SHELBY WILSON (NPI# 1114336120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114336120 |
| Entity Type | Individual |
| Full Name | SHELBY WILSON |
| Credential | PA-C |
| Practice Address |
18205 N 51st Ave Suite 129 Glendale AZ 85308-1490 |
| Practice Telephone | 6233988554 |
| Practice Fax Number | 6233988278 |
| Mailing Telephone | 6233988554 |
| Mailing Fax Number | 6233988278 |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2014-08-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5768 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467726455 | Shelby I Wilson | Specialist | 110 W 38th Ave Ste 4a, Anchorage, AK 99503-5677 | 2012-03-08 |
| 1508408626 | Shelby Wilson | Counselor | 4929 W Fond Du Lac Ave, Milwaukee, WI 53216-2324 | 2019-10-09 |
| 1134776156 | Shelby Wilson | Physical Therapist | 3446 Mckelvey Rd, Bridgeton, MO 63044-2525 | 2019-08-23 |
| 1649827213 | Shelby Wilson | Behavior Technician | 913 N Carolina Ave, Statesville, NC 28677-3414 | 2019-08-19 |
| 1982258091 | Shelby Lynne Wilson | Nurse Practitioner | 14601 Detroit Ave, Lakewood, OH 44107-4205 | 2019-07-26 |
| 1780152835 | Shelby Dawn Wilson | Behavior Technician | 6197 Lehman Dr Ste 102, Colorado Springs, CO 80918-3446 | 2018-11-07 |
| 1003392341 | Shelby Wilson | Counselor | 3760 Piper St Ste Ll139, Anchorage, AK 99508-4683 | 2018-07-18 |
| 1841720752 | Shelby Wilson | Counselor | 414 N Meridian St, Newberg, OR 97132-2697 | 2017-06-13 |
| 1548637564 | Shelby Wilson | Social Worker | 4615 Government St, Building 1, Baton Rouge, LA 70806-5922 | 2015-08-25 |
| 1568749497 | Shelby Wilson | Pharmacist | 8383 W Alameda Ave, Lakewood, CO 80226-3007 | 2011-11-06 |
| Street Address |
18205 N 51ST AVE SUITE 129 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85308-1490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376542605 | Hanh Thuy Vuong | Chiropractor | 18205 N 51st Ave, Glendale, AZ 85308-1490 | 2005-07-19 |
| 1417496019 | Orthosport Az, Inc. | Durable Medical Equipment & Medical Supplies | 18205 N 51st Ave, Suite 145, Glendale, AZ 85308-1490 | 2017-02-15 |
| 1053861583 | Nicholas Archer | Nurse Practitioner | 18205 N 51st Ave, Suite 129, Glendale, AZ 85308-1490 | 2016-10-07 |
| 1518381060 | Dvm Pain Group Pllc | Nurse Practitioner | 18205 N 51st Ave, Suite 113, Glendale, AZ 85308-1490 | 2014-02-04 |
| 1932404316 | Mancuso Chiro Center LLC | Chiropractor | 18205 N 51st Ave, Suite 113, Glendale, AZ 85308-1490 | 2011-01-17 |
| 1700186046 | Adrian Pulkrabek Dds LLC | Dentist | 18205 N 51st Ave, Suite 137, Glendale, AZ 85308-1490 | 2010-11-02 |
| 1568644649 | Kevin C Ward | Anesthesiology | 18205 N 51st Ave, Suite 109, Glendale, AZ 85308-1490 | 2007-11-30 |
| 1245410257 | Wendy Chandross Cisw PC | Social Worker | 18205 N 51st Ave, Building 2, Suite 115, Glendale, AZ 85308-1490 | 2007-11-07 |
| 1740402940 | Arizona Anesthesia Consultants, Inc. | Nurse Anesthetist, Certified Registered | 18205 N 51st Ave, Ste. 109, Glendale, AZ 85308-1490 | 2007-05-03 |
| 1053534453 | Arrowhead Plaza Dental Group Plc | Dentist | 18205 N 51st Ave, Suite 101, Glendale, AZ 85308-1490 | 2007-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102572 | Inspire Wellness and Pelvic Health | Clinic/Center | 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 | 2020-10-23 |
| 1669081709 | Michelle Yoakim | Student in an Organized Health Care Education/Training Program | 19555 N 59th Avenuue, Glendale, AZ 85308 | 2020-07-24 |
| 1033742291 | Kaitlyn Marie Shannon | Dietitian, Registered | 20325 North 51st Avenue, Building 9, Suite 166, Glendale, AZ 85308 | 2020-02-17 |
| 1295377687 | Serenity Preserved Counseling Pllc | Counselor | 21448 N. 75th Avenue Ste G, Glendale, AZ 85308 | 2019-10-17 |
| 1013567023 | Caitlyn Heredia | Student in an Organized Health Care Education/Training Program | 18330 N 79th Avenue, Apartment 1070, Glendale, AZ 85308 | 2019-09-12 |
| 1770141061 | Sydney Dangelo | Student in an Organized Health Care Education/Training Program | 7454 W Denaro Dr, Glendale, AZ 85308 | 2019-05-31 |
| 1023585742 | Center for Couples Therapy, Pllc | Counselor | 18205 N 51st Ave, Ste 113, Glendale, AZ 85308 | 2018-10-31 |
| 1831678341 | Ayat Mahdi Obeidi | Dentist | 19420 N 59th Ave Ste D400, Glendale, AZ 85308 | 2018-08-07 |
| 1720580038 | Lifeline Professional Counseling Services, Inc | Clinic/Center | 17235 N 75th Ave Suite F-100, Glendale, AZ 85308 | 2018-03-02 |
| 1003318585 | Danna Mavis Constance Moisii | Physician Assistant | 18301 N. 79th Ave #g190, Glendale, AZ 85308 | 2018-03-01 |
| Find all providers in zip 85308 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669079109 | Elizabeth Yushuva Rpac, Pllc | Physician Assistant | 23220 N 71st Dr, Glendale, AZ 85310-5872 | 2020-10-07 |
| 1033725437 | Kayla Gutierrez | Physician Assistant | 4820 W Mcrae Way, Glendale, AZ 85308-4821 | 2020-09-21 |
| 1487269015 | Olivia Julia Karczewski | Physician Assistant | 7764 76th St, Glendale, NY 11385-8239 | 2020-09-10 |
| 1508470923 | Joseph Robert Walsh | Physician Assistant | 18860 N 75th Dr, Glendale, AZ 85308-5948 | 2020-09-02 |
| 1598384463 | Josi Ann Bernal | Physician Assistant | 17505 N 79th Ave Ste 407, Glendale, AZ 85308-8732 | 2020-04-10 |
| 1497385470 | Elizabeth Sovakian | Physician Assistant | 1000 N Central Ave Ste 140, Glendale, CA 91202-3687 | 2020-01-18 |
| 1689216020 | Zeeshan Ahmad | Physician Assistant | 1101 E Broadway Ste 201, Glendale, CA 91205-1396 | 2019-10-16 |
| 1649821281 | Paige Nelson | Physician Assistant | 6908 W Escuda Dr, Glendale, AZ 85308-5516 | 2019-09-25 |
| 1821641879 | Carelinq Medical Group, Inc. | Physician Assistant | 436 W Colorado St Ste 210a, Glendale, CA 91204-3071 | 2019-07-18 |
| 1538625405 | Armen Avetisyan | Physician Assistant | 1630 Calle Vaquero Apt 207, Glendale, CA 91206-1504 | 2019-02-15 |
| Find all providers in GLENDALE | ||||
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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.