SETH M WILSON (NPI# 1093083271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093083271 |
| Entity Type | Individual |
| Full Name | SETH M WILSON |
| Credential | D.C. |
| Practice Address |
4556 Quince Rd Seneca MO 64865 |
| Mailing Address |
4556 Quince Rd Seneca MO 64865-8037 |
| Practice Telephone | 4177764556 |
| Mailing Telephone | 4177764556 |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2019-10-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2011013813 | MO | Chiropractic Providers |
| N | 111N00000X | Chiropractor | 15924 | AR | Chiropractic Providers |
| N | 171100000X | Acupuncturist | 15924 | AR | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | LICENSE | 2011013813 | 01 |
| AR | LICENSE | 15924 | 01 |
| AR | GROUP NPI | 1801872304 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 636 W Broadway St, North Little Rock, AR 721145526 | 5013741153 | 5013746213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518490754 | Seth Wilson | Family Medicine | 5350 University Pkwy Ste 101, Sarasota, FL 34243-5813 | 2017-04-05 |
| 1497030639 | Seth Mackenzie Wilson | Physician Assistant | 123 S 27th St, Billings, MT 59101-4200 | 2011-10-19 |
| 1467668400 | Seth Palmer Wilson | Social Worker | 655 7th St Bldg 700a, Robins Afb, GA 31098-2227 | 2007-05-15 |
| Street Address |
4556 QUINCE RD |
| City | SENECA |
| State | MO |
| Zip Code | 64865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285959551 | Koby Prater | Pharmacist | 1711 Cherokee Avenue, Seneca, MO 64865 | 2010-03-30 |
| 1326221078 | Frank Eitemiller | Physical Therapist | 17196 Condor Dr., Seneca, MO 64865 | 2007-12-17 |
| 1558558130 | Seneca R-7 School District | Local Education Agency (LEA) | 914 Frisco St, Seneca, MO 64865 | 2007-09-27 |
| 1437346012 | Laura Simone Pendergraft | Speech-Language Pathologist | 1815 Saint Eugene, Seneca, MO 64865 | 2007-09-27 |
| 1972681880 | Marvin A. Singleton | Otolaryngology | 4474 Five Mile Rd., Seneca, MO 64865 | 2006-11-01 |
| 1811201528 | Ronald Edward Deweese | Counselor | 200 Zane Dr, Seneca, MO 64865-8534 | 2010-08-05 |
| 1255744744 | Tabitha Hoggard | Case Manager/Care Coordinator | 901 Antelope Rd, Seneca, MO 64865-8572 | 2014-06-03 |
| 1134122740 | B P & W Inc | Durable Medical Equipment & Medical Supplies | 1711 Cherokee Ave, Seneca, MO 64865-8681 | 2005-05-27 |
| 1871557710 | Darin L Oxford | Chiropractor | 1033 Cherokee Ave, Seneca, MO 64865-9206 | 2006-04-17 |
| 1003127085 | Sarah T. Moran | Family Medicine | 1606 Olive St, Seneca, MO 64865-9247 | 2010-06-24 |
| Find all providers in zip 64865 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467937896 | Karen Denise Mccurley | Chiropractor | 12a Boardwalk Pl, Seneca, SC 29678-2671 | 2018-10-02 |
| 1821228578 | Blundy Inc | Chiropractor | 4 Commons Blvd, Seneca, SC 29678-2666 | 2009-07-15 |
| 1396923900 | Jones Family Chiropractic Clinic | Chiropractor | 100 Century Plaza Dr Ste 4d, Seneca, SC 29678-0851 | 2008-02-06 |
| 1710195367 | Seneca Chiropractic Lite Center Pa | Chiropractor | 1701 Sandifer Blvd, Seneca, SC 29678 | 2007-05-18 |
| 1194945923 | Van Romer Chiropractic | Chiropractor | 10802 Clemson Blvd, Suite D, Seneca, SC 29678-1378 | 2007-04-26 |
| 1093875122 | James Edward Loftus | Chiropractor | 10612 Clemson Blvd, Seneca, SC 29678-4543 | 2006-12-11 |
| 1861405052 | Paul Robert Johnson Jr. | Chiropractor | 1741 Blue Ridge Blvd, Seneca, SC 29672-6613 | 2006-08-15 |
| 1518979137 | Christa Marie Velos | Chiropractor | 260 S Main St, Seneca, IL 61360-9414 | 2006-08-12 |
| 1619989241 | Sean Fitzpatrick Gibbs | Chiropractor | 260 So. Main St., Seneca, IL 61360 | 2006-08-12 |
| 1467417816 | Patricia J Dixon | Chiropractor | 15885 Wells Hwy, Seneca, SC 29678-1078 | 2006-04-19 |
| Find all providers in SENECA | ||||
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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.