DR. KIM A WILSON (NPI# 1124194006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124194006 |
| Entity Type | Individual |
| Full Name | DR. KIM A WILSON |
| Credential | MD |
| Practice Address |
75 Bickford St Martha Eliot Health Center Jamaica Plain MA 02130-1401 |
| Mailing Address |
63 Claypit Hill Rd Wayland MA 01778-2004 |
| Practice Telephone | 6179712312 |
| Mailing Telephone | 5083587841 |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 76388 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 3150620 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245725365 | Kim Marie Wilson | Registered Nurse | 211 201st Ave Ne, Snohomish, WA 98290-9613 | 2018-06-30 |
| 1639583669 | Kim Wilson | Home Health | 136 Field Pine Ave, Hopkins, SC 29061-9501 | 2014-06-18 |
| 1073532438 | Kim Yvette Wilson | Pharmacist | 3800 Fletcher Ave, Suite 133, Tampa, FL 33613 | 2006-07-18 |
| 1134169311 | Kim Dittis Wilson | Nurse Practitioner | 900 E Michigan Ave Ste 105, Jackson, MI 49201-2490 | 2006-06-07 |
| 1033584966 | Kim Wilson | Counselor | 25 Gap Rd, Batesville, AR 72501-8679 | 2015-12-03 |
| 1073982245 | Kim Wilson | Physician Assistant | 1055 N Curtis Rd, Boise, ID 83706-1309 | 2015-09-17 |
| 1134398126 | Kim Yung Wilson | Occupational Therapist | 14701 Cecil Dr, Little Rock, AR 72223-1913 | 2008-02-25 |
| 1639383474 | Kim Marie Wilson | Nurse Practitioner | 3400 Spruce St, 4 Dulles Building, Philadelphia, PA 19104-4206 | 2007-05-10 |
| 1821215781 | Kim Badell Wilson | Dentist | 288 Northwood Ave, Jasper, IN 47546-1212 | 2007-04-19 |
| 1457468928 | Kim Wilson | Radiology | 3601 S 6th Ave, Tucson, AZ 85723-0001 | 2006-08-23 |
| Street Address |
75 BICKFORD ST MARTHA ELIOT HEALTH CENTER |
| City | JAMAICA PLAIN |
| State | MA |
| Zip Code | 02130-1401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821068370 | Kelly Chiu | Pediatrics | 75 Bickford St, Jamaica Plain, MA 02130-1401 | 2006-01-26 |
| 1699373290 | Karina Rosy Fundora | Student in an Organized Health Care Education/Training Program | 75 Bickford St, Jamaica Plain, MA 02130-1499 | 2020-10-15 |
| 1043818305 | Yamilex Gonzalez Baez | Social Worker | 75 Bickford St, Jamaica Plain, MA 02130-1401 | 2020-10-09 |
| 1134736317 | Amy Krach | Social Worker | 75 Bickford St, Jamaica Plain, MA 02130-1401 | 2020-09-30 |
| 1578190419 | Whitney Golden | Social Worker | 75 Bickford St, Jamaica Plain, MA 02130-1401 | 2020-03-23 |
| 1588290688 | Claribel Villa | Social Worker | 75 Bickford St, Jamaica Plain, MA 02130-1401 | 2020-03-20 |
| 1861040495 | Jennifer M Aviles I | Developmental Therapist | 75 Bickford St, Jamaica Plain, MA 02130-1401 | 2019-08-27 |
| 1912551573 | Kimberly Boscodoss | Developmental Therapist | 75 Bickford St, Jamaica Plain, MA 02130-1401 | 2019-07-31 |
| 1376010710 | Madeline Claire Manning | Student in an Organized Health Care Education/Training Program | 75 Bickford St, Jamaica Plain, MA 02130-1401 | 2018-10-24 |
| 1497221857 | Steven Piere Magana | Student in an Organized Health Care Education/Training Program | 75 Bickford St, Jamaica Plain, MA 02130-1401 | 2018-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913121 | Virginia Dawn Pratt | Social Worker | Ethos, 555 Amory Street, Jamaica Plain, MA 02130 | 2020-08-19 |
| 1689139917 | Lina Skiba | Speech-Language Pathologist | Thom Child & Family Services, 555 Armory St, Jamaica Plain, MA 02130 | 2019-01-31 |
| 1841775442 | Melissa Rocklen | Social Worker | 30 Germania St Bldg C, Jamaica Plain, MA 02130 | 2018-09-28 |
| 1902389281 | Susan N. Berkman | Social Worker | 111 Perkins St., Apt.120, Jamaica Plain, MA 02130 | 2018-09-12 |
| 1326551912 | Cindy Tromp | Counselor | Arbour Hospital, 49 Robinwood Ave, Jamaica Plain, MA 02130 | 2017-11-06 |
| 1811415128 | Jesse Myles Carmen | Social Worker | 555 Armory Street, Jamaica Plain, MA 02130 | 2017-09-07 |
| 1881119410 | Melanie Suzanne Witman | Counselor | 1125 Centre Street, Boston, MA 02130 | 2017-08-04 |
| 1740702125 | Farah Clermont | Counselor | 3815 Washington St., Jamaica Plain, MA 02130 | 2017-07-07 |
| 1346777554 | Anjalie L Pieres | Counselor | 157 Green Streey, Jamaica Plain, MA 02130 | 2017-05-18 |
| 1316480098 | Caroline Amina Shaw-moss | Counselor | 7 Burr St., Boston, MA 02130 | 2016-11-29 |
| Find all providers in zip 02130 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750417341 | Stephen J Lerman | Pediatrics | 57 Louders Ln, Jamaica Plain, MA 02130-3422 | 2007-02-26 |
| 1750438115 | Donna M Ambrosino | Pediatrics | Mass Biologic Labs, 305 South St., Jamaica Plain, MA 02130 | 2007-01-05 |
| 1629153051 | Cecil Coe Agee | Pediatrics | 28 Malcolm Rd, Jamaica Plain, MA 02130-3427 | 2006-10-26 |
| 1386676815 | Alexandra A Epee-bounya | Pediatrics | Martha Eliot Health Center, 75 Bickford Street, Jamaica Plain, MA 02130 | 2006-07-07 |
| 1821068370 | Kelly Chiu | Pediatrics | 75 Bickford St, Jamaica Plain, MA 02130-1401 | 2006-01-26 |
| 1760914303 | Susan Samreth | Pediatrics | 3297 Washington St, Jamaica Plain, MA 02130-2655 | 2017-04-02 |
| 1568856185 | Laura Osmond Marcus | Pediatrics | 640 Centre St, Jamaica Plain, MA 02130-2555 | 2015-03-20 |
| 1164756987 | Anne Margaret Welch-cameron | Pediatrics | 3297 Washington St, Jamaica Plain, MA 02130-2655 | 2009-09-25 |
| 1639324072 | Roslyn Gail Murov | Pediatrics | 75 Bickford Street, Martha Eliot Health Center, Jamaica Plain, MA 02130 | 2008-11-26 |
| 1710055611 | Claire Mccarthy | Pediatrics | 75 Bickford St, Jamaica Plain, MA 02130-1401 | 2006-12-01 |
| Find all providers in JAMAICA PLAIN | ||||
| City | JAMAICA PLAIN |
| Zip Code | 02130 |
Please comment or provide details below to improve the information on DR. KIM A WILSON.
| 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.