WILSON INTERNAL MEDICINE PA (NPI# 1215996046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215996046 |
| Entity Type | Organization |
| Organization Name | WILSON INTERNAL MEDICINE PA |
| Practice Address |
4840 Forest Dr Box 255 Columbia SC 29206-4810 |
| Practice Telephone | 8037990201 |
| Practice Fax Number | 8037990304 |
| Mailing Telephone | 8037990201 |
| Mailing Fax Number | 8037990304 |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2008-09-09 |
| Authorized Official Name | DR. WILLIAM D. WILSON JR. (PHYSICIAN) |
| Authorized Official Telephone | 8037990201 |
| Authorized Official Credential | M. D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
12953 | SC | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386862688 | Wilson Internal Medicine Pa | Internal Medicine | 2402 Camden St Sw Ste B500, Wilson, NC 27893-8608 | 2007-04-23 |
| Street Address |
4840 FOREST DR BOX 255 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29206-4810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720323330 | Carolyn Lorraine Sober | Pharmacist | 4840 Forest Dr, Suite 10, Columbia, SC 29206-4810 | 2012-12-07 |
| 1326083908 | Folline Opticians Inc | Technician/Technologist | 4840 Forest Dr, Ste 220 Trenholm Plaza, Columbia, SC 29206 | 2006-06-18 |
| 1376508176 | Andrew H Woldorf | Ophthalmology | 4840 Forest Dr, Pmb #350, Columbia, SC 29206-4810 | 2006-04-18 |
| 1659336444 | Andrew H. Woldorf Md | Ophthalmology | 4840 Forest Dr, Pmb 350, Columbia, SC 29206-4810 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710403720 | Twila Wilson | Adult Companion | 5741 D Imboden Street, Columbia, SC 29206 | 2017-08-21 |
| 1164978961 | Uri Reisman | Social Worker | 3730 Rockbridge Rd, Columbia, SC 29206 | 2016-08-31 |
| 1902237621 | Ronald Patrick Pellicer | Counselor | 6941 N Trenholm Rd Ste F102, Columbia, SC 29206 | 2013-12-05 |
| 1316376791 | Laraine Kim Jenkins | Counselor | 5211 Trenholm Rd, Suite B, Columbia, SC 29206 | 2013-11-05 |
| 1437409802 | Charles B Roman IIi | Pharmacist | 4711-5 Forest Drive, Columbia, SC 29206 | 2012-09-13 |
| 1306129879 | Rickey Gene Ayers | Counselor | 1800 Forest Drive, C, Columbia, SC 29206 | 2011-09-21 |
| 1285924316 | Lexington County Health Services District, Inc. | Internal Medicine | 4540 Trenholm Road, Columbia, SC 29206 | 2011-04-11 |
| 1144547860 | Alicia K. Harvey | Counselor | 5115 Forest Plaza Suite D, The Art and Play Therapy Center of S.c., Columbia, SC 29206 | 2010-04-21 |
| 1669703880 | Crystal Coleman | Occupational Therapist | 5234 Circle Dr, Columbia, SC 29206 | 2010-01-28 |
| 1689896938 | Carolina Dental Associates, P.a. | Dentist | 5101 Forest Drive, Columbia, SC 29206 | 2007-05-03 |
| Find all providers in zip 29206 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700389046 | Columbia Medical | Clinic/Center | 7937 Highway 165, Columbia, LA 71418-3327 | 2018-03-13 |
| 1386063675 | U.n.i. Medical Care, Inc | Clinic/Center | 6490 Dobbin Center Way, Suite C, Columbia, MD 21045-4728 | 2014-04-15 |
| 1740538768 | River of Life Health Center | Clinic/Center | 291 S 4th St, Columbia, PA 17512-1731 | 2012-08-23 |
| 1942504626 | Able Health, LLC | Clinic/Center | 12a Russmar Trl, Columbia, CT 06237-1416 | 2011-01-10 |
| 1881726925 | Jill Murphey,md PC | Clinic/Center | 1701 E Broadway Ste 101, Broadway Plaza IIi, Columbia, MO 65201-8018 | 2007-03-12 |
| 1265525455 | Family Medicine Centers of South Carolina, P.a. | Clinic/Center | 813 Leesburg Rd, Columbia, SC 29209-2127 | 2006-10-02 |
| 1265525463 | Family Medicine Centers of South Carolina, P.a. | Clinic/Center | 300 Rice Meadow Way, Columbia, SC 29229-9466 | 2006-10-02 |
| 1508825340 | Palmetto Family Medicine | Clinic/Center | 109 Barton Creek Court, Columbia, SC 29229-8027 | 2006-03-21 |
| 1942820519 | Stephen Anthony Fuselli | Clinic/Center | 619 N Providence Rd, Columbia, MO 65203-4355 | 2020-04-23 |
| 1083261648 | Dr Beams Medical Home | Clinic/Center | 10794 Hickory Ridge Rd, Columbia, MD 21044-3646 | 2019-08-19 |
| Find all providers in COLUMBIA | ||||
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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.