DR. EDWARD TODD WILSON JR. (NPI# 1376921809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376921809 |
| Entity Type | Individual |
| Full Name | DR. EDWARD TODD WILSON JR. |
| Credential | DO |
| Practice Address |
462 Grider St Erie County Medical Center: David K. Miller Building Buffalo NY 14215-3021 |
| Mailing Address |
219 Lexington Ave Apt #3 Buffalo NY 14222-1717 |
| Practice Telephone | 7168984806 |
| Mailing Telephone | 3159411032 |
| Enumeration Date | 2015-05-17 |
| Last Update Date | 2015-05-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588915425 | Edward S Wilson | Physician Assistant | 604 Bishop Dr, Virginia Beach, VA 23455 | 2012-10-01 |
| 1295944189 | Edward W. Wilson | Dentist | 30 E 60th St Rm 302, New York, NY 10022-7102 | 2007-05-21 |
| 1952462756 | Edward Wilson | Dentist | 23680 Us Highway 19 N, Clearwater, FL 33765-1571 | 2006-12-13 |
| 1417030685 | Edward D Wilson | Chiropractor | 4500 Hillcrest, #160, Frisco, TX 75035 | 2006-10-23 |
| 1326133752 | Edward Arthur Wilson | Social Worker | Delaware County Mental Health Clinic, One Hospital Road, Walton, NY 13856 | 2006-10-03 |
| 1194837500 | Edward S Wilson IIi | Psychologist | 1518 Savannah Rd, Lewes, DE 19958 | 2006-08-31 |
| 1740668995 | Edward Wilson | Voluntary or Charitable | 1955 Long Beach Blvd, Long Beach, CA 90806-5501 | 2015-05-08 |
| 1619286713 | Edward W Wilson | Counselor | 4020 Palos Verdes Dr N, Suite 201, Rolling Hills Estates, CA 90274-2525 | 2010-10-07 |
| 1558484568 | Edward John Wilson | Dentist | 26365 Carmel Rancho Blvd, A, Carmel, CA 93923-8744 | 2007-04-06 |
| 1992826861 | Edward Wilson | Specialist | 1221 Mercantile Ln, Largo, MD 20774-5374 | 2007-04-02 |
| Street Address |
462 GRIDER ST ERIE COUNTY MEDICAL CENTER: DAVID K. MILLER BUILDING |
| City | BUFFALO |
| State | NY |
| Zip Code | 14215-3021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831195395 | Kara Anne Woods | Physician Assistant | 462 Grider St, Buffalo, NY 14215-3098 | 2005-06-21 |
| 1396355095 | Jenna Elizabeth Nassar | Hospitalist | 462 Grider St, Buffalo, NY 14215-3098 | 2020-08-06 |
| 1962010272 | Jannet Li Harkins | Registered Nurse | 462 Grider St, Buffalo, NY 14215-3021 | 2020-07-22 |
| 1831717172 | Toluwanimi Mercy Aladesua | Student in an Organized Health Care Education/Training Program | 462 Grider St, Buffalo, NY 14215-3021 | 2020-07-13 |
| 1568088854 | Elizabeth Ifeyironwa Onyechi | Student in an Organized Health Care Education/Training Program | 462 Grider St, Buffalo, NY 14215-3021 | 2020-06-22 |
| 1285257949 | Jianhua Wu | Student in an Organized Health Care Education/Training Program | 462 Grider St, Buffalo, NY 14215-3021 | 2020-05-28 |
| 1710500277 | Calvin James Meaney | Pharmacist | 462 Grider St, Buffalo, NY 14215-3098 | 2020-05-19 |
| 1033731963 | Kaylyn Bunz | Counselor | 462 Grider St, Buffalo, NY 14215-3098 | 2020-05-14 |
| 1356963623 | Holly Renee Johnson | Student in an Organized Health Care Education/Training Program | 462 Grider St, Buffalo, NY 14215-3021 | 2020-05-10 |
| 1023630522 | Kevin Michael Todd | Student in an Organized Health Care Education/Training Program | 462 Grider St, Buffalo, NY 14215-3021 | 2020-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497366413 | Krista Lea Marita Koskinen | Student in an Organized Health Care Education/Training Program | 462 Grider Street, 11th Floor, Erie County Medical Cent, Buffalo, NY 14215 | 2020-08-13 |
| 1851919112 | Temitope Oluwaseun Ajayi | Student in an Organized Health Care Education/Training Program | 132 Affinity Lane, Buffalo, NY 14215 | 2020-07-13 |
| 1134741986 | Alexandra Lucia Tibil | Student in an Organized Health Care Education/Training Program | 462 Grider Street, Erie County Medical Center David K., Buffalo, NY 14215 | 2020-05-15 |
| 1093336646 | Sanjeevani Tomar | Student in an Organized Health Care Education/Training Program | University At Buffalo-suny, Department of Medicine, 462 Grider Street, Buffalo, NY 14215 | 2020-05-05 |
| 1982225926 | Rohan Pandey | Student in an Organized Health Care Education/Training Program | 462 Grider St. Erie County Medical Center, Buffalo, NY 14215 | 2020-04-30 |
| 1235759911 | Michael William O'donnell | Student in an Organized Health Care Education/Training Program | Erie County Medical Center Dk Miller Building, 462 Grider Street, Buffalo, NY 14215 | 2020-04-22 |
| 1780204883 | Ishwor Sharma | Student in an Organized Health Care Education/Training Program | Ecmc 462, Grider Street, Dk Miller Bldg, First Floor, Room C100-b, Buffalo, NY 14215 | 2020-04-20 |
| 1174142632 | Salman Masood | Student in an Organized Health Care Education/Training Program | 462 Grider Street Buffalo, Ny 14215, Buffalo, NY 14215 | 2020-04-14 |
| 1730718354 | Charles Feng Hua Zhang | Student in an Organized Health Care Education/Training Program | Erie County Medical Center, 462 Grider Street, Buffalo, NY 14215 | 2020-04-06 |
| 1700415650 | Joseph Charles L'huillier | Student in an Organized Health Care Education/Training Program | General Surgery Residency Program, Ecmc, Dk Miller Bdg, 462 Grider Street, Buffalo, NY 14215 | 2020-04-03 |
| Find all providers in zip 14215 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427655273 | Daniel Edwards | Student in an Organized Health Care Education/Training Program | 52 Angle St Uppr, Buffalo, NY 14214-1139 | 2020-10-05 |
| 1497366413 | Krista Lea Marita Koskinen | Student in an Organized Health Care Education/Training Program | 462 Grider Street, 11th Floor, Erie County Medical Cent, Buffalo, NY 14215 | 2020-08-13 |
| 1851919112 | Temitope Oluwaseun Ajayi | Student in an Organized Health Care Education/Training Program | 132 Affinity Lane, Buffalo, NY 14215 | 2020-07-13 |
| 1265056659 | Elizabeth Nicole Mancuso | Student in an Organized Health Care Education/Training Program | 1001 Main Street University At Buffalo, Department of P, 5th Floor, Buffalo, NY 14203 | 2020-06-02 |
| 1356964043 | Andrew Buck | Student in an Organized Health Care Education/Training Program | 3435 Main St # 119, Buffalo, NY 14214-3001 | 2020-05-28 |
| 1720601404 | Ronak Dhiraj Bahuva | Student in an Organized Health Care Education/Training Program | 955 Main Street, University At Buffalo, Jacobs School O, Buffalo, NY 14203 | 2020-05-28 |
| 1780207266 | Jaya Mishra | Student in an Organized Health Care Education/Training Program | 818 Ellicot Street, Buffalo, NY 14203 | 2020-05-19 |
| 1013530617 | Amanpreet Kaur Singh | Student in an Organized Health Care Education/Training Program | 77 Goodell Street Department of Medicine, Suite 240, Buffalo, NY 14203 | 2020-05-19 |
| 1346862935 | Hafiz Muhammad Fazeel | Student in an Organized Health Care Education/Training Program | 2157 Main Street Sisters Hospital Department of Medicin, Buffalo, NY 14214 | 2020-05-18 |
| 1134741986 | Alexandra Lucia Tibil | Student in an Organized Health Care Education/Training Program | 462 Grider Street, Erie County Medical Center David K., Buffalo, NY 14215 | 2020-05-15 |
| Find all providers in BUFFALO | ||||
Please comment or provide details below to improve the information on DR. EDWARD TODD WILSON JR..
| 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.