WILLIAM G. WILSON (NPI# 1003985649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003985649 |
| Entity Type | Individual |
| Full Name | WILLIAM G. WILSON |
| Credential | M.D. |
| Practice Address |
1204 W Main St Charlottesville VA 22903-2824 |
| Mailing Address |
Po Box 9007 Charlottesville VA 22906-9007 |
| Practice Telephone | 4349240123 |
| Practice Fax Number | 4342433300 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
0101031066 | VA | Allopathic & Osteopathic Physicians |
| N | 207SG0202X |
Medical Genetics Specialization: Clinical Biochemical Genetics |
0101031066 | VA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 0101031066 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1003985649 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 629 Cedar Creek Grade Ste B, Winchester, VA 226012786 | 5406783950 | 5406783954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518515444 | William Wilson | Physician Assistant | 1037 E Caldwell St, Louisville, KY 40204-1857 | 2019-09-04 |
| 1437563293 | William Scot Wilson | Pharmacist | 285 Dunlop Blvd Sw, Suite A, Huntsville, AL 35824-1119 | 2014-06-19 |
| 1003188517 | William Carrel Wilson | Veterinarian | 1599 Major Ave, Riverton, WY 82501-2326 | 2012-01-30 |
| 1477889632 | William Lee Wilson | Massage Therapist | 9900 Sw Wilshire St # 190g, Portland, OR 97225-5035 | 2009-10-22 |
| 1144469644 | William Jarrett Wilson | Registered Nurse | 1554 Ainsworth Ln, Lincoln, CA 95648-3233 | 2009-02-07 |
| 1750570925 | William H Wilson | Chiropractor | 3701 Division St, Suite 131, Metairie, LA 70002-4617 | 2007-10-23 |
| 1316156417 | William Thomas Wilson | Social Worker | 455 Bay St, Suite F, Petoskey, MI 49770-4401 | 2007-05-22 |
| 1114040367 | William F Wilson Jr. | Dentist | 850 Desoto Ave, Extended, Clarksdale, MS 38614 | 2007-04-10 |
| 1336269208 | William Wilson | Ophthalmology | 415 Lakewood Dr, Hamilton, GA 31811-3636 | 2007-04-02 |
| 1902939267 | William Allen Wilson | Internal Medicine | 9261 Old Keene Mill Rd, Burke, VA 22015 | 2007-03-14 |
| Street Address |
1204 W MAIN ST |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22903-2824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811980287 | Ann Lenox Kellams | Pediatrics | 1204 W Main St, Charlottesville, VA 22903-2824 | 2005-08-31 |
| 1982210357 | Olivia Oriana Obertello | Dietitian, Registered | 1204 W Main St, Charlottesville, VA 22903-2824 | 2020-09-21 |
| 1417563180 | Caitlin E Anderson | Psychologist | 1204 W Main St, Charlottesville, VA 22903-2824 | 2020-09-18 |
| 1821611286 | Mackenzie Trapp | Genetic Counselor, MS | 1204 W Main St, Charlottesville, VA 22903-2824 | 2020-05-20 |
| 1740836287 | Sarah Burnett | Pediatrics | 1204 W Main St, Charlottesville, VA 22903-2824 | 2019-08-12 |
| 1609439207 | Meredith Jordan | Student in an Organized Health Care Education/Training Program | 1204 W Main St, Charlottesville, VA 22903-2824 | 2019-04-18 |
| 1376007328 | Kaitlyn Geib | Nurse Practitioner | 1204 W Main St, Charlottesville, VA 22903-2824 | 2019-01-24 |
| 1275017147 | Haley F. Stephens | Pediatrics | 1204 W Main St, Charlottesville, VA 22903-2824 | 2018-09-18 |
| 1114414919 | Shelley Towner | Genetic Counselor, MS | 1204 W Main St, Charlottesville, VA 22903-2824 | 2018-04-17 |
| 1891291944 | Elina Bank | Dietitian, Registered | 1204 W Main St, Charlottesville, VA 22903 | 2018-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326671009 | Ticynn Symone London | Specialist/Technologist | 723 Retriever Run, Ticynn London, Charlottesville, VA 22903 | 2020-02-20 |
| 1043853542 | Elaine Mccall | Dietitian, Registered | 1335 Jefferson Park Ave, Charlottesville, VA 22903 | 2019-10-28 |
| 1205480753 | Sean Robert Bennett | Clinic/Center | 433 Ednam Drive, Charlottesville, VA 22903 | 2019-08-01 |
| 1922562818 | Lynn Owen Taggart | Student in an Organized Health Care Education/Training Program | 300 Grassmere Rd, Charlottesville, VA 22903 | 2019-01-25 |
| 1831636166 | Sarah Michelle Richin | Social Worker | 709 A West Main St, Charlottesville, VA 22903 | 2017-01-25 |
| 1962868851 | Kelly Stewart Maurer | Counselor | 3101 Fontaine Avenue, Charlottesville, VA 22903 | 2016-01-07 |
| 1831592039 | Bearley Dental PC | Dentist | 901 Preston Ave, Suite 200, Charlottesville, VA 22903 | 2014-10-01 |
| 1730437823 | Frances Eva Demmerle | Neuromusculoskeletal Medicine & OMM | 1149 Rose Hill Dr., Charlottesville, VA 22903 | 2012-08-21 |
| 1801142229 | University of Virginia | General Acute Care Hospital | 1925 Beechcrest Court, Charlottesville, VA 22903 | 2012-08-03 |
| 1407123516 | Laura P. Handler | Counselor | 500 Old Lynchburg Rd., Region Ten Csb, Charlottesville, VA 22903 | 2011-11-18 |
| Find all providers in zip 22903 | ||||
| Taxonomy Code | 207SG0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Genetics (M.D.) |
| A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659863025 | Ozlem Goker-alpan Md LLC | Medical Genetics | 11212 Waples Mill Rd Ste 103, Fairfax, VA 22030-7404 | 2018-06-01 |
| 1528243870 | Richard C. Taylor | Medical Genetics | 9110 N Arch Village Ct, Suite F, North Chesterfield, VA 23236-3456 | 2008-01-07 |
| 1932110855 | Lawrence Gene Leichtman | Medical Genetics | 1405 E Kiln Creek Parkway, Newport News, VA 23602-9700 | 2006-08-10 |
| 1831403211 | Hind Al Saif | Medical Genetics | 1000 E Broad St, Richmond, VA 23219 | 2010-07-28 |
| 1164733960 | Marta Biderman Waberski | Medical Genetics | 3023 Hamaker Ct Ste 500, Fairfax, VA 22031-2241 | 2010-06-25 |
| 1689800401 | Kelly Lynne Jones | Medical Genetics | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2009-06-08 |
| 1013168673 | Samantha Alexandra Vergano | Medical Genetics | 601 Childrens Ln, Division of Medical Genetics and Metabolism, Norfolk, VA 23507-1910 | 2008-10-01 |
| 1609033208 | Benjamin Solomon | Medical Genetics | 3300 Gallows Rd, Claude Moore Building, 2nd Floor, Falls Church, VA 22042-3307 | 2008-05-21 |
| 1669681094 | Jennifer B Humberson | Medical Genetics | 5875 Bremo Rd Ste 500, Richmond, VA 23226-1928 | 2007-05-22 |
| 1154482727 | Walter E Nance | Medical Genetics | 1250 E Marshall St, Human Genetics, Richmond, VA 23298-5051 | 2006-12-13 |
| Find all providers with the same taxonomy | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22903 |
Please comment or provide details below to improve the information on WILLIAM G. 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.