DR. KRISTINA MARIE WILSON


Address: 1919 E Thomas Rd, Phoenix, AZ 85016-7710
Phone: 6029333033

DR. KRISTINA MARIE WILSON (NPI# 1043473614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043473614
Entity Type Individual
Full Name DR. KRISTINA MARIE WILSON
Other Name KRISTINA M ZAYAS-BAZAN
Credential M.D.
Practice Address 1919 E Thomas Rd
Phoenix
AZ 85016-7710
Mailing Address 3200 E Camelback Rd Ste 250
Phoenix
AZ 85018-2327
Practice Telephone 6029333033
Practice Fax Number 6029335245
Mailing Telephone 6029331814
Enumeration Date 2008-07-03
Last Update Date 2018-04-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080S0010X Pediatrics
Specialization: Sports Medicine
43469 AZ Allopathic & Osteopathic Physicians
N 2080S0010X Pediatrics
Specialization: Sports Medicine
43653 TN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AZ 550806 05

Other Providers KRISTINA WILSON

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1104439330 Kristina Wilson Marriage & Family Therapist 491 Allendale Rd Ste 201, King of Prussia, PA 19406-1472 2020-08-27
1154772879 Kristina Wilson Dentist 10184 W Happy Valley Rd Ste 195, Peoria, AZ 85383-1254 2016-06-23
1477871176 Kristina Swetland Wilson Physical Therapist 4351 Cortez Rd W Ste 201, Bradenton, FL 34210-3217 2010-05-06
1942209499 Kristina Wilson Nurse Practitioner 123 Professional Park Dr, Locust, NC 28097-7712 2005-07-18
1578104295 Kristina Anne Wilson Registered Nurse 7205 S George Blvd, Sebring, FL 33875-5847 2019-10-03
1497216725 Kristina Dawn Wilson Speech-Language Pathologist 6701 Fannin St Ste 550, Houston, TX 77030-2609 2019-03-28
1417408956 Kristina Lynn Wilson Counselor 2575 Westgate Bldg 1, Pendleton, OR 97801-9613 2016-10-19
1902299035 Kristina Wilson Nurse Practitioner 1932 Alcoa Hwy, Bldg. C Ste. 270, Knoxville, TN 37920-1527 2015-03-13
1801206032 Kristina Marie Wilson Social Worker 1450 S Lapeer Rd, Oxford, MI 48371-6108 2014-04-28
1225375157 Kristina E Wilson Pharmacist 233 Main St, Townsend, MA 01469-1033 2013-01-11

Office Location

Street Address 1919 E THOMAS RD
City PHOENIX
State AZ
Zip Code 85016-7710

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538162953 Richard N Southard Pediatrics 1919 E Thomas Rd, Phoenix, AZ 85016-7710 2005-05-31
1265049472 Chelsea Agricola Nurse Practitioner 1919 E Thomas Rd, Phoenix, AZ 85016-7710 2020-09-30
1871109686 Madeline Rose Mcnamee Audiologist 1919 E Thomas Rd, Phoenix, AZ 85016-7710 2020-09-17
1699380212 Lindsey N Manz Dietitian, Registered 1919 E Thomas Rd, Phoenix, AZ 85016-7710 2020-09-10
1376156331 Jena Paige Buck Occupational Therapist 1919 E Thomas Rd, Phoenix, AZ 85016-7710 2020-08-28
1386257244 Alia Torfa Registered Nurse 1919 E Thomas Rd, Phoenix, AZ 85016-7710 2020-08-28
1336751999 Cassandra E Martinez Registered Nurse 1919 E Thomas Rd, Phoenix, AZ 85016-7710 2020-08-17
1811508708 Clara A Hart Nurse Practitioner 1919 E Thomas Rd, Phoenix, AZ 85016-7710 2020-08-13
1811505571 Daniela M Giralt Nurse Practitioner 1919 E Thomas Rd, Phoenix, AZ 85016-7710 2020-07-20
1902424179 Soren B Mickelsen Speech-Language Pathologist 1919 E Thomas Rd, Phoenix, AZ 85016-7710 2020-07-13
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851992705 Heatheranne Baker-oldfield Counselor 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 2020-11-06
1780215681 Sip Home Systems - Mesa LLC Home Health 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 2020-01-29
1760945588 Wei Wei Student in an Organized Health Care Education/Training Program Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 2019-04-09
1942765623 Grace Hatfield Dietitian, Registered Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 2019-02-06
1861977027 Dawn Yvette Lima Occupational Therapy Assistant 3128 E Cheery Ln, Phoenix, AZ 85016 2018-10-03
1720583685 Kristin Pauline Hicklin Registered Nurse 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 2018-03-24
1588181622 Taness Eyre Billington Pharmacist 1625 E. Camelback Rd., Phoenix, AZ 85016 2017-08-29
1093239048 Emma Ross Psychologist 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 2017-08-01
1609396985 Mohammed Waseemuddin Student in an Organized Health Care Education/Training Program Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 2017-06-27
1144777632 Amanda Mazerall Occupational Therapist 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 2016-09-01
Find all providers in zip 85016

Taxonomy Information

Taxonomy Code 2080S0010X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Sports Medicine

Taxonomy Definition

A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760696025 Arizona Sports Medicine Consultants PC Pediatrics 4530 N 32nd St, # 102, Phoenix, AZ 85018 2007-05-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871740241 Mohammed Mortazavi Pediatrics 5199 E Farness Dr Ste 101, Tucson, AZ 85712 2008-08-27
1669480968 Peterson Pt LLC Pediatrics 1320 W Iron Springs Rd, Prescott, AZ 86305-1414 2006-08-03
1366723280 Solstice Pediatrics and Sports Medicine, Plc Pediatrics 4731 S White Mountain Rd, Show Low, AZ 85901-7818 2011-09-06
1184790214 Michael Ralph Stilson Pediatrics 1224 E Lowell, Tucson, AZ 85721-0001 2006-11-28

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City PHOENIX
Zip Code 85016

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Dataset Information

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.

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