KATHY WILSON (NPI# 1245490721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245490721 |
| Entity Type | Individual |
| Full Name | KATHY WILSON |
| Credential | M.D. |
| Practice Address |
2683 Pacific Ave Long Beach CA 90806-2610 |
| Mailing Address |
2683 Pacific Ave Suite A Long Beach CA 90806-2610 |
| Practice Telephone | 3234044884 |
| Mailing Telephone | 3234044884 |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2016-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | A119319 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 808130 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801083670 | Kathy L Wilson | Occupational Therapist | 200 S Linn St, Malta Bend, MO 65339 | 2007-09-26 |
| 1245455443 | Kathy Dawn Wilson | Massage Therapist | 102 Mcclure Dr, Scott Depot, WV 25560-9439 | 2007-04-16 |
| 1174508915 | Kathy A. Wilson | Nurse Practitioner | 2010 Lewis Turner Blvd, Fort Walton Beach, FL 32547-1352 | 2005-12-14 |
| 1235574245 | Kathy Wilson | Home Health Aide | 415 S Portage Path, Akron, OH 44320-2327 | 2013-05-03 |
| 1073957916 | Kathy Murphy Wilson | Physical Therapy Assistant | 1040 Us Highway 127 S, Frankfort, KY 40601-4326 | 2013-04-22 |
| 1346594017 | Kathy M.o. Wilson | Counselor | 550 California Ave, Reno, NV 89509-1450 | 2012-11-02 |
| 1679700215 | Kathy Wilson | Specialist | 1525 12th St, Suite #9, Florence, OR 97439-9497 | 2009-06-22 |
| 1114095841 | Kathy Tingle Wilson | Internal Medicine | 3521 Graystone Pl Se, Suite 202, Conover, NC 28613-8268 | 2006-12-01 |
| Street Address |
2683 PACIFIC AVE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90806-2610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134132343 | Sl Health Inc | Obstetrics & Gynecology | 2683 Pacific Ave, Suite A, Long Beach, CA 90806 | 2006-08-15 |
| 1477932259 | Phillip Anh Ta | Physical Medicine & Rehabilitation | 2683 Pacific Ave, Long Beach, CA 90806-2610 | 2015-05-26 |
| 1083023790 | Dinah Alegre Garcia | Family Medicine | 2683 Pacific Ave, Long Beach, CA 90806-2610 | 2014-08-06 |
| 1093130080 | Joseph M Molina Md Professional Corporation - Southern California | Pediatrics | 2683 Pacific Ave, Long Beach, CA 90806-2610 | 2014-02-27 |
| 1821362567 | Megan Lee Velazquez Gonzalez | Family Medicine | 2683 Pacific Ave, Long Beach, CA 90806-2610 | 2012-02-27 |
| 1699052175 | Andrea Nichelle Young | Family Medicine | 2683 Pacific Ave, Long Beach, CA 90806-2610 | 2011-11-10 |
| 1831490820 | Tarah Browne | Family Medicine | 2683 Pacific Ave, Long Beach, CA 90806-2610 | 2010-11-08 |
| 1891937017 | Jennifer Leigh Zweig | Family Medicine | 2683 Pacific Ave, Long Beach, CA 90806-2610 | 2009-04-02 |
| 1114169489 | Aimee L Rivers | Obstetrics & Gynecology | 2683 Pacific Ave, Suite A, Long Beach, CA 90806-2610 | 2009-04-01 |
| 1104070085 | Ravijot Gill | Family Medicine | 2683 Pacific Ave, Long Beach, CA 90806-2610 | 2008-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437624913 | Blanca C Gonzalez | Community Health Worker | 2600 Redondo Ave 6th Floor, Long Beach, CA 90806 | 2018-10-10 |
| 1780192740 | New Healthcare Supplies Inc | Durable Medical Equipment & Medical Supplies | 1001 E Pacific Coast Hwy Ste 117, Long Beach, CA 90806 | 2018-01-11 |
| 1265946586 | California Sleep Neurology Organization for Wellness | Clinic/Center | 2651 Elm Avenue, Suite 205, Long Beach, CA 90806 | 2017-11-22 |
| 1053820613 | Magnolia Cedeno-moreno | Counselor | 2600 Redondo Ave. 3rd Fl, Long Beach, CA 90806 | 2017-09-27 |
| 1144747569 | Kimberly Savanannah Rodriguez | Social Worker | 2600 Redondo Ave., 6th Floor, Long Beach, CA 90806 | 2017-08-25 |
| 1194257170 | Sarah Mahmood | Pediatrics | The Children's Clinic, 2360 Pacific Ave, Long Beach, CA 90806 | 2017-03-29 |
| 1801334784 | Denise Harbor | Student in an Organized Health Care Education/Training Program | 721 East 28th Street, Suite 401, Long Beach, CA 90806 | 2017-02-10 |
| 1083152839 | Kim Vu | Student in an Organized Health Care Education/Training Program | 701 East 28th Street Ste. 416, Long Beach, CA 90806 | 2017-02-01 |
| 1568910719 | Andrea Corona | Community Health Worker | 850 W Wardlow Rd, Long Beach, CA 90806 | 2016-09-16 |
| 1235589110 | Sarah Keihany-yazdy | Nurse Practitioner | 2000 San Gabriel Ave, Long Beach, CA 90806 | 2016-06-21 |
| Find all providers in zip 90806 | ||||
| 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 |
|---|---|---|---|---|
| 1083856975 | Laura Sech Mccracken | Obstetrics & Gynecology | 1347 Park Ave, Long Beach, CA 90804-3127 | 2009-03-24 |
| 1508049834 | Kenneth Nmn Farhang | Obstetrics & Gynecology | 831 Hillside Dr., Long Beach, CA 90815-4716 | 2007-12-10 |
| 1508045956 | Carsten S. Ronlov, M.d. Inc. | Obstetrics & Gynecology | 3325 Palo Verde Ave Ste 202, Long Beach, CA 90808-4132 | 2007-11-01 |
| 1942342001 | Stanley Spencer Olenick | Obstetrics & Gynecology | 790 East Willow St, Suite 100, Long Beach, CA 90806-2703 | 2007-02-13 |
| 1306985445 | Essam Taymour | Obstetrics & Gynecology | 3550 Linden Ave Ste 1, Long Beach, CA 90807-4577 | 2007-02-05 |
| 1528104437 | Clifford A Hancock | Obstetrics & Gynecology | 2790 Atlantic Ave, Long Beach, CA 90806-2755 | 2007-01-29 |
| 1467544734 | Ruben Marmet | Obstetrics & Gynecology | 2777 Long Beach Blvd Ste 200, Long Beach, CA 90806-1513 | 2006-09-28 |
| 1568553188 | Soon Sohn | Obstetrics & Gynecology | 3050 E Airport Way, Long Beach, CA 90806-2404 | 2006-09-27 |
| 1376640086 | Magella Medical Group, Inc. | Obstetrics & Gynecology | 2888 Long Beach Blvd Ste 400, Long Beach, CA 90806-1553 | 2006-09-17 |
| 1780793604 | Neeraj Goswamy | Obstetrics & Gynecology | 111 Mitchell Ave, Long Beach, NY 11561-3819 | 2006-08-30 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90806 |
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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.