SCOTT WILSON (NPI# 1346624459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346624459 |
| Entity Type | Individual |
| Full Name | SCOTT WILSON |
| Credential | F.N.P |
| Practice Address |
3524 Heathrow Way Medford OR 97504-4004 |
| Practice Telephone | 5416463505 |
| Practice Fax Number | 5416463553 |
| Mailing Telephone | 5416463505 |
| Mailing Fax Number | 5416463553 |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2019-03-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
201603114 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306376629 | Scott William Wilson | Case Manager/Care Coordinator | 1891 N. Gaffey Street Suite 219 & 221, San Pedro, CA 90036 | 2017-06-19 |
| 1780974600 | Scott H Wilson | Social Worker | 86 Grant Ave, Islip, NY 11751-3503 | 2011-04-12 |
| 1346560521 | Scott Cullen Wilson | Occupational Therapist | 36 Wilkinson Rd, Randolph, NJ 07869-3470 | 2010-06-10 |
| 1740307735 | Scott Wilson | Hearing Instrument Specialist | 751 Stokes Rd, Medford, NJ 08055-3002 | 2007-03-23 |
| 1538227400 | Scott David Wilson | Chiropractor | 817 N 1st Ave, Evansville, IN 47710-1937 | 2006-12-04 |
| 1538234836 | Scott R Wilson | Dentist | 1215 Currency Ct, Rochelle, IL 61068-2321 | 2006-11-21 |
| 1700955853 | Scott P Wilson | Dentist | 6015 S Fort Apache Rd, #130, Las Vegas, NV 89148-5543 | 2006-11-06 |
| 1417979634 | Scott D Wilson | Marriage & Family Therapist | 2007 Cedar Ave, Manhattan Beach, CA 90266-2955 | 2006-07-24 |
| 1932154648 | Scott Paul Wilson | Dentist | 520 Sheldon St, Greendale, IN 47025-1549 | 2006-05-23 |
| 1659361103 | Scott Numo Wilson | Psychiatry & Neurology | 5 Longfellow Pl, Suite 213, Boston, MA 02114-2839 | 2005-10-26 |
| Street Address |
3524 HEATHROW WAY |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-4004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346254547 | John Paul Shonerd | Family Medicine | 3524 Heathrow Way, Medford, OR 97504-2770 | 2006-07-27 |
| 1811327281 | Sita Salina Marie Taibi | Physician Assistant | 3524 Heathrow Way, Medford, OR 97504-4004 | 2013-11-20 |
| 1336394089 | Monique Anntoinette Noyes | Nurse Practitioner | 3524 Heathrow Way, Medford, OR 97504 | 2008-11-21 |
| 1043497126 | Karen Ann Kozleski | Registered Nurse | 3524 Heathrow Way, Medford, OR 97504-4004 | 2008-01-30 |
| 1538386123 | Rogue Valley Physicians | Clinic/Center | 3524 Heathrow Way, Medford, OR 97504 | 2007-04-18 |
| 1427068519 | Cindy Ann Konecne | Family Medicine | 3524 Heathrow Way, Medford, OR 97504-2770 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113922 | Elena Chapman | Nurse Practitioner | 293 Salem St 4, Medford, MA 02155 | 2020-01-14 |
| 1770005407 | Suzanne Ellen Sanderson | Nurse Practitioner | 2620 E Barnett Rd Ste H, Medford, OR 97504-8383 | 2017-07-14 |
| 1194189902 | Josephine Magpantay Gaviola | Nurse Practitioner | 101 Main St Ste 116, Medford, MA 02155-4530 | 2016-04-07 |
| 1033514286 | Lauren E Hodgdon | Nurse Practitioner | 1698 E Mcandrews Rd Ste 200, Medford, OR 97504 | 2014-10-30 |
| 1962820209 | Jessica Anne Marie Gunn | Nurse Practitioner | 21 Ohio Trl, Medford, NJ 08055-8931 | 2014-04-03 |
| 1912333451 | Travis Adam Day | Nurse Practitioner | 70 Bower Dr Ste 110, Medford, OR 97501-3689 | 2013-09-16 |
| 1184058703 | Ashley Riley | Nurse Practitioner | 101 Main St Ste 107, Medford, MA 02155-4530 | 2013-08-30 |
| 1578841169 | Shannon Jamerson | Nurse Practitioner | 619 N Front St, Medford, OK 73759-2704 | 2011-07-29 |
| 1891081113 | Debra Jeanne Zenner | Nurse Practitioner | 143 South Gibson St., Medford, WI 54451 | 2011-06-24 |
| 1366763336 | Edward William Walton | Nurse Practitioner | 2 Pinecrest Dr, Medford, NJ 08055-8513 | 2010-06-14 |
| Find all providers in MEDFORD | ||||
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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.