JACOB JOSEPH WILSON (NPI# 1265871701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265871701 |
| Entity Type | Individual |
| Full Name | JACOB JOSEPH WILSON |
| Credential | MD |
| Practice Address |
6363 France Ave S Edina MN 55435-2129 |
| Mailing Address |
9400 Zane Ave N Brooklyn Park MN 55443-1814 |
| Practice Telephone | 9522309100 |
| Mailing Telephone | 6122739800 |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2020-11-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
58267 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780181016 | Jacob Wilson | Emergency Medicine | 1313 21st Avenue, South, 703 Oxford House, Nashville, TN 37232-4700 | 2018-04-12 |
| 1396192423 | Jacob Wilson | Family Medicine | 333 Whitesport Dr Sw Ste 204, Huntsville, AL 35801-3455 | 2016-05-18 |
| 1043819303 | Jacob Wilson | Chiropractor | 930 Hilltop Dr Ste 102, Weatherford, TX 76086-5943 | 2020-10-19 |
| 1962029165 | Jacob Allen Wilson | Registered Nurse | 3720 Sinton Rd Ste 104, Colorado Springs, CO 80907-5085 | 2020-07-03 |
| 1831678325 | Jacob Wilson | Physician Assistant | 123 Summer St, Worcester, MA 01608-1216 | 2018-08-07 |
| 1396234670 | Jacob Landis Wilson | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2018-05-02 |
| 1255849626 | Jacob Wilson | Physical Therapist | 2000 S Main St, Fairfield, IA 52556-9572 | 2018-01-18 |
| 1730618356 | Jacob Dammon Wilson | Student in an Organized Health Care Education/Training Program | 42 E Laurel Rd Ste 2600, Stratford, NJ 08084-1354 | 2017-06-07 |
| 1073976502 | Jacob Michael Wilson | Orthopaedic Surgery | 57 Executive Park S, Atlanta, GA 30329-2288 | 2016-04-01 |
| 1114286648 | Jacob W. Wilson | Social Worker | 301 Deinhard Ln, Mccall, ID 83638-4703 | 2012-05-03 |
| Street Address |
6363 FRANCE AVE S |
| City | EDINA |
| State | MN |
| Zip Code | 55435-2129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548235443 | Kristin Haugan | Family Medicine | 6363 France Ave S, Suite 525, Edina, MN 55435-2129 | 2006-02-22 |
| 1811515976 | Anna Quincer | Social Worker | 6363 France Ave S, Edina, MN 55435-2129 | 2020-07-06 |
| 1861971566 | Naysha Lavonne Stone | Counselor | 6363 France Ave S, Edina, MN 55435-2129 | 2018-08-13 |
| 1710409495 | Erica Lauren Miller Green | Nurse Practitioner | 6363 France Ave S, Edina, MN 55435-2129 | 2017-07-13 |
| 1235659830 | Michael Lemair | Social Worker | 6363 France Ave S, Edina, MN 55435-2129 | 2017-06-23 |
| 1821525668 | Rachel Bialostosky | Social Worker | 6363 France Ave S, Edina, MN 55435-2129 | 2017-05-11 |
| 1952849580 | Kristen Svendahl | Nurse Practitioner | 6363 France Ave S, Suite # 200, Edina, MN 55435-2129 | 2017-02-02 |
| 1982157590 | Jessica Anna Pivec | Clinical Exercise Physiologist | 6363 France Ave S, Suite 100, Edina, MN 55435-2129 | 2016-07-31 |
| 1720435563 | Ellen Wied | Counselor | 6363 France Ave S, Edina, MN 55435-1430 | 2016-05-23 |
| 1376912857 | Intermed Consultants Dialysis, Pllc | Internal Medicine | 6363 France Ave S, Suite 400, Edina, MN 55435-2129 | 2015-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433416 | Evy Christine Claussen | Social Worker | 6363 France Ave. S., Edina, MN 55435 | 2020-09-30 |
| 1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
| 1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
| 1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
| 1538666326 | Amanda Deangelo | Physical Therapist | 6401 Southdale Hospital, Ll3g, Edina, MN 55435 | 2018-04-09 |
| 1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
| 1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
| 1730605528 | Edina Medical Supplies | Durable Medical Equipment & Medical Supplies | 7455 France Ave., #614 S, Edina, MN 55435 | 2017-08-14 |
| 1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
| 1306206321 | Barb Ryan | Mechanotherapist | 7550 France Avenue S, #220, Edina, MN 55435 | 2016-03-03 |
| Find all providers in zip 55435 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912537721 | Psy-fi Tms | Psychiatry & Neurology | 6504 Creek Dr, Edina, MN 55439-1208 | 2020-01-21 |
| 1023376209 | Paul Jan Melichar | Psychiatry & Neurology | 5512 Brook Drive, Edina, MN 55439-1349 | 2012-04-25 |
| 1588951719 | Dokmak Psychiatry Pllc | Psychiatry & Neurology | 6750 France Ave S # 340, Edina, MN 55435-1903 | 2011-07-08 |
| 1669777835 | James S. Guerrero Pllc | Psychiatry & Neurology | 5151 Edina Industrial Blvd, Ste 110, Edina, MN 55439-3013 | 2011-01-20 |
| 1407031032 | Mark Koller | Psychiatry & Neurology | 3400 W 66th St Ste 375, Edina, MN 55435-2168 | 2008-01-02 |
| 1346395878 | Heidi Lynn Arnold | Psychiatry & Neurology | 6545 France Ave. S., Suite 302, Edina, MN 55435 | 2007-01-24 |
| 1194882563 | William Baillie Hosfield | Psychiatry & Neurology | 5200 Willson Rd Ste 150, Edina, MN 55424-1300 | 2007-01-03 |
| 1518035880 | Abraham Verjovsky | Psychiatry & Neurology | 6800 France Ave S., Suite 520, Edina, MN 55435 | 2006-12-02 |
| 1013018258 | Sujit Ram Varma | Psychiatry & Neurology | 4444 W 76th St Ste 400, Edina, MN 55435-5178 | 2006-09-26 |
| 1801814959 | Helga Berit Midelfort | Psychiatry & Neurology | 5200 Willson Rd Ste 407, Edina, MN 55424-1345 | 2006-07-17 |
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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.