588034227 | Srikar Karanam | Emergency Medicine | 114 Breckenridge Dr Apt 203, Hattiesburg, MS 39402-3709 | 2015-10-06 |
| 1689057721 | John Thames | Emergency Medicine | 1428 Azalea Dr S, Wiggins, MS 39577 | 2015-07-07 |
| 1942612015 | Emergency Associates Pllc | Emergency Medicine | 2660 Ridgewood Rd, Suite 100, Jackson, MS 39216-4921 | 2014-05-23 |
| 1720362270 | David Kennedy Stone | Emergency Medicine | 102 Pine Ct, Brandon, MS 39047-8313 | 2011-10-03 |
| 1083995674 | Obhg Mississippi, P.C. | Emergency Medicine | 1225 N State St Ste B1, Jackson, MS 39202-2072 | 2011-09-09 |
| 1114238425 | Kevin Lee Beason | Emergency Medicine | 10151 Road 1343, Philadelphia, MS 39350-4101 | 2010-07-01 |
| Find all providers with the same taxonomy | ||||
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| 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.