PAMELA WILSON (NPI# 1265525612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265525612 |
| Entity Type | Individual |
| Full Name | PAMELA WILSON |
| Credential | MD |
| Practice Address |
13123 E 16th Ave Aurora CO 80045-7106 |
| Mailing Address |
Po Box 110429 Aurora CO 80042-0429 |
| Practice Telephone | 7207771234 |
| Practice Fax Number | 7207777297 |
| Mailing Telephone | 3034937000 |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2013-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P0010X |
Physical Medicine & Rehabilitation Specialization: Pediatric Rehabilitation Medicine |
33170 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 01331701 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689289886 | Pamela S Wilson | Technician | 1311 Peppermint Creek Rd, Given, WV 25245-8155 | 2020-09-14 |
| 1881155075 | Pamela Wilson | Behavior Technician | 6 Westside Dr, Phenix City, AL 36869-6015 | 2019-03-29 |
| 1184199432 | Pamela Adrienne Wilson | Rehabilitation Counselor | 350 S. Irwin Road, Holland, OH 43528 | 2018-10-12 |
| 1811484025 | Pamela Darlene Wilson | Massage Therapist | 119 Narain Ct, Oregon City, OR 97045-3624 | 2018-04-13 |
| 1144656455 | Pamela C. Wilson | Counselor | 2809 Great Northern Loop Ste 210-5, Missoula, MT 59808-1749 | 2013-09-18 |
| 1235499799 | Pamela Wilson | Occupational Therapist | 6500 N Cosby Ave, Kansas City, MO 64151-3962 | 2012-05-17 |
| 1003112186 | Pamela G Wilson | Contractor | 14004 Se 202nd St, Kent, WA 98042-3017 | 2011-02-07 |
| 1033389473 | Pamela Aird Wilson | Internal Medicine | 6001 Galley Ct, Madison, WI 53705-4429 | 2008-02-29 |
| 1245351519 | Pamela Lynn Wilson | Massage Therapist | 8712 Vineyard Ridge Rd Ne, Albuquerque, NM 87122-2624 | 2007-04-03 |
| 1336168228 | Pamela L Wilson | Neuromusculoskeletal Medicine & OMM | 905 N Flood Ave, Norman, OK 73069-7641 | 2006-07-19 |
| Street Address |
13123 E 16TH AVE |
| City | AURORA |
| State | CO |
| Zip Code | 80045-7106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801890447 | Cheryl Cavallaro | Nurse Practitioner | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2005-06-10 |
| 1730789157 | Lauren S Henry | Psychologist | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-10-26 |
| 1801494620 | Elan Webb | Anesthesiologist Assistant | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-10-14 |
| 1821695388 | Maria Clara Rios | Nurse Practitioner | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-10-07 |
| 1306453485 | Ozlem Turan | Student in an Organized Health Care Education/Training Program | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-09-23 |
| 1497361406 | Chelsea Hartman | Nurse Practitioner | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-09-16 |
| 1407460447 | Milena Teresa Hathaway | Social Worker | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-09-08 |
| 1386258622 | Ann Lantagne | Psychologist | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-09-03 |
| 1780295824 | Jelena Brezo | Medical Genetics | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-08-12 |
| 1154930808 | Audrey Niemchick | Student in an Organized Health Care Education/Training Program | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942817408 | Salwa Mourtada Bamba | Nurse Practitioner | University of Colorado Medicine, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-09-29 |
| 1114545233 | Chun Cheong Tsui | Student in an Organized Health Care Education/Training Program | 12801 E. 17th Avenue, Ms 8117, Aurora, CO 80045 | 2020-07-07 |
| 1487278719 | James Charles Tuka IIi | Social Worker | 1700 North Wheeling, Aurora, CO 80045 | 2020-06-02 |
| 1427677806 | Justin Yu | Student in an Organized Health Care Education/Training Program | 12631 E. 17th Ave. Ms B205, Aurora, CO 80045 | 2020-04-15 |
| 1558980011 | Erik Von Polsdofer | Student in an Organized Health Care Education/Training Program | Academic Office 1; Department of Pathology, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-04-14 |
| 1831718568 | Luke Porter Bacon | Student in an Organized Health Care Education/Training Program | 3001 East 17th Place, Aurora, CO 80045 | 2020-04-13 |
| 1366061368 | Hilary Novatt | Student in an Organized Health Care Education/Training Program | 12631 E 17th Ave, B198-6, Room 4007, Aurora, CO 80045 | 2020-04-10 |
| 1376195362 | Katie Tuck | Pharmacist | 1700 North Wheeling Street (119), Fs-111o, Aurora, CO 80045 | 2019-07-10 |
| 1518529130 | Ronak Kamal Kapadia | Student in an Organized Health Care Education/Training Program | 12700 E. 19th Ave, Ms B182 Rm 5104, Aurora, CO 80045 | 2019-07-03 |
| 1245898253 | Rasha Elbadry Ahmed | Student in an Organized Health Care Education/Training Program | Childrens Hospital Colorado Pediatric Neurosurgery, 13123e. 16th Ave, B330, Aurora, CO 80045 | 2019-06-04 |
| Find all providers in zip 80045 | ||||
| Taxonomy Code | 2081P0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pediatric Rehabilitation Medicine |
| A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate for PRM was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Early discussions underway |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831418045 | Aaron J Powell | Physical Medicine & Rehabilitation | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2010-05-27 |
| 1235372962 | Amy Suzanne Kanallakan | Physical Medicine & Rehabilitation | 13123 E 16th Ave, Children's Hospital Colorado, Aurora, CO 80045-7106 | 2009-04-10 |
| 1821214800 | Michael R. Dichiaro | Physical Medicine & Rehabilitation | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2007-04-18 |
| 1356434708 | Dennis Matthews | Physical Medicine & Rehabilitation | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2006-09-30 |
| 1083707434 | Susan Apkon | Physical Medicine & Rehabilitation | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2006-09-30 |
| 1437242880 | Joyce Oleszek | Physical Medicine & Rehabilitation | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2006-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124397112 | Patricia Barnes | Physical Medicine & Rehabilitation | 703 4th St, Alamosa, CO 81101-2524 | 2011-12-20 |
| 1538438684 | Elizabeth Drake | Physical Medicine & Rehabilitation | 703 4th St, Alamosa, CO 81101-2524 | 2011-12-19 |
| 1922085430 | Suzanne H Rosenberg | Physical Medicine & Rehabilitation | 1601 E 19th Ave, Ste 4600, Denver, CO 80218-1218 | 2005-12-27 |
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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.