DR. KATHLEEN WOODHOUSE WILSON (NPI# 1316993272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316993272 |
| Entity Type | Individual |
| Full Name | DR. KATHLEEN WOODHOUSE WILSON |
| Credential | M.D |
| Practice Address |
24810 Burnt Pine Dr Suite 3 Bonita Springs FL 34134-1973 |
| Mailing Address |
24600 S Tamiami Trl Ste 212 Box 308 Bonita Springs FL 34134-7022 |
| Practice Telephone | 2394950439 |
| Practice Fax Number | 2394952688 |
| Mailing Telephone | 2393901562 |
| Mailing Fax Number | 2399489042 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2016-03-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME94454 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RAIL ROAD MEDICARE | P00668209 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609430602 | Kathleen M Wilson | Physical Therapist | 7 Dominion Cir, Frisco, TX 75033-4748 | 2019-04-24 |
| 1861936346 | Kathleen Marie Wilson | Nurse Practitioner | 551 Kokopelli Blvd Unit H, Fruita, CO 81521-6305 | 2016-12-19 |
| 1881992816 | Kathleen Wilson | Massage Therapist | 362 Ryerson Hill Rd, South Paris, ME 04281-6205 | 2011-02-28 |
| 1568775575 | Kathleen Wilson | Developmental Therapist | 40 Plunkett St, Pittsfield, MA 01201-4339 | 2010-07-19 |
| 1871786251 | Kathleen E Wilson | Social Worker | 25 Daigle Ln Ste 101, Sanford, ME 04073-3961 | 2007-08-20 |
| 1609909159 | Kathleen Claire Wilson | Speech-Language Pathologist | 2025 Hill St, Milan, TN 38358-6587 | 2007-03-13 |
| 1184711582 | Kathleen S Wilson | Pathology | 6000 Harry Hines Blvd, Hamon Bldg, Room Na2 508a, Dallas, TX 75390-0001 | 2006-10-06 |
| 1578518692 | Kathleen White Wilson | Physician Assistant | 75 Claremont St Ste A, Kalispell, MT 59901-3500 | 2006-05-24 |
| 1477515690 | Kathleen B Wilson | Internal Medicine | 1160 E 3900 South, Suite 1200, Salt Lake City, UT 84124 | 2006-04-04 |
| 1104328665 | Kathleen Marie Wilson | Occupational Therapist | 1200 E Michigan Ave Ste 145, Lansing, MI 48912-1897 | 2018-03-01 |
| Street Address |
24810 BURNT PINE DR SUITE 3 |
| City | BONITA SPRINGS |
| State | FL |
| Zip Code | 34134-1973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538563994 | Audiology & Hearing Care of Southwest Florida LLC | Audiologist | 24810 Burnt Pine Dr, Suite 2, Bonita Springs, FL 34134-1973 | 2014-10-14 |
| 1518274455 | Kathleen Wilson Md Pa | Internal Medicine | 24810 Burnt Pine Dr, Suite 3, Bonita Springs, FL 34134-1973 | 2010-09-13 |
| 1912172206 | Darlene Welton Ballew | Audiologist | 24810 Burnt Pine Dr, Suite 2, Bonita Springs, FL 34134-1973 | 2008-04-28 |
| 1457471625 | Douglas A Merlo | Chiropractor | 24810 Burnt Pine Dr, Ste 1 & 2 Chiropractic & Nutrition Centers of Fl Inc, Bonita Springs, FL 34134 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255803706 | Sheila Mourick | Home Health | 3920 Via Del Ray, Suite 4, Bonita Springs, FL 34134 | 2018-12-21 |
| 1447702162 | Averie Bendana | Hearing Instrument Specialist | 15 8th St Suite B, Hoglund Family Hearing, Bonita Springs, FL 34134 | 2016-10-28 |
| 1366990830 | Jordania Psychiatry LLC | Clinic/Center | 25111 Pennyroyal Dr, Bonita Springs, FL 34134 | 2016-09-14 |
| 1447682497 | Shancy Varghese Kanacheril | Pharmacist | 25121 S. Tamiami Trail, Bonita Springs, FL 34134 | 2013-08-01 |
| 1861762163 | Alyssa Haraczy | Pharmacist | 25121 S. Tamiami Trl, Bonita Springs, FL 34134 | 2012-01-04 |
| 1982905659 | Jessica Ann Rosen | Speech-Language Pathologist | 3384 Woods Edge Cir Ste 104, Bonita Springs, FL 34134 | 2010-11-10 |
| 1902116718 | Keenan Chiropractic Pa | Chiropractor | 3388 Woods Edge Circle Suite 102, Bonita Springs, FL 34134 | 2010-10-14 |
| 1659683076 | Amy Marie Mcneal | Massage Therapist | 28811 S. Tamiami Trail Unit 13-14, Bonita Springs, FL 34134 | 2010-07-14 |
| 1740509157 | Sarah Churton | Dermatology | 23471 Walden Center Drive, Suite 300, Bonita Springs, FL 34134 | 2010-05-25 |
| 1609003516 | Ram Prasad Kafle | Family Medicine | 26800 S Tamiami Trl Ste 340, Bonita Springs, FL 34134 | 2009-06-18 |
| Find all providers in zip 34134 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1790331759 | Prime Medical Health and Wellness LLC | Internal Medicine | 24301 Walden Center Dr Ste 300, Bonita Springs, FL 34134-4965 | 2019-08-15 |
| 1124270988 | Phc Management Services, LLC | Internal Medicine | 23750 Via Trevi Way, Bonita Springs, FL 34134-7184 | 2008-10-10 |
| 1639327620 | Guillermo Narvarte Inc | Internal Medicine | 10915 Bonita Beach Rd Se, Suite 1131, Bonita Springs, FL 34135-9054 | 2008-09-03 |
| 1871711911 | Jason Triana | Internal Medicine | 9500 Bonita Beach Rd Se Ste 201, Bonita Springs, FL 34135-4683 | 2007-04-23 |
| 1326120635 | Donald A Baseman | Internal Medicine | 9410 Fountain Medical Court Unit A102, Bonita Springs, FL 34135-4202 | 2006-10-19 |
| 1033299748 | Healthstar Medical Services Pllc | Internal Medicine | 10331 Autumn Brz Dr, #202, Bonita Springs, FL 34135-7251 | 2006-10-17 |
| 1023026184 | Aref Wappi | Internal Medicine | 8800 Terrene Ct, Suite 103, Bonita Springs, FL 34135-9900 | 2006-08-04 |
| 1902833288 | Shahla Medical Group, Pa | Internal Medicine | 8800 Terrene Ct Ste 102, Bonita Springs, FL 34135-9900 | 2006-06-26 |
| 1184668618 | Juan Zapata | Internal Medicine | 9400 Bonita Beach Rd Se, Suite 101, Bonita Springs, FL 34135-4520 | 2006-06-15 |
| 1811952302 | Ramin Sassani | Internal Medicine | 3291 Woods Edge Pkwy, Suite 200a, Bonita Springs, FL 34134-1301 | 2006-04-19 |
| Find all providers in BONITA SPRINGS | ||||
| City | BONITA SPRINGS |
| Zip Code | 34134 |
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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.