MISTI H WILSON (NPI# 1407035629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407035629 |
| Entity Type | Individual |
| Full Name | MISTI H WILSON |
| Credential | M.D. |
| Practice Address |
601 Watkins Centre Pkwy Suite 200 Midlothian VA 23114-0002 |
| Practice Telephone | 8045943130 |
| Practice Fax Number | 8044236517 |
| Mailing Telephone | 8045943130 |
| Mailing Fax Number | 8044236517 |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2013-08-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 0101254102 | VA | Allopathic & Osteopathic Physicians |
| N | 2086X0206X |
Surgery Specialization: Surgical Oncology |
E-7047 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | GROUP PTAN | C09633 | 01 |
| Street Address |
601 WATKINS CENTRE PKWY SUITE 200 |
| City | MIDLOTHIAN |
| State | VA |
| Zip Code | 23114-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235505439 | Sean O'laughlin | Nurse Practitioner | 601 Watkins Centre Pkwy, Midlothian, VA 23114-0002 | 2015-08-11 |
| 1134408644 | Ida Trice Vaclavik | Nurse Practitioner | 601 Watkins Centre Pkwy, Suite 200, Midlothian, VA 23114-0002 | 2011-08-15 |
| 1942479803 | Eric Floranda | Psychiatry & Neurology | 601 Watkins Centre Pkwy, Suite 250, Midlothian, VA 23114-0002 | 2008-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122162 | Jotava | In Home Supportive Care | 1607 Titanium Avenue, 202, Midlothian, VA 23114 | 2020-10-20 |
| 1104393735 | Shelley Hurwitz | Occupational Therapist | 13800 Bon Secours Drive, Midlothian, VA 23114 | 2018-11-01 |
| 1316412182 | Snehal Manmeet Mahajan | Physical Therapist | 13800 Bon Secours Dr., Midlothian, VA 23114 | 2018-10-09 |
| 1154814796 | Bon Secours St Francis Medical Center Inc. | Clinic/Center | 13700 St Francis Blvd Ste 105, Midlothian, VA 23114 | 2018-06-08 |
| 1023516630 | Leah Reed | Occupational Therapist | 13800 Bon Secours Dr, Midlothian, VA 23114 | 2018-01-29 |
| 1689122012 | Momentum Counseling and Wellness LLC | Social Worker | 431 Walton Park Road, Midlothian, VA 23114 | 2016-09-14 |
| 1750765996 | Arlene Roper | Physical Therapy Assistant | 1700 Redbourne Ct, Apt 101, Midlothian, VA 23114 | 2015-07-17 |
| 1518353937 | Tamaika Floy | Podiatrist | 611 Watkins Centre Pkwy Ste 170, Midlothian, VA 23114 | 2015-04-13 |
| 1760790489 | Markita Wolf | Psychologist | 831 Grove Rd Ste C, Midlothian, VA 23114 | 2010-09-15 |
| 1306153119 | Jacinda Beth Chaisson | Physical Therapist | 13700 St. Francis Blvd., Suite 103, Midlothian, VA 23114 | 2010-09-01 |
| Find all providers in zip 23114 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154748598 | Marinello Surgical Services LLC | Surgery | 12720 Foxstone Rd, Midlothian, VA 23113-2280 | 2014-03-24 |
| 1083841936 | Bon Secours St. Francis Medical Center Inc | Surgery | 13700 St Francis Blvd Ste 303, Midlothian, VA 23114-3222 | 2009-06-18 |
| 1427293133 | Bon Secours St. Francis Medical Center Inc | Surgery | 601 Watkins Centre Pkwy Ste 200, Midlothian, VA 23114-0002 | 2008-12-09 |
| 1992828453 | William D Torres | Surgery | 1119 Royal Ridge Rd, Midlothian, VA 23114-4431 | 2007-04-09 |
| 1477664415 | Polly Laura Stephens | Surgery | 601 Watkins Centre Parkway, Suite 200, Midlothian, VA 23114 | 2006-08-31 |
| 1982688818 | Virginia Breast Center Inc | Surgery | 13700 Saint Francis Blvd, Ste 510, Midlothian, VA 23114-3267 | 2005-12-05 |
| 1093704454 | James V Pellicane Jr. | Surgery | 14051 St Francis Blvd, Suite 2210, Midlothian, VA 23114-3201 | 2005-10-18 |
| 1437457587 | Bon Secours-virginia Healthsource Inc | Surgery | 13700 St Francis Blvd, Mob- Suite 301, Midlothian, VA 23114 | 2011-03-14 |
| 1588873640 | Joseph Karch | Surgery | 13700 St Francis Blvd, Suite 511, Midlothian, VA 23114-3222 | 2007-05-22 |
| 1548307606 | Bon Secours-virginia Healthsource | Surgery | 13700 St Francis Blvd, Ste 301, Midlothian, VA 23114 | 2007-01-30 |
| Find all providers in MIDLOTHIAN | ||||
| City | MIDLOTHIAN |
| Zip Code | 23114 |
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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.