KEITH GARNETT WILSON (NPI# 1255776258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255776258 |
| Entity Type | Individual |
| Full Name | KEITH GARNETT WILSON |
| Practice Address |
155 N Fresno St Fresno CA 93701 |
| Mailing Address |
155 N Fresno St Fresno CA 93701-2302 |
| Practice Telephone | 5594996440 |
| Practice Fax Number | 5594996441 |
| Mailing Telephone | 5594996440 |
| Mailing Fax Number | 5594996441 |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2018-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | A132622 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982949988 | Keith L Wilson IIi | Counselor | 1330 E Cherry St # 12, Springfield, MO 65802-3429 | 2012-12-01 |
| 1467604744 | Keith C Wilson | Specialist/Technologist, Other | 2503 Robin Knoll Ct, Fresno, TX 77545-8167 | 2008-10-16 |
| 1609022219 | Keith Raymond Wilson | Counselor | 1596 Monroe Ave, Rochester, NY 14618-1415 | 2008-08-14 |
| 1346391976 | Keith Peter Wilson | Dentist | 211 N Second St, Po 727, Peotone, IL 60468-8837 | 2007-01-12 |
| 1578621769 | Keith Jonathan Wilson | Dentist | 10590 Enduring Freedom Dr, Us Army Dental Activity, Fort Drum, NY 13602-5005 | 2006-12-04 |
| 1205907615 | Keith Wilson | Chiropractor | 1717 Amwell Road, Somerset, NJ 08873 | 2006-11-10 |
| 1609307560 | Keith Wilson | Counselor | 8915 Sw Center St, Tigard, OR 97223-6307 | 2017-03-22 |
| 1851732697 | Keith Wilson | Prosthetic/Orthotic Supplier | 1823 Charlotte Ave, Nashville, TN 37203-2104 | 2013-07-09 |
| 1720248198 | Keith D Wilson Jr. | General Practice | 11722 Reisterstown Rd, Reisterstown, MD 21136-3302 | 2008-06-10 |
| 1841470507 | Keith Alan Wilson | Physician Assistant | 12550 Hesperia Road, Suite100, Victorville, CA 92395-0000 | 2007-11-11 |
| Street Address |
155 N FRESNO ST |
| City | FRESNO |
| State | CA |
| Zip Code | 93701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295735538 | Michael David Cawdery | Emergency Medicine | 155 N Fresno St, Ucsf-fresno Dept of Emergency Medicine, Fresno, CA 93701-2302 | 2005-07-28 |
| 1770184608 | Lemuel Vince Rivera | Student in an Organized Health Care Education/Training Program | 155 N Fresno St, Fresno, CA 93701-2302 | 2020-11-06 |
| 1902406457 | Reyoot Love Berry | Student in an Organized Health Care Education/Training Program | 155 N Fresno St, Fresno, CA 93701-2302 | 2020-10-26 |
| 1033718507 | Marcus Cummins | Student in an Organized Health Care Education/Training Program | 155 N Fresno St, Fresno, CA 93701-2302 | 2020-10-25 |
| 1902415052 | Ani Tokat M.d., Inc. | Psychiatry & Neurology | 155 N Fresno St, Fresno, CA 93701 | 2020-07-24 |
| 1558979393 | Jacqueline Leon | Student in an Organized Health Care Education/Training Program | 155 N Fresno St, Fresno, CA 93701-2302 | 2020-07-17 |
| 1407464373 | Tyler Wilson | Student in an Organized Health Care Education/Training Program | 155 N Fresno St, Fresno, CA 93701-2302 | 2020-07-16 |
| 1336767573 | Uzoma Dmitri Ezeuko | Student in an Organized Health Care Education/Training Program | 155 N Fresno St, Fresno, CA 93701-2302 | 2020-07-13 |
| 1578188421 | Emmanuel Wing-live Leung | Student in an Organized Health Care Education/Training Program | 155 N Fresno St, Fresno, CA 93701 | 2020-06-16 |
| 1396374997 | Nathan Dreyfus | Student in an Organized Health Care Education/Training Program | 155 N Fresno St, Fresno, CA 93701-2302 | 2020-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134740244 | Tamara Sue Stanic | Registered Nurse | 215 N. Fresno Street, Suite 370, Fresno, CA 93701 | 2020-04-29 |
| 1144849829 | Katelyn Nicole Van Leir | Student in an Organized Health Care Education/Training Program | Surabian Dental Care Center - Suite 2500, 290 N. Wayte Lane, Fresno, CA 93701 | 2020-04-13 |
| 1003445693 | Michelle Edwardson | Registered Nurse | 215 North Fresno Street, Suite 370, Fresno, CA 93701 | 2020-04-06 |
| 1184253924 | Patricia Calderon | Registered Nurse | 215 N. Fresno Street, Suite 230, Fresno, CA 93701 | 2020-04-03 |
| 1922637032 | Leticia Lopez | Registered Nurse | 215 N. Fresno Street, Suite 230, Fresno, CA 93701 | 2020-04-02 |
| 1275026585 | Yesenia Gonzalez | Nurse Practitioner | 311 Abby Street, Fresno, CA 93701 | 2018-06-11 |
| 1710474606 | Amanda Juarez | Dietitian, Registered | 215 N Fresno, Suite 370, Fresno, CA 93701 | 2018-04-17 |
| 1235650391 | Plastic Surgery Partners of Fresno Inc | Plastic Surgery | 215 N Fresno St, Ste 490, Fresno, CA 93701 | 2017-06-29 |
| 1205369790 | Amy Alagh | Student in an Organized Health Care Education/Training Program | 155 N Fresno Street, Fresno, CA 93701 | 2017-04-11 |
| 1922462159 | Henry Matthew Dunn | Student in an Organized Health Care Education/Training Program | Ucsf Fresno, 155 N. Fresno St., Department of Orthopaedic Surgery, Fresno, CA 93701 | 2016-04-13 |
| Find all providers in zip 93701 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952677155 | Sarah G Sifuentez | Emergency Medicine | 6148 N Delbert Ave, Fresno, CA 93722-2419 | 2012-04-02 |
| 1134420045 | Tetsuo Ted Shigyo | Emergency Medicine | 2763 W Wrenwood Ave, Fresno, CA 93711-2562 | 2010-11-09 |
| 1215174602 | Jason Christopher Tsukamaki | Emergency Medicine | 6355 N Rafael Ave, Fresno, CA 93711-0956 | 2009-01-07 |
| 1780868158 | Robert P. Hansen, Inc. | Emergency Medicine | 6721 N Willow Ave Ste 104, Fresno, CA 93710-5950 | 2007-12-20 |
| 1265626378 | Kanwar Partap Singh Gill | Emergency Medicine | 8408 N Ann Ave, Fresno, CA 93720-4987 | 2007-08-31 |
| 1366635484 | Oleh J Wolowodiuk | Emergency Medicine | 521 E Mariners Cir, Fresno, CA 93730-0848 | 2007-08-22 |
| 1508906405 | Badrinath Kulkarni | Emergency Medicine | 1570 E. Herndon Avenue, Fresno, CA 93720 | 2007-02-08 |
| 1447261144 | Jacob M. Khushigian | Emergency Medicine | 5431 E Lane Ave, Fresno, CA 93727 | 2006-08-10 |
| 1346275625 | Gene Wayne Kallsen | Emergency Medicine | 290 N Wayte Ln # 1800, Fresno, CA 93701-2124 | 2006-07-12 |
| 1295735538 | Michael David Cawdery | Emergency Medicine | 155 N Fresno St, Ucsf-fresno Dept of Emergency Medicine, Fresno, CA 93701-2302 | 2005-07-28 |
| Find all providers in FRESNO | ||||
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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.