BEVERLY N WILSON (NPI# 1023552817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023552817 |
| Entity Type | Individual |
| Full Name | BEVERLY N WILSON |
| Credential | PA-C |
| Practice Address |
12038 Ocean Gateway Unit 1 Ocean City MD 21842 |
| Practice Telephone | 4103903341 |
| Practice Fax Number | 4103903618 |
| Mailing Telephone | 4103903341 |
| Mailing Fax Number | 4103903618 |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2019-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
C0006301 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | MEDICAL LICENSE | C0006301 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720386451 | Beverly Wilson | Massage Therapist | 700 Dalrymple Rd, 203, Atlanta, GA 30328-1414 | 2011-03-03 |
| 1811173719 | Beverly K Wilson | Counselor | 3425 Francis St, Jackson, MI 49203-5052 | 2008-01-10 |
| 1316158017 | Beverly Wilson | Social Worker | 8400 East Prentice Avenue, Suite 1401, Greenwood Village, CO 80111-2926 | 2007-05-24 |
| 1487747945 | Beverly A Wilson | Dentist | 1303 Dr. Martin L King Jr Ave, Mobile, AL 36603 | 2006-10-02 |
| 1457336521 | Beverly Deann Wilson | Pharmacist | 199 E Louise St, Clarkesville, GA 30523-6019 | 2005-12-13 |
| 1811449895 | Beverly Wilson | Counselor | 9403 Mansfield Rd, Shreveport, LA 71118-3815 | 2016-10-26 |
| 1376908194 | Beverly Belk Wilson | Nurse Practitioner | 6840 Glenwood Ave, Raleigh, NC 27612-7133 | 2015-12-21 |
| 1942693429 | Beverly Wilson | Community Health Worker | 1230 2nd Ave, Columbus, GA 31901-5241 | 2015-03-09 |
| 1306248372 | Beverly Anne Wilson | Registered Nurse | 500 Crown Point Cir Ste 120, Grass Valley, CA 95945-9561 | 2014-09-22 |
| 1467703157 | Beverly Cecile Wilson | Nurse Practitioner | 3817 Main St, Loris, SC 29569-3017 | 2012-09-21 |
| Street Address |
12038 OCEAN GATEWAY UNIT 1 |
| City | OCEAN CITY |
| State | MD |
| Zip Code | 21842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699312934 | Ultimate Hearing Solutions V, LLC | Durable Medical Equipment & Medical Supplies | 11724 Ocean Gateway, Unit 4, Ocean City, MD 21842 | 2019-12-05 |
| 1457755647 | Susan Weiss | Pharmacist | 1611n Philadelphia Ave, Ocean City, MD 21842 | 2014-10-16 |
| 1083855852 | Jean Michele Brauning | Dentist | 9936 Stephen Decatur Hwy., Suite #505, Ocean City, MD 21842 | 2009-03-09 |
| 1912147984 | John Terrence Dornbusch | Nurse Practitioner | 7408 Coastal Hwy., Ocean City, MD 21842 | 2009-03-03 |
| 1245481472 | William Robert Allen | Dentist | 13901 Coastal Highway, Ocean City, MD 21842 | 2008-10-07 |
| 1720278765 | Cheryl Canfield | Counselor | Wacs Center, 11827 Ocean Gateway, Ocean City, MD 21842 | 2007-07-26 |
| 1295933463 | John W Rees Jr P.C. | Chiropractor | 300 Seabay Lane, Ocean City, MD 21842 | 2007-07-10 |
| 1629288006 | Jean Baron | Registered Nurse | Ocean City Youth Health Center, 4 Caroline Street, Ocean City, MD 21842 | 2007-05-23 |
| 1942332333 | Laura M. Stokes | Pediatrics | 12308 Ocean Gateway, Unit # 3, Ocean City, MD 21842 | 2007-03-12 |
| 1881736742 | Richard Warren Bittrick | Family Medicine | 7408 Coastal Highway, Ocean City, MD 21842 | 2007-02-13 |
| Find all providers in zip 21842 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871987818 | Alison Lathroum | Physician Assistant | 12547 Ocean Gtwy, Ocean City, MD 21842-9689 | 2015-03-27 |
| 1093278038 | Rachael C Boswell | Physician Assistant | 12547 Ocean Gtwy, Ocean City, MD 21842-9689 | 2019-04-08 |
| 1225414436 | Alexandra Murray | Physician Assistant | 12547 Ocean Gtwy, Ocean City, MD 21842-9689 | 2015-08-11 |
| 1326113242 | Cynthia Randolph | Physician Assistant | 12547 Ocean Gateway, Ocean City, MD 21842-9341 | 2006-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336767227 | Merlyn Angella Boakai | Physician Assistant | 800 Sero Pine Ln, Fort Washington, MD 20744-5954 | 2020-07-08 |
| 1831730878 | Jennifer Bacher | Physician Assistant | 1185 Imperial Dr Ste 201, Hagerstown, MD 21740-6673 | 2019-10-01 |
| 1831747971 | Miriam Noelle Meiser | Physician Assistant | 10750 Columbia Pike Unit 401a, Silver Spring, MD 20901-4402 | 2019-09-02 |
| 1285296913 | Mary Furda | Physician Assistant | 20680 Seneca Meadows Pkwy Ste 206, Germantown, MD 20876 | 2019-07-02 |
| 1902466998 | Christina Deleon | Physician Assistant | 403 Marvel Court, Easton, MD 21601 | 2019-06-20 |
| 1467012369 | Molly Uebele Harrigan | Physician Assistant | 5225 Pooks Hill Rd Apt 1007n, Bethesda, MD 20814-2041 | 2019-06-13 |
| 1558834234 | Kevin Timothy Johnson | Physician Assistant | 411 Naylor Mill Rd, Salisbury, MD 21801-1191 | 2019-01-06 |
| 1093287260 | Carolina Radzyminska Johnson | Physician Assistant | 10750 Columbia Pike Ste 401, Silver Spring, MD 20901-4402 | 2018-12-27 |
| 1962971309 | Emmy L Estrada | Physician Assistant | 12150 Annapolis Rd Ste 208, Glenn Dale, MD 20769-9183 | 2018-11-14 |
| 1982170833 | Barbara Argyros | Physician Assistant | 1415 S. Mountain Road, Suite 100, Joppa, MD 21085 | 2018-10-18 |
| Find all providers with the same taxonomy | ||||
| City | OCEAN CITY |
| Zip Code | 21842 |
Please comment or provide details below to improve the information on BEVERLY N 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.