DR. JOHN WELLS WILSON (NPI# 1184713463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184713463 |
| Entity Type | Individual |
| Full Name | DR. JOHN WELLS WILSON |
| Credential | MD |
| Practice Address |
1590 East 13th Ave. Eugene OR 97403-1217 |
| Mailing Address |
85100 Cloverdale Rd Creswell OR 97426-9838 |
| Practice Telephone | 5413462770 |
| Mailing Telephone | 4152794670 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-04-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 190110 | OR | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1800 Sullivan Ave, Room 503, Daly City, CA 940152228 | 6509949090 | 6509949093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376107979 | John Zaakery Wilson | Peer Specialist | 3350 E Beech Way # A, Wasilla, AK 99654-7417 | 2019-04-29 |
| 1639673924 | John Michael Wilson | Student in an Organized Health Care Education/Training Program | 235 Sable Fls, San Antonio, TX 78258-4870 | 2018-03-21 |
| 1427429133 | John Wilson | Internal Medicine | 5 Ladd Rd, Hanover, NH 03755-3420 | 2015-10-08 |
| 1760878599 | John Wilson IIi | Psychiatry & Neurology | 212 W Route 38 Ste 105, Moorestown, NJ 08057-4100 | 2015-04-08 |
| 1194110718 | John Stewart Wilson Jr. | Radiology | 220 Glen Forest Dr, Greensburg, PA 15601-3718 | 2015-03-31 |
| 1720417496 | John Wilson | Specialist/Technologist, Other | 2550 Spurlock Rd, Nederland, TX 77627 | 2013-11-04 |
| 1982031944 | John Forrest Wilson IIi | Licensed Practical Nurse | 412 Ketcham St, Riverside, OH 45431-2124 | 2013-10-03 |
| 1265782213 | John Matthew Wilson | Speech-Language Pathologist | 3517 Norfolk Ct Se, Olympia, WA 98501-7021 | 2012-09-18 |
| 1396009676 | John A Wilson II | Rehabilitation Practitioner | 6054 Giant Forest Ln, North Las Vegas, NV 89031-1663 | 2012-07-01 |
| 1932494127 | John C Wilson | Dentist | 2675 Central Ave Ste L8, Billings, MT 59102-6686 | 2011-06-15 |
| Street Address |
1590 EAST 13TH AVE. |
| City | EUGENE |
| State | OR |
| Zip Code | 97403-1217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861885188 | S Joseph Dewitz | Psychologist | 1590 East 13th Ave., Eugene, OR 97403-1280 | 2015-03-11 |
| 1851784482 | Ron Miyaguchi | Psychologist | 1590 East 13th Ave., Eugene, OR 97403 | 2015-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134754013 | Luis Martinez | Counselor | 1973 Garden Avenue, Eugene, OR 97403 | 2020-03-11 |
| 1407361207 | Cynthia Lorraine Mort | Massage Therapist | 1904 Garden Ave, Suite 204, Eugene, OR 97403 | 2017-12-04 |
| 1710370101 | Asha Stephen | Psychologist | 1590 E.13th Ave, Eugene, OR 97403 | 2015-03-10 |
| 1598161960 | Gregg Wendland | Pharmacist | 1590 E, 13th Ave., Eugene, OR 97403 | 2014-11-13 |
| 1982862108 | Jeannie E Edwards | Massage Therapist | 1624 E 23rd, Eugene, OR 97403 | 2008-05-23 |
| 1861610727 | James Kenneth Jackson | Family Medicine | 1590 E 13th St., University Health Center, Eugene, OR 97403 | 2007-04-23 |
| 1396963278 | Kathleen Wiley | Internal Medicine | 1590 E. 13 Th St., University of Oregon Health Center, Eugene, OR 97403 | 2007-04-23 |
| 1376761908 | Jan Elizabeth Halvorson | Dentist | University of Oregon Health Center, 1590 E 19th Ave, Eugene, OR 97403 | 2007-04-20 |
| 1295873917 | Sylvia Bertha Robinson Weisshaupt | Counselor | 2170 Elk Avenue, Eugene, OR 97403 | 2007-02-02 |
| 1528134681 | Patricia Anne Wyss | Nurse Practitioner | 3579 Franklin Boulevard, Eugene, OR 97403 | 2006-11-28 |
| Find all providers in zip 97403 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306344 | Emily Herrmann | Family Medicine | 1965 Alder St, Eugene, OR 97405-2937 | 2020-11-03 |
| 1891331195 | Praxis Medical Group Inc | Family Medicine | 1426 Oak Street, Eugene, OR 97401-4043 | 2019-11-21 |
| 1831643105 | Amanda Margaret Danziger | Family Medicine | 330 S Garden Way Ste 350, Eugene, OR 97401-8179 | 2016-08-04 |
| 1225304876 | Charles Baxter Woodworth I | Family Medicine | 888 West Park St., Eugene, OR 97401 | 2012-03-28 |
| 1306163910 | George Green Degner | Family Medicine | 92076 Coburg Rd, Eugene, OR 97408-9221 | 2010-04-23 |
| 1831347525 | Rodney Schaffer Md PC | Family Medicine | 400 E 2nd Ave Ste 105, Eugene, OR 97401-2452 | 2008-09-05 |
| 1306010764 | John E Sattenspiel | Family Medicine | 1800 Millrace Dr, Eugene, OR 97403-1992 | 2008-04-16 |
| 1265612329 | Kathleen K Cordes | Family Medicine | 401 E 10th Ave Ste 250, Eugene, OR 97401-3362 | 2007-11-06 |
| 1467653766 | Lawrence Lyon | Family Medicine | 1400 Mill St, Eugene, OR 97401-4259 | 2007-05-31 |
| 1861610727 | James Kenneth Jackson | Family Medicine | 1590 E 13th St., University Health Center, Eugene, OR 97403 | 2007-04-23 |
| Find all providers in EUGENE | ||||
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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.