DR. COREY STEPHEN WILSON (NPI# 1063859361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063859361 |
| Entity Type | Individual |
| Full Name | DR. COREY STEPHEN WILSON |
| Credential | M.D. |
| Practice Address |
1600 Sw Archer Rd Box 100238 Gainesville FL 32610 |
| Mailing Address |
1600 Sw Archer Rd Box 100238 Gainesville FL 32610-0238 |
| Practice Telephone | 3525943589 |
| Mailing Telephone | 3525943589 |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2018-08-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME127654 | FL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 017818500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972701399 | Corey Michael Wilson | Dentist | 1011 Forest Hill Blvd., Suite 331, Wellington, FL 33414 | 2007-07-06 |
| 1578622288 | Corey Wayne Wilson | Dentist | 112 West Barden Street, Roxboro, NC 27573 | 2006-12-08 |
| 1629605852 | Corey Wilson | Student in an Organized Health Care Education/Training Program | 600 Hill Ave Ste 101, Nashville, TN 37210-4755 | 2020-03-26 |
| 1750936183 | Corey Wilson | Counselor | 79 W Alexandrine St, Detroit, MI 48201-2015 | 2019-08-02 |
| 1336701549 | Corey Wilson | Behavior Technician | 1337 Howe Ave Ste 107, Sacramento, CA 95825-3305 | 2019-07-08 |
| 1598287617 | Corey J Wilson | Dentist | 2017 S Western Ave, Marion, IN 46953-2824 | 2017-07-11 |
| 1003168386 | Corey Wilson | Social Worker | 276 Branch Brook Dr Apt A, Belleville, NJ 07109-3620 | 2012-10-10 |
| 1679613210 | Corey Sean Wilson | Counselor | 303 41st St, Richmond, CA 94805-2221 | 2007-02-06 |
| Street Address |
1600 SW ARCHER RD BOX 100238 |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669475554 | Walter J Milton | Radiology | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2005-05-24 |
| 1104427251 | Morgan Elizabeth Gilbert | Nurse Practitioner | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-11-05 |
| 1598365306 | Kristin Renee Lapham | Nurse Practitioner | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-30 |
| 1225638174 | Leigha Fridley | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-29 |
| 1962000950 | Kelli O'shaughnessy | Physician Assistant | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-13 |
| 1053919985 | Amber Lynn Bart | Nurse Practitioner | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-13 |
| 1134726847 | Emily Elizabeth Farhat | Social Worker | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-06 |
| 1346847944 | Nicholas Scott Duarte | Physician Assistant | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-06 |
| 1922613231 | Trinh Nguyen | Pharmacist | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-09-14 |
| 1053926501 | Annalise Deboef | Nurse Practitioner | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003440660 | Thy Cam Huynh | Occupational Therapist | 1549 Gale Lemerand Dr, Gainesville, FL 32610 | 2020-02-23 |
| 1093359226 | Lauren Anne Ruddocks | Dentist | University of Florida College of Dentistry, 1395 Center Drive, Gainesville, FL 32610 | 2019-10-31 |
| 1104310549 | Brandon Lucke-wold | Neurological Surgery | 1149 S Newell Dr Deapartment of Neurosurgery Bldg #59, Gainesville, FL 32610 | 2018-06-19 |
| 1619465754 | Carlos Eduardo Vervloet Sollero | Student in an Organized Health Care Education/Training Program | 1149 Newell Drive, University of Florida, Department of Neurology, Gainesville, FL 32610 | 2018-04-24 |
| 1811359151 | Ramsha A. Kudia | Internal Medicine | 1549 Gale Lemerand Drive, 3rd Floor, Gainesville, FL 32610 | 2016-03-25 |
| 1447619937 | Wajdi Mohammed | Dentist | 1395 Center Dr., D8-6, Gainesville, FL 32610 | 2016-02-12 |
| 1922484344 | Kavan Ashit Gandhi | Dentist | 1395 Center Drive D7-19, Gainesville, FL 32610 | 2015-08-07 |
| 1972981512 | David Shin | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Road, Fl 1, Rm 1097, Gainesville, FL 32610 | 2015-05-15 |
| 1669887485 | Alejandro Jose Delgado | Dentist | 1395 Center Drive, University of Florida, College of Dentistry, Gainsville, FL 32610 | 2014-07-01 |
| 1194167296 | Zain Shahid | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Rd # Ng-45, Gainesville, FL 32610 | 2013-07-18 |
| Find all providers in zip 32610 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235756313 | Divine Destiny Virtual Health | Family Medicine | 2631a Nw 41st St, Gainesville, FL 32606-6628 | 2020-07-06 |
| 1407479702 | Heather Lynn Towne | Family Medicine | 4730 Nw 32nd Ave, Gainesville, FL 32606-6023 | 2020-05-20 |
| 1346883196 | Carehere LLC | Family Medicine | 4340 Newberry Rd Ste 203, Gainesville, FL 32607-2557 | 2019-10-24 |
| 1609348978 | Anderle and Lewis Pllc | Family Medicine | 1615 Hospital Blvd Ste A, Gainesville, TX 76240-2032 | 2018-12-26 |
| 1598111064 | Janelle C Wilkinson | Family Medicine | 1600 Sw Archer Road- Suite N1-07, University of Florida Community Health & Family Medicin, Gainesville, FL 32610-3001 | 2016-05-13 |
| 1033581996 | Florida Medical & Allergy Centers LLC | Family Medicine | 926 Nw 13th St, Gainesville, FL 32601-4140 | 2015-10-30 |
| 1255703419 | Patient First Richmond Medical Group Pllc | Family Medicine | 14800 Lee Highway, Gainesville, VA 20155-1842 | 2015-10-28 |
| 1962884411 | Margaret A Erwood | Family Medicine | 1439 Jesse Jewell Pkwy Ne Ste 102, Gainesville, GA 30501-3806 | 2015-06-22 |
| 1902286867 | Mehak Gandhi | Family Medicine | 6400 W Newberry Rd Ste 101, Gainesville, FL 32605-4383 | 2015-06-05 |
| 1497135263 | Peter Farag | Family Medicine | 6400 W Newberry Rd Ste 101b, Gainesville, FL 32605-6605 | 2015-06-05 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32610 |
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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.