DR. JAMES RAYMOND WILSON (NPI# 1417023474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417023474 |
| Entity Type | Individual |
| Full Name | DR. JAMES RAYMOND WILSON |
| Credential | D.C. |
| Practice Address |
2000 W Kettleman Ln Suite 104 Lodi CA 95242-4334 |
| Mailing Address |
Po Box 986 Woodbridge CA 95258-0986 |
| Practice Telephone | 2093346947 |
| Practice Fax Number | 2093346969 |
| Mailing Telephone | 2093399036 |
| Mailing Fax Number | 2093391901 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2009-10-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC30022 | CA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992369102 | James Wilson | Assisted Living Facility | 15986 W Main St, Louisville, MS 39339-2636 | 2019-04-24 |
| 1841778735 | James Wilson | Contractor | 827 Highway 82 W, Greenville, MS 38701-5715 | 2018-08-01 |
| 1396246617 | James Wilson | Home Health Aide | 2052 Miles Woods Dr, Cincinnati, OH 45231-2150 | 2018-02-22 |
| 1942712781 | James Wilson | Technician | 41 Underwood St Nw, Washington, DC 20012-2115 | 2017-11-02 |
| 1366992158 | James Earl Wilson | Licensed Practical Nurse | 62 W Garden Dr, Rochester, NY 14606-4707 | 2016-10-05 |
| 1013463520 | James Wilson | Specialist/Technologist | 2117 Franklin Dr, North Augusta, SC 29841-9263 | 2016-08-26 |
| 1013360270 | James Wilson | Specialist/Technologist | 1001 E Fm 2410 Rd, Harker Heights, TX 76548-6845 | 2016-07-22 |
| 1134516644 | James Wilson | Occupational Therapy Assistant | 3903 Whirlwind St, Bryant, AR 72022-6710 | 2015-04-22 |
| 1205268000 | James William Wilson | Massage Therapist | 8219 River Country Dr, Weeki Wachee, FL 34607-2137 | 2013-08-02 |
| 1083050850 | James R Wilson | Physical Medicine & Rehabilitation | 4229 Pearl Rd # N2.42, Cleveland, OH 44109-4218 | 2013-05-20 |
| Street Address |
2000 W KETTLEMAN LN SUITE 104 |
| City | LODI |
| State | CA |
| Zip Code | 95242-4334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437553583 | Excel Rehab Physical Therapy Inc | Clinic/Center | 2000 W Kettleman Ln, 106, Lodi, CA 95242-4334 | 2014-10-17 |
| 1912104472 | Gabriel Enescu | Physical Medicine & Rehabilitation | 2000 W Kettleman Ln, Lodi, CA 95242-4334 | 2007-06-28 |
| 1265642268 | Franklin Otto Bernhoft | Psychologist | 2000 W Kettleman Ln, Suite 103, Lodi, CA 95242-4334 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285125807 | Victoria Galvez | Psychologist | 1103 Tudor St, Lodi, CA 95242 | 2018-05-21 |
| 1174931471 | Shuk Mei Chung | Physician Assistant | 2122 W Kettleman Ln, Lodi, CA 95242 | 2014-07-30 |
| 1275962169 | Sharon Elizabeth Palmer | Speech-Language Pathologist | 1200 W Tokay St, Lodi, CA 95242 | 2013-11-01 |
| 1114286093 | Brandee Lyn Smith | Speech-Language Pathologist | 1547 Lexington Dr, Lodi, CA 95242 | 2012-05-11 |
| 1255609509 | Jennifer Marie Wallmark | Speech-Language Pathologist | 8 S. Cambridge Dr., Lodi, CA 95242 | 2011-12-01 |
| 1649459546 | Kimberly Ann White | Counselor | 441 S. Ham Lane Suite A, Lodi, CA 95242 | 2007-10-26 |
| 1255541991 | Heather Baldauff | Occupational Therapist | 800 South Lower Sacramento Road, Lodi Memorial Hospital West, Lodi, CA 95242 | 2007-05-23 |
| 1730227182 | Clifford John Bradshaw | Dentist | 801 S Ham Lane, Suite D, Lodi, CA 95242 | 2007-02-01 |
| 1861541799 | Catherine Ann Gravish | Physical Therapist | 800 South Ham Lane, Lodi, CA 95242 | 2007-01-09 |
| 1497814511 | Stewart Chiropractic Corp | Chiropractor | 1420 W Kettleman Ln #k-1, Lodi, CA 95242 | 2006-12-06 |
| Find all providers in zip 95242 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639467343 | Marcia L Schaefer | Chiropractor | 602 Corner St, Lodi, WI 53555-1109 | 2011-07-14 |
| 1568755726 | Heather West Leam | Chiropractor | 812 W Lodi Ave, Lodi, CA 95240-3302 | 2011-05-20 |
| 1396900304 | Raoul Micheal Magana | Chiropractor | 2111 W Kettleman Ln Ste C, Lodi, CA 95242-4336 | 2008-07-20 |
| 1659580702 | Krystal Sherri Allen | Chiropractor | 2000 W Kettleman Ln Ste 104, Lodi, CA 95242-4334 | 2007-05-22 |
| 1023162443 | Michael James Longo | Chiropractor | 600 Wooster St, Lodi, OH 44254-1326 | 2007-01-23 |
| 1497814511 | Stewart Chiropractic Corp | Chiropractor | 1420 W Kettleman Ln #k-1, Lodi, CA 95242 | 2006-12-06 |
| 1134287485 | Glen C Schaefer | Chiropractor | 1822 W Kettleman Lane, Suite 5, Lodi, CA 95242-4218 | 2006-12-05 |
| 1790859973 | Philip M Dipasquale Dc, Pa | Chiropractor | 2 Arnot St Ste 3, Lodi, NJ 07644-1629 | 2006-11-20 |
| 1437223880 | Burlage Chiropractic Wellness Center LLC | Chiropractor | 602a Corner St, Lodi, WI 53555-1109 | 2006-11-19 |
| 1518044130 | Hayes Chiropractic Inc | Chiropractor | 820 S Fairmont Ave, Lodi, CA 95240-5117 | 2006-11-01 |
| Find all providers in LODI | ||||
Please comment or provide details below to improve the information on DR. JAMES RAYMOND 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.