LAURA GRACE WILSON (NPI# 1366861908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366861908 |
| Entity Type | Individual |
| Full Name | LAURA GRACE WILSON |
| Credential | M.D. |
| Practice Address |
1600 Sw Archer Rd Gainesville FL 32610-3049 |
| Mailing Address |
49 Jesse Hill Jr Dr Se Atlanta GA 30303-3049 |
| Practice Telephone | 3526279350 |
| Mailing Telephone | 4047781415 |
| Mailing Fax Number | 4047781401 |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2020-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
ME132997 | FL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 49 Jesse Hill Jr Dr Se, Atlanta, GA 303033049 | 4047781415 | 4047781401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871135509 | Laura Ashley Wilson | Registered Nurse | 964 North Market Street, Lisbon, OH 44432 | 2019-10-15 |
| 1417461310 | Laura C Wilson | Occupational Therapist | 1468 Hedgewood Dr, Warrington, PA 18976-1353 | 2017-11-30 |
| 1467829879 | Laura Wilson | Internal Medicine | 593 The Alameda, Berkeley, CA 94707-1644 | 2015-09-02 |
| 1083960991 | Laura Wilson | Chiropractor | 1250 Pine St, Ste. 108, Walnut Creek, CA 94596-3685 | 2012-07-29 |
| 1730323395 | Laura L Wilson | Registered Nurse | 115 Cherokee St, Denver, CO 80223-1402 | 2009-04-27 |
| 1912160565 | Laura K Wilson | Audiologist | 1930 Denver West Dr, Apt 711, Golden, CO 80401-3159 | 2008-07-03 |
| 1427225473 | Laura M Wilson | Counselor | 14508 Mcmullen Hwy Sw, Suite B, Cumberland, MD 21502-5647 | 2008-05-09 |
| 1912183161 | Laura Christine Wilson | Speech-Language Pathologist | 721 E Mount Elden Lookout Rd, Flagstaff, AZ 86001-7845 | 2008-01-18 |
| 1770765331 | Laura Beth Wilson | Licensed Practical Nurse | 8765 S Hill Rd, Holland Patent, NY 13354-4050 | 2007-12-05 |
| 1285813394 | Laura Lee Wilson | Nurse's Aide | 2504 E 5th Ave, Spokane, WA 99202-4174 | 2007-10-25 |
| Street Address |
1600 SW ARCHER RD |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32610-3049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669475554 | Walter J Milton | Radiology | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2005-05-24 |
| 1104427251 | Morgan Elizabeth Gilbert | Nurse Practitioner | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-11-05 |
| 1598365306 | Kristin Renee Lapham | Nurse Practitioner | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-30 |
| 1225638174 | Leigha Fridley | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-29 |
| 1962000950 | Kelli O'shaughnessy | Physician Assistant | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-13 |
| 1053919985 | Amber Lynn Bart | Nurse Practitioner | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-13 |
| 1134726847 | Emily Elizabeth Farhat | Social Worker | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-06 |
| 1346847944 | Nicholas Scott Duarte | Physician Assistant | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-06 |
| 1922613231 | Trinh Nguyen | Pharmacist | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-09-14 |
| 1053926501 | Annalise Deboef | Nurse Practitioner | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003440660 | Thy Cam Huynh | Occupational Therapist | 1549 Gale Lemerand Dr, Gainesville, FL 32610 | 2020-02-23 |
| 1093359226 | Lauren Anne Ruddocks | Dentist | University of Florida College of Dentistry, 1395 Center Drive, Gainesville, FL 32610 | 2019-10-31 |
| 1104310549 | Brandon Lucke-wold | Neurological Surgery | 1149 S Newell Dr Deapartment of Neurosurgery Bldg #59, Gainesville, FL 32610 | 2018-06-19 |
| 1619465754 | Carlos Eduardo Vervloet Sollero | Student in an Organized Health Care Education/Training Program | 1149 Newell Drive, University of Florida, Department of Neurology, Gainesville, FL 32610 | 2018-04-24 |
| 1811359151 | Ramsha A. Kudia | Internal Medicine | 1549 Gale Lemerand Drive, 3rd Floor, Gainesville, FL 32610 | 2016-03-25 |
| 1447619937 | Wajdi Mohammed | Dentist | 1395 Center Dr., D8-6, Gainesville, FL 32610 | 2016-02-12 |
| 1922484344 | Kavan Ashit Gandhi | Dentist | 1395 Center Drive D7-19, Gainesville, FL 32610 | 2015-08-07 |
| 1972981512 | David Shin | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Road, Fl 1, Rm 1097, Gainesville, FL 32610 | 2015-05-15 |
| 1669887485 | Alejandro Jose Delgado | Dentist | 1395 Center Drive, University of Florida, College of Dentistry, Gainsville, FL 32610 | 2014-07-01 |
| 1194167296 | Zain Shahid | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Rd # Ng-45, Gainesville, FL 32610 | 2013-07-18 |
| Find all providers in zip 32610 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134296296 | Biagio Pietra | Pediatrics | 1600 Sw Archer Rd # 100297, Gainesville, FL 32610-0297 | 2006-11-30 |
| 1912296773 | Dipankar Gupta | Pediatrics | 1600 Sw Archer Rd, Pediatric Critical Care Medicine Rm 10-504, Gainesville, FL 32610-3003 | 2011-04-01 |
| 1003077876 | Pediatric Cardiology Services LLC | Pediatrics | 200 S Enota Dr Ne, Suite 380, Gainesville, GA 30501-3473 | 2008-06-24 |
| 1073724068 | Jennifer Go Co-vu | Pediatrics | 1600 Sw Archer Rd, Bader 202, Gainesville, FL 32610-3003 | 2007-05-24 |
| 1700804507 | Ira H Gessner | Pediatrics | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-07-18 |
| 1578507398 | Barry J Byrne | Pediatrics | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-06-15 |
| 1932146347 | Benjamin E Victorica | Pediatrics | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-06-02 |
| 1750360970 | Himesh Vijaykumar Vyas | Pediatrics | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326503442 | Gerold Ludwig Schiebler | Pediatrics | 408 Beachside Pl, Amelia Island, FL 32034-6551 | 2019-02-02 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1124446182 | Kinjal Parikh | Pediatrics | 3100 Sw 62nd Ave Dept of Medical Education, Miami, FL 33155 | 2014-04-06 |
| 1154694016 | Kidz Medical Services | Pediatrics | 5325 Greenwood Ave Ste 202, West Palm Beach, FL 33407-2452 | 2012-02-22 |
| 1932477023 | Samir M. Ebeid | Pediatrics | 2202 State Ave Ste 302, Panama City, FL 32405 | 2011-12-05 |
| 1083927537 | Mch Pediatric Cardiology, LLC | Pediatrics | 12989 Southern Boulevard Palms West, Mob IIi Suite 203, Loxahatchee, FL 33470 | 2010-07-26 |
| 1407023310 | Salvatore Joseph Buonaiuto | Pediatrics | 601 E. Rollins St., Florida Hospital for Children, Orlando, FL 32803 | 2008-05-09 |
| 1801060652 | Sumbal Sattar | Pediatrics | 512 W Cherry St Ste D, Kissimmee, FL 34741-4114 | 2008-04-14 |
| 1871613620 | Carlo M Zeidenweber | Pediatrics | 9980 Central Park Blvd N Ste 318, Boca Raton, FL 33428-1704 | 2007-03-29 |
| 1295874113 | Ramon Rodriguez-torres | Pediatrics | 13911 Sw 103rd Ave, Miami, FL 33176-6614 | 2007-02-06 |
| Find all providers with the same taxonomy | ||||
| City | GAINESVILLE |
| Zip Code | 32610 |
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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.