DR. ROBERT HARRISON WILSON (NPI# 1407858186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407858186 |
| Entity Type | Individual |
| Full Name | DR. ROBERT HARRISON WILSON |
| Credential | MD |
| Practice Address |
4401 Bridgeport Way W Suite 100 University Place WA 98466-4201 |
| Practice Telephone | 2535644157 |
| Practice Fax Number | 2535644813 |
| Mailing Telephone | 2535644157 |
| Mailing Fax Number | 2535644813 |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2014-04-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD00014627 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1214600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164957668 | Robert Wilson | Pharmacist | 11950 De Palma Rd, Corona, CA 92883-8499 | 2017-04-22 |
| 1487020566 | Robert Wilson | Acupuncturist | 537 W Washington St, Marquette, MI 49855-4133 | 2015-08-12 |
| 1205247129 | Robert Norman Wilson IIi | Student in an Organized Health Care Education/Training Program | Gru College of Dental Medicine, Augusta, GA 30912-0001 | 2014-05-13 |
| 1477971885 | Robert Borden Wilson | Pediatrics | 2300 Hospital Dr Ste 120, Bossier City, LA 71111-2193 | 2014-04-02 |
| 1922362888 | Robert Travis Wilson | Emergency Medicine | 517 Kerri Cove Ct Apt 104, Midlothian, VA 23113-6873 | 2012-06-26 |
| 1144589458 | Robert Wilson | Chiropractor | 132a N Central Ave, Centerville, TN 37033 | 2012-05-07 |
| 1649575937 | Robert George Wilson | Military Health Care Provider | 515 Tessentee Rd, Franklin, NC 28734 | 2011-01-18 |
| 1396078317 | Robert Max Wilson | Case Manager/Care Coordinator | 618 Manzano Ne, Albuquerque, NM 87110 | 2009-09-09 |
| 1013140672 | Robert James Wilson | Dentist | 1321 N Tennessee St, # 108, Mckinney, TX 75069-2142 | 2009-08-31 |
| 1417189994 | Robert P Wilson Jr. | Physical Therapist | 225 Evergreeen Road, Pottstown, PA 19464 | 2009-08-17 |
| Street Address |
4401 BRIDGEPORT WAY W SUITE 100 |
| City | UNIVERSITY PLACE |
| State | WA |
| Zip Code | 98466-4201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942205828 | Gerard Edward Sullivan | Chiropractor | 4401 Bridgeport Way W, University Place, WA 98466-4201 | 2005-06-16 |
| 1407417751 | Sharon Pitre | Nurse Practitioner | 4401 Bridgeport Way W, University Place, WA 98466-4201 | 2019-06-27 |
| 1457873002 | Northwestern Healthcare Management Services LLC | Internal Medicine | 4401 Bridgeport Way W, University Place, WA 98466-4201 | 2017-07-14 |
| 1245531045 | Mary Aloysia Dolan | Nurse Practitioner | 4401 Bridgeport Way W, University Place, WA 98466-4201 | 2010-11-10 |
| 1851561682 | Robert Harrison Wilson Md | Specialist | 4401 Bridgeport Way W, University Place, WA 98466-4201 | 2008-03-07 |
| 1881897601 | Mitra Rajabi Hanjani | Internal Medicine | 4401 Bridgeport Way W, University Place, WA 98466-4201 | 2007-06-08 |
| 1780737460 | Marcy Meyer | General Practice | 4401 Bridgeport Way W, University Place, WA 98466-4201 | 2007-01-18 |
| 1205925120 | Bruce Randall Lanum | Nurse Practitioner | 4401 Bridgeport Way W, Attn Credentialing, University Place, WA 98466-4201 | 2006-10-11 |
| 1922190651 | Renee C Lyon | Registered Nurse | 4401 Bridgeport Way W, University Place, WA 98466-4201 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306499215 | Julie Mccartney | Counselor | 7610 40th St W Ste 20, University Place, WA 98466 | 2019-07-19 |
| 1033682752 | Jms Corporate Services Group | In Home Supportive Care | 2621 70th Avenue West, Suite C, University Place, WA 98466 | 2019-01-04 |
| 1992270243 | Kathleen Marie Kulman | Massage Therapist | 4113 Bridgeport Avenue, Suite B, Tacoma, WA 98466 | 2018-10-12 |
| 1518441674 | Michala Lin Dymond-shaw | Speech-Language Pathologist | 3725 Grandview Dr W, University Place, WA 98466 | 2018-09-24 |
| 1770001133 | Micky Patrick Cates | Physician Assistant | 1924 70th Ave West, Apt E5, University Place, WA 98466 | 2017-09-06 |
| 1386160984 | Stephanie Herrala | Dentist | Okubo Dental Clinic 11582 C St, Jblm, WA 98466 | 2017-08-16 |
| 1033581640 | Jay Hyuck Sung | Dentist | 3670 Bridgeport Way W, Unit B, University Place, WA 98466 | 2015-10-22 |
| 1174951867 | Adrienne Holliday | Occupational Therapy Assistant | 3717 Grandview Drive W, University Place, WA 98466 | 2013-10-16 |
| 1598106650 | Maricris Pang Espino | Registered Nurse | 1541 Cottonwood Avenue, Fircrest, WA 98466 | 2013-07-17 |
| 1417393653 | Nurhan Karakas | Counselor | 9330 59th Ave Sw, Lakewood, WA 98466 | 2013-05-15 |
| Find all providers in zip 98466 | ||||
| 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 |
|---|---|---|---|---|
| 1962728956 | Roy Broman | Family Medicine | 4015 Robin Rd W, University Place, WA 98466-1531 | 2010-04-15 |
| 1790803443 | Stanley Lalit Kumar Flemming | Family Medicine | 7619 Chambers Creek Rd W, University Place, WA 98467-2015 | 2007-03-27 |
| 1679621759 | General Healthcare, Ps | Family Medicine | 4709 Memory Ln W, University Place, WA 98466-1038 | 2007-01-08 |
| 1013018019 | Karen Lea Semones | Family Medicine | 3556 Market Place West, Suite 109, University Place, WA 98466 | 2006-09-25 |
| 1366541161 | Paul William Schmidt | Family Medicine | 7210 40th St W Ste 100, University Place, WA 98466-4319 | 2006-09-21 |
| 1639189004 | Eun K Kwon Washington Health Care | Family Medicine | 2525 87th Ave W # 13-138, 2525 87th Ave W # 13-138, University Place, WA 98466-1821 | 2006-08-09 |
| 1043239429 | Michael Reid Jackson | Family Medicine | 5350 Orchard St W, Suite 202, University Place, WA 98467-4817 | 2006-07-18 |
| 1386250348 | Jessica M White, Arnp, Inc | Family Medicine | 2607 Bridgeport Way W Ste 2e, University Place, WA 98466-4725 | 2020-09-16 |
| 1366701849 | Michael R. Jackson, M.d. P.s. | Family Medicine | 5350 Orchard St W, Suite 202, University Place, WA 98467-4817 | 2012-05-03 |
| 1558682864 | Joanna Marie F Polistico | Family Medicine | 7210 40th St W, Ste 100, University Place, WA 98466-4319 | 2010-06-21 |
| Find all providers in UNIVERSITY PLACE | ||||
| City | UNIVERSITY PLACE |
| Zip Code | 98466 |
Please comment or provide details below to improve the information on DR. ROBERT HARRISON WILSON.
| 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.