CARL WILSON


Address: 150 Dennis St Sw, Ste A, Tumwater, WA 98501-5459
Phone: 3607546367

CARL WILSON (NPI# 1386147957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386147957
Entity Type Individual
Full Name CARL WILSON
Practice Address 150 Dennis St Sw
Ste A
Tumwater
WA 98501-5459
Practice Telephone 3607546367
Practice Fax Number 3607546429
Mailing Telephone 3607546367
Mailing Fax Number 3607546429
Enumeration Date 2018-03-09
Last Update Date 2019-09-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant NV Physician Assistants & Advanced Practice Nursing Providers
Y 363AM0700X Physician Assistant
Specialization: Medical
PA60875426 WA Physician Assistants & Advanced Practice Nursing Providers

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1932419298 Carl T. Wilson Registered Nurse 89 Old Post Rd, Marlboro, NY 12542-6544 2010-10-20
1033110465 Carl Wilson Internal Medicine 435 Doyle Park Dr, Santa Rosa, CA 95405-4515 2005-08-09
1841658754 Carl Michael Wilson Jr. Counselor 110 Boston St, Salem, MA 01970-1402 2016-02-05
1558621854 Carl Wilson Home Health Aide 5513 Illinois Ave Nw, Washington, DC 20011-2937 2012-05-21
1467731158 Carl Wilson Counselor 1201 S Proctor St, Tacoma, WA 98405-2047 2011-08-11
1073608659 Carl Thayne Wilson Anesthesiology 1034 North 500 West, Utah Valley Regional Medical Center, Provo, UT 84604 2006-10-03
1851319198 Carl Wilson Orthopaedic Surgery 2016 Bronxdale Ave, Bronx, NY 10462-3388 2006-07-17

Office Location

Street Address 150 DENNIS ST SW
STE A
City TUMWATER
State WA
Zip Code 98501-5459

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629052055 David W Seiffert Registered Nurse 150 Dennis St Sw, Tumwater, WA 98501-5459 2005-11-30
1902298292 Bonnie Joy Physician Assistant 150 Dennis St Sw, Tumwater, WA 98501-5459 2015-02-24
1295962496 Katherine Harter Fehsenfeld Acupuncturist 150 Dennis St Sw, Tumwater, WA 98501-5459 2009-06-15
1306098124 Paul A Surette Physician Assistant 150 Dennis St Sw, Tumwater, WA 98501-5459 2008-10-13
1043383136 Andrea Marie Repphun Family Medicine 150 Dennis St Sw, Tumwater, WA 98501-5459 2006-11-16
1285711358 Kimberly Ireland Nurse Practitioner 150 Dennis St Sw, Tumwater, WA 98501-5459 2006-11-01
1144315789 Tammy L. Morris Physician Assistant 150 Dennis St Sw, Tumwater, WA 98501-5459 2006-10-03
1760414668 Karolina Agnieszka Wilczynska-oberc Family Medicine 150 Dennis St Sw, Tumwater, WA 98501-5459 2006-07-07
1326082520 Sean Thomas Atteridge Family Medicine 150 Dennis St Sw, Tumwater, WA 98501-5459 2006-06-16
1881638559 Tumwater Family Practice Clinic Family Medicine 150 Dennis St Sw, Tumwater, WA 98501-5459 2006-06-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124651880 Marie T Bendig Counselor 900 Fairview St Se, #b5, Olympia, WA 98501 2020-02-20
1205469970 Thurston County Fire Protection Dist 6 Ambulance 8047 Normandy St. Se, Olympia, WA 98501 2020-02-20
1134768799 Living Sound Therapeutic Services, Pllc Counselor 729 Devoe St Se, Olympia, WA 98501 2019-12-31
1336797273 Sea-mar Community Health Center Dentist 6004 Capitol Ave Sw, Tumwater, WA 98501 2019-09-03
1093272841 Eye Love Pllc Optometrist 3409 Capitol Blvd Se, Tumwater, WA 98501 2019-02-28
1356815062 Kerri Wright Marriage & Family Therapist 208 Lee St Sw Ste 108, Tumwater, WA 98501 2019-01-15
1952881161 Paige Gautreaux Peer Specialist 908 5th Avenue Se, Olympia, WA 98501 2018-08-16
1548773997 Carla Van Dam Psychologist 2620 Rw Johnson Blvd Sw Suite 204, Tumwater, WA 98501 2017-11-08
1528577202 Ronald John San Nicolas Counselor 1011 10th Ave, Olympia, WA 98501 2017-09-25
1063964187 Emily Rapesak Pharmacist 500 Cleveland Ave Se, Tumwater, WA 98501 2016-10-25
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578656039 Elinor Alice Laforge Physician Assistant 150 Dennis Street Sw, Tumwater, WA 98501-5459 2006-10-02
1437675667 Jennifer Lynn Casler Physician Assistant 150 Dennis St Sw Ste A, Tumwater, WA 98501-5459 2017-08-18
1902298292 Bonnie Joy Physician Assistant 150 Dennis St Sw, Tumwater, WA 98501-5459 2015-02-24
1679894133 Kelly James Remy Physician Assistant 7345 Linderson Way Sw, Cedar Creek Corrections - (rural Address Not Recognized, Tumwater, WA 98501-6504 2010-06-18
1144315789 Tammy L. Morris Physician Assistant 150 Dennis St Sw, Tumwater, WA 98501-5459 2006-10-03
1669422986 Barbara J Sherry Physician Assistant 150 Dennis St Sw, Tumwater, WA 98501-5459 2006-05-10
1588658124 Kirk Jarman Physician Assistant 1625 Mottman Rd Sw, Suite A, Tumwater, WA 98512-7833 2005-09-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1033735618 Gavin Guard Physician Assistant 818 Mullis St Ste 6, Friday Harbor, WA 98250-7986 2020-06-19
1578110862 Kaitlin E. Brotman Physician Assistant 315 Holton Ave Ste 100, Yakima, WA 98902-3245 2019-08-21
1700345196 Kara Lynn Kime Physician Assistant 1200 Cooper Point Rd Sw Ste 100, Olympia, WA 98502-1172 2019-03-15
1679056824 Katharine Loco-marshall Physician Assistant 4816 She-nah-num Drive, Olympia, WA 98513 2018-09-13
1841791274 Sjs, Pllc Physician Assistant 900 Ocean Beach Hwy Ste B, Longview, WA 98632-4013 2018-02-21
1063928448 Heidi April Physician Assistant 1410 N Pittsburgh St, Building A, Kennewick, WA 99336-8211 2017-12-20
1194251983 Christopher Joseph Stanley Physician Assistant 1010 Ne Lilac St Apt 301, Issaquah, WA 98029-7878 2017-05-11
1366993362 Vanessa Julie Iglesias Mehta Physician Assistant 5128 Yelm Hwy Se, Suite E, Lacey, WA 98503 2016-10-14
1801344601 Jessica Ann Pettitt Physician Assistant 21200 Ne 190th Ct, Battle Ground, WA 98604-9636 2016-09-21
1407300098 Joshua David Evans Physician Assistant 9040 Jackson Ave Mchj Clq C, Tacoma, WA 98431-1100 2016-08-11
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Competitor

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City TUMWATER
Zip Code 98501

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Dataset Information

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.

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