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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 550806 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
Street Address |
1919 E THOMAS RD |
City | PHOENIX |
State | AZ |
Zip Code | 85016-7710 |
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 |
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 Code | 2080S0010X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Sports Medicine |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760696025 | Arizona Sports Medicine Consultants PC | Pediatrics | 4530 N 32nd St, # 102, Phoenix, AZ 85018 | 2007-05-09 |
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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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.