JASON B WILSON


Address: 3424 Medical Park Dr, Ste 1, Monroe, LA 71203-2378
Phone: 3183619299

JASON B WILSON (NPI# 1235132531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235132531
Entity Type Individual
Full Name JASON B WILSON
Credential M.D.
Practice Address 3424 Medical Park Dr
Ste 1
Monroe
LA 71203-2378
Mailing Address 312 Grammont St
Ste 300
Monroe
LA 71201-7403
Practice Telephone 3183619299
Practice Fax Number 3183243334
Mailing Telephone 3183884030
Mailing Fax Number 3183243334
Enumeration Date 2005-05-31
Last Update Date 2010-04-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology 13062R LA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
LA 1561681 05

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Office Location

Street Address 3424 MEDICAL PARK DR
STE 1
City MONROE
State LA
Zip Code 71203-2378

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801408083 Bwilling Counseling, LLC Counselor 1500 North 19th Street, Monroe, La 71201, LA 71203 2020-08-19
1427683234 Alexander Lee Forehan Specialist/Technologist 4099 Northeast Dr, Monroe, LA 71203 2020-03-12
1568923092 Northeast Louisiana Veteran's Home Department of Veterans Affairs (VA) Pharmacy 6700 Highway 165n, Monroe, LA 71203 2019-03-27
1144708520 Cassie Lord Pharmacist Brookshires, 7920 Desiard Street, Monroe, LA 71203 2018-07-30
1982196465 Emmanuel D Hardy Case Manager/Care Coordinator 645 Hwy 80 East, Monroe, LA 71203 2018-05-31
1831689652 Shereka Ruenet Devall Counselor 202 Lincoln Rd, Monroe, LA 71203 2018-05-17
1356830541 David Whitney Bass Counselor 622 Riverside Drive, Monroe, La. 71203, Monroe, LA 71203 2018-05-03
1851821912 Niatra S Bell Counselor 645 Highway 80 East, Monroe, LA 71203 2017-06-12
1528597523 Amazing Transport, LLC Non-emergency Medical Transport (VAN) 6300 Mosswood Dr., Monroe, LA 71203 2017-06-05
1326581737 Charla Gix Case Manager/Care Coordinator 645 Us-80, Monroe, LA 71203 2016-12-02
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Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336688464 Well Womans Center of Louisiana Obstetrics & Gynecology 708 Jackson St, Monroe, LA 71201-8420 2017-02-22
1588809222 Turek and Bazley Sc Obstetrics & Gynecology N4117 Ladwig Rd, Monroe, WI 53566-8937 2008-12-10
1578690483 Maribelle Verdiales Obstetrics & Gynecology 924 W Spring St, Monroe, GA 30655-1751 2007-02-27
1841334091 Julianne E Kenton-haney Obstetrics & Gynecology 2000 Wellness Blvd Ste 120, Monroe, NC 28110 2007-02-19
1821171497 Women's Health Associates of Monroe Obstetrics & Gynecology 410 Wood St, Monroe, LA 71201-7445 2006-10-24
1154354447 Union Physicians Network Inc Obstetrics & Gynecology 1550 Faulk Street, Suite 2100, Monroe, NC 28112-5087 2006-07-09
1497795736 Kareen Saunders Obstetrics & Gynecology 520 State Route 17m, 2nd Floor, Monroe, NY 10950-3455 2006-06-07
1538120183 Michael Jordan Caire Obstetrics & Gynecology 3130 Mercedes Drive, Monroe, LA 71201 2006-03-31
1811958606 Rafael Bernard Armstrong Obstetrics & Gynecology 3408 Medical Park Dr, Monroe, LA 71203-2354 2006-03-31
1508825571 Benion S Horton Obstetrics & Gynecology 1550 Faul Street, Suite 2100, Monroe, NC 28112-5087 2006-03-20
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Competitor

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City MONROE
Zip Code 71203

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Dataset Information

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.

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