JESSICA ROSE WILSON (NPI# 1275824443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275824443 |
| Entity Type | Individual |
| Full Name | JESSICA ROSE WILSON |
| Credential | M.D. |
| Practice Address |
3400 Civic Center Blvd Ste 400 Philadelphia PA 19104-5127 |
| Mailing Address |
3400 Civic Center Blvd 4 West, Ste 400 Philadelphia PA 19104-5134 |
| Practice Telephone | (215) 662-2300 |
| Mailing Telephone | (215) 662-2300 |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2017-08-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
MD460651 | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467068411 | Jessica Lauren Wilson | Nutritionist | 1925 Brady Ave, Arbutus, MD 21227-4109 | 2020-09-16 |
| 1235754086 | Jessica Vienna Wilson | Massage Therapist | 13 Radnor Ave Fl 2, Croton On Hudson, NY 10520-2621 | 2020-06-08 |
| 1831749654 | Jessica Keely Wilson | Licensed Vocational Nurse | 3356 County Road 313, Dublin, TX 76446-6631 | 2019-09-13 |
| 1629622162 | Jessica Patreece Wilson | Nurse Practitioner | 7303 Brittney Lane, Kenly, NC 27542 | 2019-08-01 |
| 1346808623 | Jessica Wilson | Behavior Technician | 415 N Richard Jackson Blvd Ste 209, Panama City Beach, FL 32407-3694 | 2019-06-03 |
| 1336640820 | Jessica Wilson | Registered Nurse | 25 Connecticut Ave, Midlothian, TX 76065-6747 | 2018-02-21 |
| 1427566934 | Jessica N Wilson | Behavior Technician | 12125 Day St Ste E301, Moreno Valley, CA 92557-6704 | 2018-01-18 |
| 1912447616 | Jessica Wilson | Nurse Practitioner | 740 S Limestone J401, Lexington, KY 40536-0001 | 2017-02-28 |
| 1215387253 | Jessica Evelynne Wilson | Speech-Language Pathologist | 210 Spring Creek Ave Apt A, Bowling Green, KY 42101-5478 | 2016-06-21 |
| 1295101061 | Jessica Elaine Wilson | Marriage & Family Therapist | 983 Norumbega Dr, Monrovia, CA 91016-1826 | 2015-08-17 |
| Street Address |
3400 CIVIC CENTER BLVD STE 400 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104-5127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1114548690 | Rebecca Blaguski | Registered Nurse | The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
| 1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
| 1093276453 | Lauren Shreve | Student in an Organized Health Care Education/Training Program | Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 | 2019-03-28 |
| 1285194282 | Lauren M Christie | Student in an Organized Health Care Education/Training Program | Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 | 2019-03-25 |
| 1114487683 | Sabrina Layne | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-21 |
| 1811457310 | Kia Lor | Student in an Organized Health Care Education/Training Program | Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 | 2019-03-21 |
| Find all providers in zip 19104 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558558304 | Lubna M Zuberi | Internal Medicine | 211 S 9th St Ste 600, Philadelphia, PA 19107-6810 | 2007-09-26 |
| 1740323211 | Judith S Carroll | Internal Medicine | 1601 Borbeck Ave, Philadelphia, PA 19111-3512 | 2007-02-15 |
| 1821064015 | Andrew R Quint | Internal Medicine | 4510 Frankford Ave, Philadelphia, PA 19124-3602 | 2006-02-27 |
| 1063483469 | Claresa S Levetan | Internal Medicine | 2130 Spring Garden Street, Philadelphia, PA 19130 | 2006-02-01 |
| 1609358563 | Temple Faculty Practice Plan, Inc | Internal Medicine | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2018-09-06 |
| 1194207134 | Temple Faculty Practice Plan Inc | Internal Medicine | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2018-09-06 |
| 1760990741 | Lori Ann Maloney | Internal Medicine | 3737 Market St, 3rd Fl, Philadelphia, PA 19104-9905 | 2018-01-12 |
| 1457862443 | Methodist Associates In Healthcare, Inc | Internal Medicine | 2130 Spring Garden Street, 1st Floor, Philadelphia, PA 19130-3502 | 2017-10-17 |
| 1821521212 | Chandriya Chandran | Internal Medicine | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2017-04-04 |
| 1124560081 | Aria Health Physician Services | Internal Medicine | 9501 Roosevelt Blvd, Suite 400, Philadelphia, PA 19114-1025 | 2016-11-09 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19104 |
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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.