RICHARD ROBERT WILSON (NPI# 1033358924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033358924 |
Entity Type | Individual |
Full Name | RICHARD ROBERT WILSON |
Credential | M.D. |
Practice Address |
1276 Nursery Hill Ln Arden Hills MN 55112-5783 |
Practice Telephone | 6512608042 |
Mailing Telephone | 6512608042 |
Enumeration Date | 2009-02-17 |
Last Update Date | 2009-02-17 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 30699 | MN | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407158116 | Richard Chase Wilson | Internal Medicine | 1255 Clearview Circle, Allentown, PA 18103 | 2010-12-01 |
1902118409 | Richard Wilson | Counselor | 1421 Luisa St Ste C, Santa Fe, NM 87505-4073 | 2010-07-13 |
1316173768 | Richard Steven Wilson | Chiropractor | 2 Stony Hill Rd Ste 101, Bethel, CT 06801-1045 | 2009-05-29 |
1760633929 | Richard Allen Wilson | Dentist | 3828 W Davis St, Suite 310, Conroe, TX 77304-1815 | 2008-10-07 |
1649491937 | Richard S Wilson | Dentist | 6025 Harbour Park Dr, Midlothian, VA 23112-2160 | 2007-05-02 |
1104042761 | Richard Lyman Wilson | Dentist | 123 Weeminuche Ave, Ignacio, CO 81137 | 2007-04-18 |
1932228061 | Richard A Wilson | Dentist | 6007 Dempster St, Morton Grove, IL 60053-2943 | 2007-03-28 |
1568504447 | Richard Dale Wilson | Family Medicine | 306 Oakridge Rd, Cary, NC 27511-4542 | 2007-02-13 |
1225126691 | Richard Marsh Wilson | Psychologist | 554 Washington St, Suite 4, Wellesley, MA 02482-6408 | 2006-10-11 |
1255350773 | Richard Kenny Wilson | Dentist | 9310 Carmel Mountain Rd, Suite A, San Diego, CA 92129-2158 | 2006-07-18 |
Street Address |
1276 NURSERY HILL LN |
City | ARDEN HILLS |
State | MN |
Zip Code | 55112-5783 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932729704 | Owegio Wreh | Technician | 1405 Silver Lake Road Suite 15, New Brighton, MN 55112 | 2020-04-22 |
1205497435 | Silver Lake Smiles Family Dentistry | Clinic/Center | 2370 Palmer Drive, New Brighton, MN 55112 | 2019-06-27 |
1932766169 | Matthew Thomas Hanowski | Dentist | 2442 Mounds View Boulevard, Mounds View, MN 55112 | 2019-05-22 |
1437619988 | Marjean Diane Leary | Registered Nurse | 338 New Brighton Road, Apt, Suite, Bldg. (optional), New Brighton, MN 55112 | 2019-03-21 |
1558802728 | Krishna Katira | Student in an Organized Health Care Education/Training Program | 2442 County Hwy 10, Mounds View, MN 55112 | 2017-03-20 |
1245781608 | Evan Fredrick Lieberman | Counselor | 1900 Silver Lake Rd, Suite 110, New Brighton, MN 55112 | 2016-10-20 |
1093262065 | Ryan Zinken | Nurse Practitioner | 1900 Silver Lake Road, Suite 110, New Brighton, MN 55112 | 2016-09-07 |
1447703228 | Alison Glodek | Social Worker | 2543 17th St Nw, New Brighton, MN 55112 | 2016-07-28 |
1659728194 | Ge Vang Sr. | Driver | 2160 County Road E West #205, 2160 County Road E West #205, New Brighton, MN 55112 | 2016-05-14 |
1114373578 | Jessica Gapinski | Specialist/Technologist | 3900 Bethel Drive, Arden Hills, MN 55112 | 2016-05-04 |
Find all providers in zip 55112 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245475201 | Chilton Robert Baker Jr. | General Practice | 1720 Chatham Ave., Arden Hills, MN 55112 | 2008-12-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447857230 | Minneapolis Integrative Medicine Center, LLC | General Practice | 575 9th St Se Ste 52, Minneapolis, MN 55414-1399 | 2020-10-05 |
1811518137 | Falls Medical Group, Pllc | General Practice | 1580 Highway 11-71, International Falls, MN 56649 | 2020-04-27 |
1013561893 | Medexpress Primary Care Minnesota, P.C. | General Practice | 4316 Rice Lake Rd, Duluth, MN 55811-4012 | 2019-07-30 |
1245790211 | Fairview Clinics | General Practice | 303 E Nicollet Blvd Ste 260, Burnsville, MN 55337-4522 | 2019-03-25 |
1316422397 | Fairview Health Services | General Practice | 7411 85th Ave N, Brooklyn Park, MN 55445-2231 | 2018-09-26 |
1841716883 | Medexpress Primary Care Minnesota, P.C. | General Practice | 11030 Optum Cir, Eden Prairie, MN 55344-2503 | 2017-08-22 |
1447654678 | Chs Tennessee Medical, P.C. | General Practice | 610 Opperman Dr, Thomson Reuters Campus, Eagan, MN 55123-1340 | 2014-10-17 |
1922422989 | Roger J. Day | General Practice | 9701 Xebec St Ne, Circle Pines, MN 55014-2508 | 2014-02-12 |
1760724827 | Ahmednur Abdirahman | General Practice | 10750 Brunswick Rd Apt 111, Bloomington, MN 55438-1860 | 2013-03-26 |
1225385891 | Felix Cristobal Blanco | General Practice | 10 Fourth Ave Se, Glenwood, MN 56334-1820 | 2012-08-13 |
Find all providers with the same taxonomy |
City | ARDEN HILLS |
Zip Code | 55112 |
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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.