DR. TIHESHA L WILSON (NPI# 1013997162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013997162 |
| Entity Type | Individual |
| Full Name | DR. TIHESHA L WILSON |
| Credential | MD |
| Practice Address |
3641 S Miami Ave Suite 331 Miami FL 33133-4205 |
| Practice Telephone | 3052855040 |
| Practice Fax Number | 3052855039 |
| Mailing Telephone | 3052855040 |
| Mailing Fax Number | 3052855039 |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2011-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | D0067673 | MD | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 054703 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA HMO | 7224577 | 01 | |
| AETNA PPO | 1942236 | 01 | |
| MD | 4153308 | 05 | |
| CAREFIRST BLE CHOICE | 58860013 | 01 | |
| GA | 767420679A | 05 | |
| CAREFIRST MARYLAND | K313BR94043801 | 01 |
| Street Address |
3641 S MIAMI AVE SUITE 331 |
| City | MIAMI |
| State | FL |
| Zip Code | 33133-4205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992787576 | Mercy Medical Development Inc | Radiology | 3641 S Miami Ave, Miami, FL 33133-4205 | 2005-11-18 |
| 1063070340 | Elisa N Mastromarino | Registered Nurse | 3641 S Miami Ave, Miami, FL 33133-4204 | 2019-06-03 |
| 1649771007 | Carrie Kay | Nurse Anesthetist, Certified Registered | 3641 S Miami Ave, Miami, FL 33133-4204 | 2018-02-21 |
| 1740707074 | Vanessa Arteaga Mugnai | Nurse Anesthetist, Certified Registered | 3641 S Miami Ave, Miami, FL 33133-4204 | 2017-08-28 |
| 1114454246 | Raquel C Diaz | Registered Nurse | 3641 S Miami Ave, Miami, FL 33133-4204 | 2017-05-19 |
| 1588928105 | Aaron Pascual | Family Medicine | 3641 S Miami Ave, Suite 170, Miami, FL 33133-4204 | 2012-06-28 |
| 1790044550 | Jonathan Rakofsky | Emergency Medicine | 3641 S Miami Ave, Emergency Department, Miami, FL 33133-4204 | 2012-05-14 |
| 1942503727 | Aleida Eugenia Sanabria | Nurse Practitioner | 3641 S Miami Ave, Suite 221 Bayside Pavillon, Miami, FL 33133-4205 | 2010-12-16 |
| 1770801409 | Michael Fiorani | Acupuncturist | 3641 S Miami Ave, Suite 170, Miami, FL 33133-4205 | 2010-05-05 |
| 1497073134 | Zenacumed, LLC | Acupuncturist | 3641 S Miami Ave, Suite 170, Miami, FL 33133-4205 | 2010-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942831367 | Thelma Oliver Pyton | Case Manager/Care Coordinator | 2780 Sw 37th Avenue, Suite 206, Miami, FL 33133 | 2020-02-04 |
| 1164069456 | Jorge Alberto Lopez II | Counselor | 2780 Ssw 37th Ave, Coconut Grove, FL 33133 | 2019-12-05 |
| 1588209381 | Toni T Rice | Counselor | 2780 S.w. 37th Ave, Suite #206, Miami, FL 33133 | 2019-11-15 |
| 1720629876 | Julian De Jesus Mazuera Pelaez | Specialist/Technologist, Other | 2615 Sw 22nd Av, Apt 10, Miami, FL 33133 | 2019-09-30 |
| 1558831131 | Jessica Dehombre | Speech-Language Pathologist | 2780 Sw Douglas Road Suite 203, Miami, FL 33133 | 2018-11-27 |
| 1043723620 | Alayn Fleites Gonzalez | Behavioral Analyst | 2950 S. Dixie Hwy, Miami, FL 33133 | 2017-11-06 |
| 1942711759 | Ella Raphaelle Dufrene | Psychologist | 3244 West Trade Ave. #1, Miami, FL 33133 | 2017-10-19 |
| 1639696305 | Nanci Hellinger | Dietitian, Registered | 3659 S. Miami Ave., Suite 3003, Miami, FL 33133 | 2017-08-24 |
| 1619497922 | Yanet Bonet Mill I | Behavioral Analyst | 2740 Sw 31 Ave, Miami, FL 33133 | 2017-06-27 |
| 1619497534 | Pathwaves Incorporated | Counselor | 2503 Southwest 27 Avenue, Miami, FL 33133 | 2017-06-21 |
| Find all providers in zip 33133 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831749977 | Imed Surgical of Miami, Pa | Surgery | 175 Sw 7th St Ste 1710, Miami, FL 33130-2957 | 2019-09-19 |
| 1205349347 | George Garami | Surgery | 4000 Towerside Ter, Miami, FL 33138-2235 | 2017-11-12 |
| 1043662224 | Rafael Miyashiro Nunes Dos Santos | Surgery | 1801 Nw 9th Ave Rm 329, Miami, FL 33136 | 2016-07-12 |
| 1710344429 | Lazaro J Vizcon | Surgery | 10580 Sw 66th Ter, Miami, FL 33173-1308 | 2016-01-26 |
| 1871902627 | Kelsey Ensor | Surgery | Trauma Surgery, 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2014-08-06 |
| 1215353727 | Southern Wound Care LLC | Surgery | 9055 Sw 73rd Ct, Suite 1708, Miami, FL 33156-2931 | 2014-03-07 |
| 1861829640 | Bello Surgimed Services | Surgery | 7171 Coral Way Ste 307, Miami, FL 33155-1692 | 2013-10-10 |
| 1154769008 | Elliot Sumner Bishop | Surgery | 1611 Nw 12th Ave Ofc 2169, Miami, FL 33136-1005 | 2013-06-12 |
| 1942543160 | Humberto Basto | Surgery | 2300 Ne 215th St, Miami, FL 33180-1054 | 2013-04-05 |
| 1134487705 | Marlon Pastrana | Surgery | 7800 Sw 87th Ave Ste B210, Miami, FL 33173-2537 | 2012-05-02 |
| Find all providers in MIAMI | ||||
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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.