DR. PHILLIP LEE WILSON (NPI# 1053493155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053493155 |
| Entity Type | Individual |
| Full Name | DR. PHILLIP LEE WILSON |
| Credential | AUD CCCA |
| Practice Address |
1966 Inwood Rd Dallas TX 75235-7298 |
| Practice Telephone | 2149053010 |
| Practice Fax Number | 2149053022 |
| Mailing Telephone | 2149053010 |
| Mailing Fax Number | 2149053022 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 231H00000X | Audiologist | 50319 | TX | Speech, Language and Hearing Service Providers |
| X | 237600000X | Audiologist-Hearing Aid Fitter | 90336 | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHIELD | 80175A | 01 |
| LA | 1585769 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568435 | Phillip Wilson | Pharmacist | 2802 W Kingshighway, Paragould, AR 72450-2617 | 2020-11-06 |
| 1912543273 | Phillip E Wilson | Behavior Technician | 801 Jefferson St Ste 45&6, Fairfield, CA 94533-5557 | 2019-11-21 |
| 1427462761 | Phillip Ryan Wilson II | Anesthesiology | 169 Ashley Ave, Room 202 Main Hospital, Charleston, SC 29425 | 2014-06-14 |
| 1457667172 | Phillip Wilson | Case Manager/Care Coordinator | 2413 2nd St, Eureka, CA 95501-0811 | 2010-08-19 |
| 1265686281 | Phillip Egbert Wilson | Psychiatry & Neurology | 324 10th Ave Ste 154, Salt Lake City, UT 84103-2876 | 2008-11-05 |
| 1215144910 | Phillip Duane Wilson | Dentist | 716 Stevens Ave, Portland, ME 04103-2693 | 2007-05-16 |
| 1669471546 | Phillip Wilson | Dentist | Hwy 56 & 270 Junction, Wewoka, OK 74884 | 2005-07-21 |
| Street Address |
1966 INWOOD RD |
| City | DALLAS |
| State | TX |
| Zip Code | 75235-7298 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790788818 | Berkley Michele Williams | Speech-Language Pathologist | 1966 Inwood Rd, Dallas, TX 75235-7205 | 2005-05-23 |
| 1245853456 | Amanda Frost | Audiologist-Hearing Aid Fitter | 1966 Inwood Rd, Dallas, TX 75235-7298 | 2020-05-21 |
| 1164915435 | Amy Watson | Speech-Language Pathologist | 1966 Inwood Rd, Dallas, TX 75235-7298 | 2018-06-12 |
| 1023506821 | Jason Andrew Baker | Audiologist | 1966 Inwood Rd, Dallas, TX 75235-7298 | 2018-04-26 |
| 1841645868 | Jessica A Carter | Speech-Language Pathologist | 1966 Inwood Rd, Dallas, TX 75235 | 2016-04-27 |
| 1477930907 | Sara K Loving | Speech-Language Pathologist | 1966 Inwood Rd, Dallas, TX 75235 | 2015-05-05 |
| 1154769289 | Kelly L Archer | Audiologist | 1966 Inwood Rd, Dallas, TX 75235-7205 | 2013-06-11 |
| 1508186412 | Lana Britt | Audiologist-Hearing Aid Fitter | 1966 Inwood Rd, Dallas, TX 75235-7205 | 2010-06-03 |
| 1316170137 | Katharine Lynn Fitzharris | Audiologist | 1966 Inwood Rd, Dallas, TX 75235-7205 | 2009-08-27 |
| 1609027515 | Jamie Lynn Cato | Speech-Language Pathologist | 1966 Inwood Rd, Dallas, TX 75235-7298 | 2008-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265058895 | Kailey Elaine Flowers | Physical Therapy Assistant | 2400 Empire Central Drive, Suite B, Dallas, TX 75235 | 2020-06-19 |
| 1265061071 | Bella Xinyi O'malley | Student in an Organized Health Care Education/Training Program | 1935 Medical Drive, Dallas, TX 75235 | 2020-04-03 |
| 1427687318 | Can Ozlu | Student in an Organized Health Care Education/Training Program | Children's Medical Center of Dallas, 1935 Medical Distr, Dallas, TX 75235 | 2020-04-03 |
| 1689137515 | Tarek Mansi | Student in an Organized Health Care Education/Training Program | 2222 Medical District Dr Apt 4325, Dallas, TX 75235 | 2019-04-08 |
| 1386117125 | Christine Elizabeth Smith | Physician Assistant | 8134 Tex Oak Avenue, Dallas, TX 75235 | 2019-01-04 |
| 1447720016 | Michelle Angelina Dye | Physician Assistant | 5959 Maple Avenue Apt 1171, Dallas, TX 75235 | 2018-11-27 |
| 1255869335 | Andrea Nicole Pennington-peace | Specialist/Technologist, Other | 1935 Medial District, Dallas, TX 75235 | 2017-06-01 |
| 1194258152 | Tricia Rood | Student in an Organized Health Care Education/Training Program | 5200 Harry Hines Blvd., Dallas, TX 75235 | 2017-04-06 |
| 1437690971 | Robin Lee | Counselor | 8915 Hrry Hines Blvd, Dallas, TX 75235 | 2017-03-16 |
| 1871033746 | Javier Davila-lopez | Counselor | 1545 Mockingbird Lane, Suite 4000, Dallas, TX 75235 | 2017-02-27 |
| Find all providers in zip 75235 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629696562 | Hanna Patel | Audiologist | 11661 Preston Rd Ste 131, Dallas, TX 75230-6191 | 2020-07-07 |
| 1669024196 | Ashley Andrejko | Audiologist | 1132 Twin Stacks Dr, Dallas, PA 18612-8505 | 2019-07-15 |
| 1417431784 | Spruha Mahapatra | Audiologist | 5323 Harry Hines Boulevard Dallas Tx 75390-9257, Dallas, TX 75390-0001 | 2018-09-21 |
| 1427546589 | Lindsey Danielle De Leon | Audiologist | 7777 Forest Ln Ste B432, Dallas, TX 75230-2576 | 2018-04-24 |
| 1760820781 | James Donald Miller | Audiologist | 5445 La Sierra Dr Ste 230, Dallas, TX 75231-4185 | 2013-06-12 |
| 1760829832 | Ann C Mcrae | Audiologist | 17390 Preston Rd Ste 320, Dallas, TX 75252-5791 | 2013-05-30 |
| 1578813457 | Christina Lu Fei Lobarinas | Audiologist | 5323 Harry Hines Boulevard Dallas Tx 75390 7208, Dallas, TX 75390-7208 | 2012-09-18 |
| 1760750970 | Linda Lucille Daniel | Audiologist | 7518 Meadow Oaks Dr, Dallas, TX 75230-4851 | 2011-12-02 |
| 1467733394 | Lauren Blair Maddox | Audiologist | 4500 S Lancaster Rd # 126, Dallas, TX 75216-7167 | 2011-09-06 |
| 1952692642 | Jenna Hilgert Jones | Audiologist | Utswmc Department of Otolaryngology, 5323 Harry Hines Blvd, Dallas, TX 75390-9035 | 2011-04-28 |
| Find all providers in DALLAS | ||||
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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.