DR. MALISSA GAIL WILSON (NPI# 1073529053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073529053 |
Entity Type | Individual |
Full Name | DR. MALISSA GAIL WILSON |
Other Name | MS. MALISSA GAIL KINARD |
Credential | MD |
Practice Address |
1308 Laurel Street Palmetto Senior Care Laurel Columbia SC 29201 |
Mailing Address |
15 Richland Medical Park Palmetto Senior Care Ste 203 Columbia SC 29203 |
Practice Telephone | 8039318166 |
Practice Fax Number | 8039318183 |
Mailing Telephone | 8034343770 |
Mailing Fax Number | 8034343773 |
Enumeration Date | 2006-07-31 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
14482 | SC | Allopathic & Osteopathic Physicians |
Street Address |
1308 LAUREL STREET PALMETTO SENIOR CARE LAUREL |
City | COLUMBIA |
State | SC |
Zip Code | 29201 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669488649 | Karen Latrelle Hardy | Nurse Practitioner | 1308 Laurel Street, Palmetto Senior Care Laurel, Columbia, SC 29201 | 2006-07-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366049421 | Souzan Moslehshirazi | Behavior Technician | 1320 Main Street Suite 300, Colombia, SC 29201 | 2020-10-02 |
1295353936 | Kayla Faylyn Nicole Mckenzie | Specialist/Technologist | 1905 Southern Drive, Unit 1905a, Columbia, SC 29201 | 2020-07-09 |
1548887128 | Casania's Caring Hands,llc | Home Health Aide | 1113 Belleview Street, 105, Columbia, SC 29201 | 2020-06-30 |
1639719909 | Benjamin Clark Watson | Acupuncturist | 1825 Sumter St., Columbia, SC 29201 | 2020-01-14 |
1588217574 | Aneika Daley | Specialist/Technologist | 1211 Wheat St, Columbia, SC 29201 | 2019-07-19 |
1447803531 | Gillian Taylor Shaughnessy | Specialist/Technologist | 147 South Marion St, Columbia, SC 29201 | 2019-07-18 |
1417417619 | Maria Nelson | Behavior Technician | 320 Main St Suite 300, Columbia, SC 29201 | 2019-03-22 |
1679041297 | Nathaniel Carl Stocker | Nurse Practitioner | 1614 Main Street, Suite C, Sc House Calls Inc, Columbia, SC 29201 | 2018-11-13 |
1558852855 | The Practice | Family Medicine | 1910 Gregg Street, Columbia, SC 29201 | 2018-05-22 |
1871095836 | Kadesjah Samuels | Behavior Technician | 1320 Main Street, Suite 300, Columbia, SC 29201 | 2018-03-06 |
Find all providers in zip 29201 |
Taxonomy Code | 207RG0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Geriatric Medicine |
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164037875 | Visiting Physicians LLC | Internal Medicine | 108 E Green Meadows Rd Ste 3, Columbia, MO 65203-3633 | 2020-09-10 |
1598023194 | Health First Medical Care LLC | Internal Medicine | 9650 Santiago Rd Ste 6, Columbia, MD 21045-3960 | 2012-05-02 |
1447266325 | John Raymond Egbert | Internal Medicine | 15 Richland Medical Park, Ste 203, Columbia, SC 29203 | 2006-07-31 |
1619952520 | Eric A. Barnes | Internal Medicine | 2101 Corona Rd Ste 102, Columbia, MO 65203-2582 | 2005-12-13 |
1417445198 | Palmetto Health - University of South Carolina Medical Group | Internal Medicine | 3010 Farrow Rd Ste 300, Columbia, SC 29203-7606 | 2018-04-27 |
1396999686 | Barnes Health Care Management Group LLC | Internal Medicine | 2101 Corona Rd Ste 102, Columbia, MO 65203-2582 | 2008-11-12 |
1245450337 | Venkata C Sami | Internal Medicine | 5755 Cedar Ln, Columbia, MD 21044 | 2007-04-30 |
1578585428 | Dale Rutledge Hamrick, Md, LLC | Internal Medicine | 124 Spring Valley Ct, Columbia, SC 29223-5900 | 2006-07-23 |
1477572196 | Joseph Riddle Thompson | Internal Medicine | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2006-07-19 |
1407886336 | Nandakumar B Vellanki | Internal Medicine | 8850 Columbia 100 Pkwy, Ste 301, Columbia, MD 21045-2377 | 2006-07-04 |
Find all providers in COLUMBIA |
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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.