JOHN DAVID WILSON (NPI# 1235138801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235138801 |
| Entity Type | Individual |
| Full Name | JOHN DAVID WILSON |
| Credential | MD |
| Practice Address |
931 Pennsylvania Ave Ottumwa Pediatrics Ottumwa IA 52501 |
| Mailing Address |
312 E Alta Vista Orhc Clinics Ottumwa IA 52501 |
| Practice Telephone | 6416843000 |
| Practice Fax Number | 6416842469 |
| Mailing Telephone | 6416843000 |
| Mailing Fax Number | 6416842469 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2007-10-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 36914 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | JOHN DEERE HEALTH | JA0171 | 01 |
| DE | 0000576001 | 05 | |
| IA | BCBS OF IA | 28375 | 01 |
| IA | 0746719 | 05 |
| 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 |
931 PENNSYLVANIA AVE OTTUMWA PEDIATRICS |
| City | OTTUMWA |
| State | IA |
| Zip Code | 52501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942713888 | Shayla Rae | Registered Nurse | 931 Pennsylvania Ave, Ottumwa, IA 52501-2138 | 2017-11-14 |
| 1295017184 | Laurie L Glover | Nurse Practitioner | 931 Pennsylvania Ave, Ottumwa, IA 52501-2138 | 2011-09-15 |
| 1306830070 | Gregory Wayne Titus | Registered Nurse | 931 Pennsylvania Ave, Ottumwa, IA 52501-2138 | 2005-09-08 |
| 1760475370 | Donalee Wilkins Foster | Pediatrics | 931 Pennsylvania Ave, Ottumwa, IA 52501-2138 | 2005-08-30 |
| 1396738902 | Mary L Graeff | Pediatrics | 931 Pennsylvania Ave, Ottumwa, IA 52501-2138 | 2005-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205327210 | Speer Family Chiropractic, LLC | Chiropractor | 635 Pennsylvania Ave, Ottumwa, IA 52501 | 2018-05-24 |
| 1982194874 | Jasmine Benson | Nurse Practitioner | 1013 Pennsylvania Avenue, Suite A/b, Ottumwa, IA 52501 | 2018-05-16 |
| 1265957567 | Katie Marie Walz | Registered Nurse | 725 W. Second St., Ottumwa, IA 52501 | 2017-08-08 |
| 1033648431 | Cassadie Roberts | Occupational Therapy Assistant | 3 Pennsylvania Place, Ottumwa, IA 52501 | 2017-06-08 |
| 1588900880 | Ottumwa Er LLC | Emergency Medicine | 1001 Pennsylvania Avenue, Ottumwa, IA 52501 | 2012-12-14 |
| 1710258009 | Alcohol & Drug Dependency Services | Clinic/Center | 226 West Main St., Ottumwa, IA 52501 | 2012-01-19 |
| 1477832921 | Melissa Rohrssen | Physical Therapy Assistant | 13 Bear Creek Estates Drive, Ottumwa, IA 52501 | 2011-08-15 |
| 1578855201 | Brandy S.n. Jeansimon | Obstetrics & Gynecology | 1001 E. Pennsylvania Avenue, Ottumwa, IA 52501 | 2011-05-13 |
| 1801120399 | Frank Sam Harper | Counselor | 310 W. Main St., Ottumwa, IA 52501 | 2009-09-30 |
| 1902078439 | Sandro Younadam | Internal Medicine | 1013 Pennsylvania Avenue Suite A, Ottumwa Regional Health Center, Ottumwa, IA 52501 | 2008-03-25 |
| Find all providers in zip 52501 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235105735 | Lona Welbourn Brager | Pediatrics | 921 Pennsylvania Ave, Ottumwa, IA 52501 | 2006-02-24 |
| 1770576373 | Nancy Collins O'brien | Pediatrics | Ottumwa Pediatrics, 931 Pennsylvania Ave, Ottumwa, IA 52501 | 2005-08-30 |
| 1851384465 | Eric Lynn Dodson | Pediatrics | 1207 N Jefferson St, Suite 1, Ottumwa, IA 52501-2021 | 2005-08-30 |
| 1730465881 | Pediatric Associates of Ottumwa, P.C. | Pediatrics | 921 Pennsylvania Ave, Ottumwa, IA 52501 | 2011-11-02 |
| 1619115888 | All Ages Pediatrics PC | Pediatrics | 1207 N Jefferson St, Suite 1, Ottumwa, IA 52501-2021 | 2009-01-27 |
| 1053512814 | Venkedesh Raju | Pediatrics | 1001 Pennsylvania Ave, Ottumwa, IA 52501-6427 | 2007-05-30 |
| 1992816227 | Najeeb Khalil Ahmed Ansari | Pediatrics | 1001 Pennsylvania Ave, Ottumwa, IA 52501-6427 | 2006-08-31 |
| 1215974126 | William Peyton Miller | Pediatrics | 1001 Pennsylvania Ave, Ottumwa, IA 52501-6427 | 2006-05-31 |
| 1790751824 | Debra Kay Miller | Pediatrics | 921 Pennsylvania Ave, Ottumwa, IA 52501 | 2006-02-28 |
| 1710953211 | Hazel Marian Ashraf | Pediatrics | 921 Pennsylvania Ave, Ottumwa, IA 52501 | 2006-02-24 |
| Find all providers in OTTUMWA | ||||
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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.