JACOB WILSON (NPI# 1396192423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396192423 |
| Entity Type | Individual |
| Full Name | JACOB WILSON |
| Credential | M.D. |
| Practice Address |
333 Whitesport Dr Sw Ste 204 Huntsville AL 35801-3455 |
| Practice Telephone | 2567155001 |
| Mailing Telephone | 2567155001 |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2020-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 36564 | AL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780181016 | Jacob Wilson | Emergency Medicine | 1313 21st Avenue, South, 703 Oxford House, Nashville, TN 37232-4700 | 2018-04-12 |
| 1043819303 | Jacob Wilson | Chiropractor | 930 Hilltop Dr Ste 102, Weatherford, TX 76086-5943 | 2020-10-19 |
| 1962029165 | Jacob Allen Wilson | Registered Nurse | 3720 Sinton Rd Ste 104, Colorado Springs, CO 80907-5085 | 2020-07-03 |
| 1831678325 | Jacob Wilson | Physician Assistant | 123 Summer St, Worcester, MA 01608-1216 | 2018-08-07 |
| 1396234670 | Jacob Landis Wilson | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2018-05-02 |
| 1255849626 | Jacob Wilson | Physical Therapist | 2000 S Main St, Fairfield, IA 52556-9572 | 2018-01-18 |
| 1730618356 | Jacob Dammon Wilson | Student in an Organized Health Care Education/Training Program | 42 E Laurel Rd Ste 2600, Stratford, NJ 08084-1354 | 2017-06-07 |
| 1073976502 | Jacob Michael Wilson | Orthopaedic Surgery | 57 Executive Park S, Atlanta, GA 30329-2288 | 2016-04-01 |
| 1265871701 | Jacob Joseph Wilson | Psychiatry & Neurology | 6363 France Ave S, Edina, MN 55435-2129 | 2013-06-18 |
| 1114286648 | Jacob W. Wilson | Social Worker | 301 Deinhard Ln, Mccall, ID 83638-4703 | 2012-05-03 |
| Street Address |
333 WHITESPORT DR SW STE 204 |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35801-3455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922667476 | Premium Family Care LLC | Clinic/Center | 333 Whitesport Dr Sw Ste 204, Huntsville, AL 35801-3455 | 2019-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422742 | Elena Mihaela Kruse | Nurse Practitioner | 415 Echurch St, Nw Suite 4, Huntsville, AL 35801 | 2020-09-18 |
| 1225657661 | Ashley Danielle Ford | Student in an Organized Health Care Education/Training Program | 301 Governors Drive Se, Huntsville, AL 35801 | 2020-04-15 |
| 1407417702 | Sasha J White | Specialist | 410 Governors Dr. Sw, Huntsville, AL 35801 | 2019-06-26 |
| 1003472978 | Gina Marie Delgado | Nurse Practitioner | Huntsville Hospital Cvicu, 101 Sivley Rd., Huntsville, AL 35801 | 2019-05-15 |
| 1366909863 | Lisa Starkey Suggs | Nurse Practitioner | 3500 Memorial Parkway S.w., Huntsville, AL 35801 | 2019-02-21 |
| 1902373277 | Kelly S Fisher LLC | Counselor | 300 Clinton Avenue, Suite 22 A, Huntsville, AL 35801 | 2018-10-25 |
| 1073097911 | Brittani B Hamrick | Psychologist | 203 Eastside Sq Ste C9, Huntsville, AL 35801 | 2018-09-17 |
| 1548748312 | Jane O. Orton, Licsw, LLC | Social Worker | 120 Holmes Ave Ne, Huntsville, AL 35801 | 2018-08-02 |
| 1184100661 | Regroup Psychological Services | Psychologist | 2006 Franklin St. Se, Suite 110, Huntsville, AL 35801 | 2018-07-17 |
| 1366968398 | Bennett Brent Smith | Physician Assistant | 825 Adams St. Se, Huntsville, AL 35801 | 2017-08-22 |
| Find all providers in zip 35801 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043810195 | Tempus Primary Care | Family Medicine | 4101 Balmoral Dr Sw Ste B, Huntsville, AL 35801-6535 | 2020-10-28 |
| 1780237412 | Inomedic Health Applications, Inc. | Family Medicine | Nasa/ Msfc Medical Center, As10, Bldg 4249, Huntsville, AL 35812 | 2019-07-22 |
| 1982126587 | Happi Health | Family Medicine | 2597 Sparkman Dr Nw, Huntsville, AL 35810-3868 | 2017-07-14 |
| 1619499209 | Happi Health | Family Medicine | 4040 Memorial Pkwy Sw Ste K, Huntsville, AL 35802-4364 | 2017-07-14 |
| 1760916282 | Daniel Englert | Family Medicine | 101 Bob Wallace Ave Sw Ste D, Huntsville, AL 35801-3843 | 2017-04-12 |
| 1891242962 | Advantage Health Solutions,llc | Family Medicine | 4820 University Dr Ste 35, Huntsville, AL 35816 | 2016-09-07 |
| 1396291027 | Advantage Health Solutions,llc | Family Medicine | 4820 University Dr Ste 18, Huntsville, AL 35816 | 2016-09-01 |
| 1386006112 | Jenna Okerblom | Family Medicine | 100 Washington St Ne Ste 102, Huntsville, AL 35801-5052 | 2016-03-22 |
| 1811337942 | Richard Edwin Rice | Family Medicine | 1409 Deborah Dr Se, Huntsville, AL 35801-1493 | 2013-07-03 |
| 1497092472 | National Telewound Care | Family Medicine | 1141 Horizon Ln, 1416, Huntsville, AL 35824-1477 | 2013-01-10 |
| Find all providers in HUNTSVILLE | ||||
| City | HUNTSVILLE |
| Zip Code | 35801 |
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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.