DR. SHEELA WILSON (NPI# 1104803154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104803154 |
| Entity Type | Individual |
| Full Name | DR. SHEELA WILSON |
| Credential | M.D. |
| Practice Address |
8800 N Tryon St Charlotte NC 28262-3300 |
| Mailing Address |
3101 Latrobe Dr Charlotte NC 28211-4849 |
| Practice Telephone | 7043767362 |
| Practice Fax Number | 7043761939 |
| Mailing Telephone | 7043767362 |
| Mailing Fax Number | 7043761939 |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2010-02-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
31437 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8915761 | 05 |
| Street Address |
8800 N TRYON ST |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28262-3300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912904517 | Glen Roy Pinkston Jr. | Pathology | 8800 N Tryon St, Charlotte, NC 28262-3300 | 2005-06-29 |
| 1912485046 | Melanie Taylor | Nurse Practitioner | 8800 N Tryon St, Charlotte, NC 28262-3300 | 2018-07-31 |
| 1285149377 | Eric Nathan Stipec | Nurse Anesthetist, Certified Registered | 8800 N Tryon St, Charlotte, NC 28262-3300 | 2017-12-11 |
| 1972050888 | Kerri Kilburn Whitley | Registered Nurse | 8800 N Tryon St, Charlotte, NC 28262-3300 | 2016-09-08 |
| 1376096669 | Andrew Bullaro | Nurse Practitioner | 8800 N Tryon St, Charlotte, NC 28262-3300 | 2016-08-03 |
| 1437505583 | Michael William Bryant | Emergency Medicine | 8800 N Tryon St, Charlotte, NC 28262-3300 | 2016-05-08 |
| 1043677743 | Julie Price Laskey | Physician Assistant | 8800 N Tryon St, Charlotte, NC 28262 | 2016-01-26 |
| 1124404405 | Carolinas Physicians Network Inc | Internal Medicine | 8800 N Tryon St, Charlotte, NC 28262-3300 | 2015-08-10 |
| 1144602103 | Crawley Memorial Hospital, Inc. | Long Term Care Hospital | 8800 N Tryon St, Ltach-4th Floor, Charlotte, NC 28262-3300 | 2015-06-25 |
| 1598156234 | The Charlotte Mecklenburg Hospital Authority | Nurse Anesthetist, Certified Registered | 8800 N Tryon St, Charlotte, NC 28262-3300 | 2015-02-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056913 | Aleta Michelle Johnson | Specialist | 9711 David Taylor Dr., Ste. 145, Charlotte, NC 28262 | 2020-09-01 |
| 1275161580 | Londyn Homecare Agency L.l.c | Home Health | 1914j.n. Place, Charlotte, NC 28262 | 2020-03-31 |
| 1154964914 | Abundant Love Home Care Service LLC | In Home Supportive Care | 1981 J.n. Pease Place, Ste 204, Charlotte, NC 28262 | 2019-10-24 |
| 1104399070 | Nattya S Pilgreen | Prosthetist | 410 E Mccullough Drive, Suite 103, Charlotte, NC 28262 | 2019-01-03 |
| 1114404506 | Laura Ida Anthony-getant | Social Worker | 10130 Mallard Creek Road, Ste 300 #333, Charlotte, NC 28262 | 2018-07-27 |
| 1720573587 | Carolinas Center for Ambulatory Dentistry LLC | Dentist | 8415 Medical Plaza Drice, Charlotte, NC 28262 | 2018-06-25 |
| 1598254799 | Cassandra Faye Harding | Nurse Practitioner | 1905 Jn Pease Place Suite 103, Charlotte, NC 28262 | 2018-05-03 |
| 1669960746 | Michael Riley | In Home Supportive Care | 8301 University Exec Park Dr Ste 120, Charlotte, NC 28262 | 2018-04-25 |
| 1568989804 | Bridget Coomber | Behavior Technician | 8420 University Executive Dr Ste 810, Charlotte, NC 28262 | 2017-08-28 |
| 1073037701 | Toshana Daley | Physical Therapist | 8801 Jm Keynes Blvd, Charlotte, NC 28262 | 2017-08-03 |
| Find all providers in zip 28262 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376980417 | Beatty Medical Consulting, PC | Emergency Medicine | 9507 Brandemere Ct, Charlotte, NC 28210-1027 | 2013-05-30 |
| 1417916271 | Richard Lequeux Bradner | Emergency Medicine | 9720 S Tryon St, Charlotte, NC 28273-6578 | 2006-03-21 |
| 1780035816 | Laura Icenhour Buchanan | Emergency Medicine | 10628 Park Rd, Charlotte, NC 28210-8407 | 2016-06-30 |
| 1801829379 | Ekachai Lucktong | Emergency Medicine | 3101 Latrobe Dr, Charlotte, NC 28211-4849 | 2006-07-08 |
| 1558397778 | Nadine Lettman-carswell | Emergency Medicine | 3101 Latrobe Dr, Charlotte, NC 28211-4849 | 2006-06-23 |
| 1972547834 | Julie O'sullivan | Emergency Medicine | 3101 Latrobe Dr, Charlotte, NC 28211-4849 | 2006-06-15 |
| 1033157318 | Jason Bolden | Emergency Medicine | 3101 Latrobe Dr, Charlotte, NC 28211-4849 | 2006-06-02 |
| 1477524460 | Steven Justus | Emergency Medicine | 8800 N Tryon St, Charlotte, NC 28262-3300 | 2006-01-30 |
| 1760453070 | Ryan Hines | Emergency Medicine | 8800 N Tryon St, Charlotte, NC 28262-3300 | 2006-01-27 |
| 1437139391 | Jennifer E Thompson | Emergency Medicine | 10628 Park Rd, Charlotte, NC 28210-8407 | 2006-01-18 |
| Find all providers in CHARLOTTE | ||||
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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.