JONATHAN CORBIN WILTON (NPI# 1316329980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316329980 |
| Entity Type | Individual |
| Full Name | JONATHAN CORBIN WILTON |
| Credential | M.D. |
| Practice Address |
90 Se Klah Che Min Dr Shelton WA 98584-9216 |
| Mailing Address |
2161 Palisade Blvd Dupont WA 98327-9757 |
| Practice Telephone | 3604279006 |
| Practice Fax Number | 3604271951 |
| Mailing Telephone | 1027921537 |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2019-09-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD60866075 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
90 SE KLAH CHE MIN DR |
| City | SHELTON |
| State | WA |
| Zip Code | 98584-9216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669532578 | Squaxin Island Tribe | Clinic/Center | 90 Se Klah Che Min Dr, Shelton, WA 98584-9216 | 2006-12-11 |
| 1386263820 | Deneice Gurrad | Pharmacist | 90 Se Klah Che Min Dr, Shelton, WA 98584-9216 | 2020-04-14 |
| 1619241882 | Douglas Reitsch | Pharmacist | 90 Se Klah Che Min Dr, Shelton, WA 98584-9216 | 2012-03-05 |
| 1063647923 | Pamela Lynn Peters | Registered Nurse | 90 Se Klah Che Min Dr, Shelton, WA 98584-9216 | 2009-05-21 |
| 1114184579 | Susan Rowson | Counselor | 90 Se Klah Che Min Dr, Shelton, WA 98584-9216 | 2008-05-21 |
| 1205007762 | Brenda Dorsey | Counselor | 90 Se Klah Che Min Dr, Shelton, WA 98584-9216 | 2008-03-12 |
| 1114135779 | Squaxin Island Medicaid Encounter | Clinic/Center | 90 Se Klah Che Min Dr, Shelton, WA 98584-9216 | 2007-05-18 |
| 1598973158 | Squaxin Island Medical Encounter | Clinic/Center | 90 Se Klah Che Min Dr, Shelton, WA 98584-9216 | 2007-05-18 |
| 1255546578 | Squaxin Island Dental Clinic Ffs | Clinic/Center | 90 Se Klah Che Min Dr, Shelton, WA 98584-9216 | 2007-05-11 |
| 1003021338 | Squaxin Island Dental Clinic Encounter | Clinic/Center | 90 Se Klah Che Min Dr, Shelton, WA 98584-9216 | 2007-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023627478 | Ashley Maria Elena Armstrong | Counselor | 307 W Cota St Shelton, Shelton, WA 98584 | 2020-07-30 |
| 1962011015 | Perry Philemon Little IIi | Dentist | 503 N 4th St, Shelton, WA 98584 | 2020-07-24 |
| 1588215271 | Rebecca Lynn Adams | Counselor | 601 West Franklin St, Shelton, WA 98584 | 2019-09-24 |
| 1366939670 | Robbie Chandler | Social Worker | 807 West Pine, Shelton, WA 98584 | 2018-04-23 |
| 1831603075 | Fir Lane Health-shelton,llc | Skilled Nursing Facility | 2430 North 13th St, Shelton, WA 98584 | 2017-11-27 |
| 1306361738 | Christine Lee Woods | Counselor | 58150 E. 66th Road, Miami, OK 98584 | 2017-08-07 |
| 1174063051 | Claudette V. Selkridge | Counselor | 1620 N. Olympic Hwy, Shelton, WA 98584 | 2017-02-27 |
| 1003278755 | Edward Charles Herman | Social Worker | 50 Se Bluff Loop Rd., Shelton, WA 98584 | 2016-03-22 |
| 1023497310 | Darren Cuevas | Family Medicine | 939 Mountain View Dr Ste 100, Shelton, WA 98584 | 2015-05-20 |
| 1639572977 | Thomas Vincent Phung Duffy | Dentist | 717 W. Railroad Ave., Shelton, WA 98584 | 2014-10-01 |
| Find all providers in zip 98584 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376092007 | Qmg3 LLC | Family Medicine | 405 Bridgeport Avenue, Shelton, CT 06484 | 2016-09-22 |
| 1023497310 | Darren Cuevas | Family Medicine | 939 Mountain View Dr Ste 100, Shelton, WA 98584 | 2015-05-20 |
| 1063658953 | Public Hospital District No 1 of Mason County | Family Medicine | 1701 N 13th St, Shelton, WA 98584-2077 | 2008-12-23 |
| 1609092964 | Shelton Family Medicine Pllc | Family Medicine | 939 Mountain View Drive, Ste 100, Shelton, WA 98584-4410 | 2007-04-17 |
| 1952439853 | Hansen Medical PC | Family Medicine | 302 C Street, Shelton, NE 68876 | 2007-03-01 |
| 1619019262 | Max Arnett | Family Medicine | 1227 W Lakeside Dr, Shelton, WA 98584-7144 | 2007-02-12 |
| 1871669978 | Elliot K Mathias | Family Medicine | 110 Commerce Dr, Shelton, CT 06484-6244 | 2006-11-28 |
| 1619925377 | Leon Rapko | Family Medicine | 887 Bridgeport Ave, Shelton, CT 06484-4621 | 2006-05-05 |
| 1609862390 | Timothy Weber | Family Medicine | 939 Mt View Dr, Suite #100, Shelton, WA 98584-4410 | 2005-09-27 |
| 1205831179 | Peggy A Hosford | Family Medicine | 237 Professional Way, Shelton, WA 98584-4404 | 2005-06-16 |
| Find all providers in SHELTON | ||||
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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.