CARRIE LYNN WILGUS (NPI# 1174586978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174586978 |
| Entity Type | Individual |
| Full Name | CARRIE LYNN WILGUS |
| Credential | MD |
| Practice Address |
300 Meadow Run Drive Hastings MI 49058 |
| Practice Telephone | 2698181020 |
| Practice Fax Number | 2698181266 |
| Mailing Telephone | 2698181020 |
| Mailing Fax Number | 2698181266 |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2017-12-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 4301073703 | MI | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4123869 | 05 | |
| MI | BCBS | 3500800182 | 01 |
| Street Address |
300 MEADOW RUN DRIVE |
| City | HASTINGS |
| State | MI |
| Zip Code | 49058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760941942 | Valerie Joy Gardiner | Licensed Practical Nurse | 1359 Avon St, Hastings, MI 49058 | 2019-03-18 |
| 1538528633 | Forefront Dermatology, S.c. | Dermatology | 1761 W M 43 Hwy Ste 2, Hastings, MI 49058 | 2016-02-17 |
| 1376936807 | Angels On The Go | Home Health | 959 1/2 Williams Dr., Hastings, MI 49058 | 2015-03-09 |
| 1134524226 | Forefront Dermatology, S.c. | Dermatology | 1005 W. Green Street, Suite 200, Hastings, MI 49058 | 2014-10-31 |
| 1417385493 | James Edgar Atkinson | Family Medicine | 2425 Kathryn Drive, Hastings, MI 49058 | 2013-10-29 |
| 1689006918 | Bosley Pharmacy No. 2 Inc | Pharmacy | 118 S. Jefferson St., Hastings, MI 49058 | 2013-08-09 |
| 1740539345 | Kristen Burpee | Physical Therapist | 535 W. Woodlawn, Hastings, MI 49058 | 2012-08-29 |
| 1932344819 | Timothy York Adams | Counselor | 1100 Willitts Rd, Hastings, MI 49058 | 2008-12-08 |
| 1689820169 | Jennifer L Nobert | Physician Assistant | 1005 W Green St Ste 202, Hastings Internal Medicine, Hastings, MI 49058 | 2008-08-15 |
| 1457578072 | Sue Ellen Eastman | Social Worker | 350 Meadow Run Drive, #3, Hastings, MI 49058 | 2007-04-18 |
| Find all providers in zip 49058 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053406496 | Barry Intermediate School District | Specialist | 535 W Woodlawn, Hastings, MI 49058 | 2006-10-03 |
| 1144224700 | Steven George Wildern | Specialist | 1005 W Green St, Rm 301, Hastings, MI 49058-1729 | 2005-06-10 |
| 1396960811 | Jerry K Seiler | Specialist | 620 N Denver Ave, Hastings, NE 68901-5122 | 2007-04-17 |
| 1104991207 | Internal Medicine Associates | Specialist | 1005 W Green St, Suite 301, Hastings, MI 49058-1712 | 2006-11-22 |
| 1386665289 | Hastings Surgeons, P.C. | Specialist | 1005 W Green St, Suite 300, Hastings, MI 49058-1712 | 2006-07-23 |
| 1649295031 | Andrew M Parsons | Specialist | 1005 W Green St, Suite 300, Hastings, MI 49058-1712 | 2006-07-13 |
| 1053356816 | Bradley William Klebs | Specialist | 1210 1st St W, Hastings, MN 55033-1147 | 2006-06-17 |
| 1356383715 | Kathleen Amyot | Specialist | 715 N Kansas Ave, Hastings, NE 68901-4453 | 2006-06-11 |
| 1508829573 | Creekside Vision & Hearing, Plc | Specialist | 1761 W M-43 Hwy, Suite 1, Hastings, MI 49058-8378 | 2006-04-10 |
| 1023089687 | Ann M Harms | Specialist | 715 N Kansas Ave, Hastings, NE 68901-4453 | 2006-01-31 |
| Find all providers in HASTINGS | ||||
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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.