DR. RICHARD L WILSON JR. (NPI# 1053385922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053385922 |
| Entity Type | Individual |
| Full Name | DR. RICHARD L WILSON JR. |
| Credential | M.D. |
| Practice Address |
3706 S Main St Suite A Blacksburg VA 24060-7006 |
| Mailing Address |
Po Box 886 Blacksburg VA 24063-0886 |
| Practice Telephone | 5409519000 |
| Practice Fax Number | 5409517799 |
| Mailing Telephone | 5409519000 |
| Mailing Fax Number | 5409517799 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
0101058886 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM | 146535 | 01 |
| 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 |
| 1033358924 | Richard Robert Wilson | General Practice | 1276 Nursery Hill Ln, Arden Hills, MN 55112-5783 | 2009-02-17 |
| 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 |
| Street Address |
3706 S MAIN ST SUITE A |
| City | BLACKSBURG |
| State | VA |
| Zip Code | 24060-7006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003395914 | Catherine Lee | Physician Assistant | 3706 S Main St, Blacksburg, VA 24060-7006 | 2018-08-10 |
| 1295196772 | Colliver Sports and Spine Inc | Clinic/Center | 3706 S Main St, Suite D, Blacksburg, VA 24060-7006 | 2016-03-11 |
| 1134529902 | Melanie Schano | Nurse Practitioner | 3706 S Main St, Suite B, Blacksburg, VA 24060-7006 | 2014-08-29 |
| 1588949234 | Valley Skin Specialists | Dermatology | 3706 S Main St, Suite B, Blacksburg, VA 24060-7006 | 2011-10-13 |
| 1740572205 | Ethan B. Colliver D.o. Pllc | Physical Medicine & Rehabilitation | 3706 S Main St, Blacksburg, VA 24060-7006 | 2011-05-03 |
| 1679801500 | Aleksandra G Brown | Dermatology | 3706 S Main St, Suite B, Blacksburg, VA 24060-7006 | 2009-12-04 |
| 1932306388 | Ability Physical Medicine and Rehabilitation Inc | Specialist | 3706 S Main St, Suite A, Blacksburg, VA 24060-7006 | 2007-06-29 |
| 1962441212 | Chad Jamison Johnston | Dermatology | 3706 S Main St, Suite B, Blacksburg, VA 24060-7006 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144789215 | Center for Cognition, Language & Speech, LLC | Speech-Language Pathologist | 1999 South Main St., Suite 303, Blacksburg, VA 24060 | 2019-03-18 |
| 1669945465 | Hannah Jacqueline Lower | Physical Therapy Assistant | Kroontje Healthcare Center, 100 Litton Lane, Blacksburg, VA 24060 | 2019-01-04 |
| 1720568637 | Amy Butler | Nurse Practitioner | Blue Ridge Cancer Center, 2955 Research Drive, Blacksburg, VA 24060 | 2018-08-20 |
| 1134615321 | Benjamin Toliver Matthews | Dentist | 1400 S. Main St, Ste 1, Blacksburg, VA 24060 | 2018-07-10 |
| 1881107100 | New River Periodontics and Dental Implant Center, PC | Dentist | 2612 Sheffield Drive, Blacksburg, VA 24060 | 2017-11-08 |
| 1316333685 | Access and Mobility | Durable Medical Equipment & Medical Supplies | 2536 Blossom Trail West, Blackburg, VA 24060 | 2015-04-13 |
| 1326485202 | Kristopher Joel Hansen | Internal Medicine | 2600 Research Center Dr Ste A, Blacksburg, VA 24060 | 2013-05-31 |
| 1891038949 | Holly P. Martin | Physician Assistant | 3706 South Main Street, Suite D, Blacksburg, VA 24060 | 2013-03-27 |
| 1174875330 | Catawba Hospital | Chronic Disease Hospital | 1801 Glade Road, Blacksburg, VA 24060 | 2012-10-11 |
| 1083964316 | Karla Sue Soukup | Marriage & Family Therapist | 510 S. Main Street, Blackburg, VA 24060 | 2012-09-13 |
| Find all providers in zip 24060 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113757 | Vann-virginia Center for Orthopaedics PC | Physical Medicine & Rehabilitation | 6160 Kempsville Cir Ste 110a, Norfolk, VA 23502-3933 | 2020-01-07 |
| 1902220403 | Triumph Medical Advancments | Physical Medicine & Rehabilitation | 43704 Lees Mill Sq, Leesburg, VA 20176-3821 | 2014-02-05 |
| 1659792323 | Better Life Pain Clinic, Pllc | Physical Medicine & Rehabilitation | 7535 Little River Tpke Ste 100c, Annandale, VA 22003-2976 | 2013-12-26 |
| 1174843064 | Bruce Ira Tetalman | Physical Medicine & Rehabilitation | 716 Thimble Shoals Blvd, Suite A, Newport News, VA 23606-4545 | 2010-06-02 |
| 1275769168 | Anil Mathew Chenthitta | Physical Medicine & Rehabilitation | 19450 Deerfield Ave Ste 280, Leesburg, VA 20176-6821 | 2009-06-05 |
| 1548427461 | Costa George Soteropoulos | Physical Medicine & Rehabilitation | 411-b Park Hill Dr, Fredericksburg, VA 22401 | 2008-05-19 |
| 1003028812 | Christopher A Dawson | Physical Medicine & Rehabilitation | 860 Omni Blvd Ste 115, Newport News, VA 23606-4430 | 2007-05-04 |
| 1356460331 | Integrated Medical Care and Rehab.,pc | Physical Medicine & Rehabilitation | 4600 King Street, Suite 4r, Alexandria, VA 22302 | 2007-03-28 |
| 1518982032 | Joseph Vincent Ferraro | Physical Medicine & Rehabilitation | 2729 King St, Alexandria, VA 22302-4008 | 2006-07-13 |
| 1285668491 | Suneetha Budampati | Physical Medicine & Rehabilitation | 2800 S Shirlington Rd Ste 102, Arlington, VA 22206-3603 | 2006-07-11 |
| Find all providers with the same taxonomy | ||||
| City | BLACKSBURG |
| Zip Code | 24060 |
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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.