WILSON INTERNAL MEDICINE PA (NPI# 1386862688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386862688 |
| Entity Type | Organization |
| Organization Name | WILSON INTERNAL MEDICINE PA |
| Practice Address |
2402 Camden St Sw Ste B500 Wilson NC 27893-8608 |
| Mailing Address |
Po Box 3544 Wilson NC 27895-3544 |
| Practice Telephone | 2522918600 |
| Practice Fax Number | 2522916914 |
| Mailing Telephone | 2522918600 |
| Mailing Fax Number | 2522916914 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2015-03-11 |
| Authorized Official Name | DR. MEDHAT F SIDAROS (PRESIDENT) |
| Authorized Official Telephone | 2522918600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 9600733 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5900812 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215996046 | Wilson Internal Medicine Pa | Clinic/Center | 4840 Forest Dr, Box 255, Columbia, SC 29206-4810 | 2006-03-21 |
| Street Address |
2402 CAMDEN ST SW STE B500 |
| City | WILSON |
| State | NC |
| Zip Code | 27893-8608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847524 | Graceland Student Services LLC | Early Intervention Provider Agency | 610 Fairview Ave., Wilson, NC 27893 | 2020-09-30 |
| 1508477894 | Evan Michael Abatiell | Specialist/Technologist | 400 Atlantic Christian E West Ne, Wilson, NC 27893 | 2020-08-11 |
| 1679100606 | Newgreen Inhomecare Group Inc | Registered Nurse | 121 Nast Street N, Wilson, NC 27893 | 2020-03-27 |
| 1942772983 | Open Water Medical, Pa | Clinic/Center | 4008 Nc-42, Wilson, NC 27893 | 2018-12-31 |
| 1679043244 | Madison Rose Propst | Social Worker | 2416 Bedgood, Wilson, NC 27893 | 2018-11-27 |
| 1104396753 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 2500 Horton Blvd, Wilson, NC 27893 | 2018-11-27 |
| 1528545498 | North Carolina In-home Partner-viii, LLC | Home Health | 1901 Tarboro St Sw Ste 304, Wilson, NC 27893 | 2018-07-24 |
| 1518478957 | Home Away From Home, Inc. | In Home Supportive Care | 1723 Meadowbrook Lane W., Wilson, NC 27893 | 2017-10-12 |
| 1942721295 | Sandra Susan Blazek | Social Worker | 608 Nash Street Nw, Wilson, NC 27893 | 2017-06-27 |
| 1700306297 | Kimberly Denton Almkuist | Nurse Practitioner | Wilson County Health Department, 1801 Glendale Dr. Sw, Wilson, NC 27893 | 2017-06-26 |
| Find all providers in zip 27893 | ||||
| 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 |
|---|---|---|---|---|
| 1356682579 | John Louis Gentri | Internal Medicine | Long Leaf Neuro Medical Treatment Center, 4767 Ward Boulevard, Wilson, NC 27893 | 2013-03-13 |
| 1982860367 | David Kiragu | Internal Medicine | 3202 Nash Street N, Wilson, NC 27896-1232 | 2008-08-05 |
| 1457529703 | Jonathon G. Dewald, Md Pa | Internal Medicine | 2605 Forest Hills Rd Sw Ste B, Wilson, NC 27893-4448 | 2008-02-20 |
| 1467566117 | Mark P Menolascino | Internal Medicine | 5235 Hhr Ranch Road, Wilson, WY 83014-0000 | 2006-08-19 |
| 1447364245 | Michael James Menolascino | Internal Medicine | 5245 Hhr Ranch Road, Wilson, WY 83014-9210 | 2006-08-18 |
| 1720033574 | Lindsey Elliot Deguehery | Internal Medicine | 1812 Glendale Dr Sw, Suite A, Wilson, NC 27893-4402 | 2006-05-23 |
| 1437116613 | Douglas C Brewer | Internal Medicine | 1704 Glendale Dr Sw, Suite B, Wilson, NC 27893-4415 | 2006-04-30 |
| 1598726812 | Thomas E Hooper | Internal Medicine | 2130 Forest Hills Rd W, Ste B, Wilson, NC 27893-3681 | 2006-03-28 |
| 1275508830 | Medhat F Sidaros | Internal Medicine | 2402 Camden St Sw, Suite B 500, Wilson, NC 27893-8608 | 2006-02-17 |
| 1649250929 | Christine A Barton | Internal Medicine | 200 Glendale Dr, Wilson, NC 27893 | 2006-01-20 |
| Find all providers in WILSON | ||||
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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.