RICHARD W WILSON (NPI# 1225093370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225093370 |
| Entity Type | Individual |
| Full Name | RICHARD W WILSON |
| Credential | MD |
| Practice Address |
16611 S 40th St Suite 180 Phoenix AZ 85048 |
| Mailing Address |
2545 W Frye Rd Suite 9 Chandler AZ 85224-6273 |
| Practice Telephone | 4807852100 |
| Practice Fax Number | 4807852111 |
| Mailing Telephone | 4805054258 |
| Mailing Fax Number | 4802758346 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2018-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 28238 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 634320 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407158116 | Richard Chase Wilson | Internal Medicine | 1255 Clearview Circle, Allentown, PA 18103 | 2010-12-01 |
| 1902118409 | Richard Wilson | Counselor | 1421 Luisa St Ste C, Santa Fe, NM 87505-4073 | 2010-07-13 |
| 1316173768 | Richard Steven Wilson | Chiropractor | 2 Stony Hill Rd Ste 101, Bethel, CT 06801-1045 | 2009-05-29 |
| 1033358924 | Richard Robert Wilson | General Practice | 1276 Nursery Hill Ln, Arden Hills, MN 55112-5783 | 2009-02-17 |
| 1760633929 | Richard Allen Wilson | Dentist | 3828 W Davis St, Suite 310, Conroe, TX 77304-1815 | 2008-10-07 |
| 1649491937 | Richard S Wilson | Dentist | 6025 Harbour Park Dr, Midlothian, VA 23112-2160 | 2007-05-02 |
| 1104042761 | Richard Lyman Wilson | Dentist | 123 Weeminuche Ave, Ignacio, CO 81137 | 2007-04-18 |
| 1932228061 | Richard A Wilson | Dentist | 6007 Dempster St, Morton Grove, IL 60053-2943 | 2007-03-28 |
| 1568504447 | Richard Dale Wilson | Family Medicine | 306 Oakridge Rd, Cary, NC 27511-4542 | 2007-02-13 |
| 1225126691 | Richard Marsh Wilson | Psychologist | 554 Washington St, Suite 4, Wellesley, MA 02482-6408 | 2006-10-11 |
| Street Address |
16611 S 40TH ST SUITE 180 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851373971 | Khristina M Ramirez | Specialist | 16611 S 40th St, Suite 160, Phoenix, AZ 85048-0562 | 2005-11-15 |
| 1831557321 | Arizona Allergy and Asthma Specialists P C | Clinic/Center | 16611 S 40th St, Suite 170, Phoenix, AZ 85048-0562 | 2016-01-29 |
| 1972996841 | Courtney R Domingo | Nurse Practitioner | 16611 S 40th St, Suite 180, Phoenix, AZ 85048-0562 | 2015-03-16 |
| 1295134914 | Brian Bartow | Physical Therapist | 16611 S 40th St, Ste. 130, Phoenix, AZ 85048-0562 | 2014-08-19 |
| 1033532692 | Tara N. Becher | Physician Assistant | 16611 S 40th St, Suite 100, Phoenix, AZ 85048 | 2014-01-31 |
| 1346682119 | Audra Lynn Zachman | Nurse Practitioner | 16611 S 40th St, Suite 180, Phoenix, AZ 85048 | 2013-07-22 |
| 1760769020 | Kaylene M Christensen | Physical Therapist | 16611 S 40th St, Ste 130, Phoenix, AZ 85048-0562 | 2011-11-14 |
| 1871872267 | Peter G Gorman | Physical Therapist | 16611 S 40th St, Ste 130, Phoenix, AZ 85048-0562 | 2011-08-16 |
| 1730467960 | Jenna Leigh Salber | Physical Therapist | 16611 S 40th St, Ste. 130, Phoenix, AZ 85048-0562 | 2011-07-21 |
| 1639485105 | Larissa E Shaps | Physical Therapist | 16611 S 40th St, Suite 130, Phoenix, AZ 85048-0562 | 2010-08-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164062618 | Smile Dentistry Pllc | Dentist | 1238 E. Chandler Blvd. #101, Phoenix, AZ 85048 | 2020-01-13 |
| 1558924415 | Ahwatukee Orthodontic Associates Inc | Dentist | 16611 S. 40th Street, Suite 110, Phoenix, AZ 85048 | 2019-04-17 |
| 1699299560 | Brianna Alean Kinsey | Student in an Organized Health Care Education/Training Program | 16214 S. 1st Street, Phoenix, AZ 85048 | 2017-08-01 |
| 1497278113 | Teague Duncan Wilson | Specialist/Technologist | 3305 E Nighthawk Way, Phoenix, AZ 85048 | 2017-07-25 |
| 1730550146 | Jennifer Zazueta | Physician Assistant | 4126 E Nighthawk Way, Phoenix, AZ 85048 | 2015-10-12 |
| 1235551904 | Louise Marie Braunbeck | Physical Therapy Assistant | 16649 S 24th Place, Phoenix, AZ 85048 | 2014-01-14 |
| 1780026260 | Erin Onacki | Social Worker | 4530 E Muirwood Dr. Suite 103, Phoenix, AZ 85048 | 2013-07-24 |
| 1649528720 | Cody A Morales | Social Worker | 4654 E Mountain Vista Dr, Phoenix, AZ 85048 | 2012-08-21 |
| 1417168287 | Lori Lynn Haas | Social Worker | 4025 E. Chandler Boulevard, #70-e7, Phoenix, AZ 85048 | 2007-05-24 |
| 1285847210 | Jonne Amorette Housh | Nurse Practitioner | 4545 E Chandler Blvd., Phoenix, AZ 85048 | 2007-05-07 |
| Find all providers in zip 85048 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477050375 | Blue Ye Maya LLC | Obstetrics & Gynecology | 531 E Lynwood St Fl 2, Phoenix, AZ 85004-1626 | 2018-04-09 |
| 1659717924 | Kate E Maroney | Obstetrics & Gynecology | 1661 E Camelback Rd Ste 160, Phoenix, AZ 85016-3921 | 2013-05-14 |
| 1306281571 | Jeffrey Blake Higley | Obstetrics & Gynecology | 650 W Maryland Ave Ste 1, Phoenix, AZ 85013 | 2013-05-01 |
| 1033485511 | Sigrid Gardner Williams | Obstetrics & Gynecology | 4751 N 15th St, Phoenix, AZ 85014-3707 | 2012-03-28 |
| 1316263585 | Allison Amber Snyder | Obstetrics & Gynecology | 3811 E Bell Rd Ste 312, Phoenix, AZ 85032-2160 | 2010-04-13 |
| 1033348487 | Jill D Gibson | Obstetrics & Gynecology | 1313 E Osborn Rd Ste 250, Phoenix, AZ 85014-5699 | 2009-07-07 |
| 1083841969 | Laura T Mercer | Obstetrics & Gynecology | 500 W Thomas Rd Ste 720730, Phoenix, AZ 85013-4224 | 2009-06-17 |
| 1770710097 | Adriana Lea Pritchard | Obstetrics & Gynecology | 1300 North 12th Street, Suite 407, Phoenix, AZ 85006 | 2009-06-12 |
| 1033392113 | Chijioke Nnenna Soribe | Obstetrics & Gynecology | 3003 N Central Ave Ste 1600, Phoenix, AZ 85012-2908 | 2007-12-11 |
| 1013190420 | Neil Trachtenberg, M.d.,p.c. | Obstetrics & Gynecology | 300 W Clarendon Ave Ste 145, Phoenix, AZ 85013-3449 | 2007-12-07 |
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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.