MR. DEREK EDWARD WILSON (NPI# 1417034026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417034026 |
| Entity Type | Individual |
| Full Name | MR. DEREK EDWARD WILSON |
| Credential | PA-C |
| Practice Address |
800 W Laurel St Independence KS 67301-3211 |
| Mailing Address |
Po Box 845 Independence KS 67301-0845 |
| Practice Telephone | 6203323280 |
| Practice Fax Number | 6203323281 |
| Mailing Telephone | 6203323280 |
| Mailing Fax Number | 6203323281 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2010-01-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1501140 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134640741 | Derek James Wilson | Pharmacist | 2a Walter E Foran Blvd, Flemington, NJ 08822 | 2017-07-05 |
| 1093143950 | Derek Wilson | Counselor | 204 S Irwin Ave, Charlotte, NC 28202-1117 | 2013-10-30 |
| 1043829302 | Derek Alan Wilson | Developmental Therapist | 4160 Piedmont Pkwy Ste 207, Greensboro, NC 27410-8174 | 2020-07-23 |
| 1841668035 | Derek Timothy Wilson | Nurse Anesthetist, Certified Registered | 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 | 2015-09-04 |
| 1558760132 | Derek James Wilson | Physician Assistant | 1600 Sw Archer Rd, Gainesville, FL 32610-0371 | 2014-08-19 |
| 1114348729 | Derek James Wilson | Counselor | 360 Bloomfield Ave Ste 301, Windsor, CT 06095-2700 | 2013-12-27 |
| Street Address |
800 W LAUREL ST |
| City | INDEPENDENCE |
| State | KS |
| Zip Code | 67301-3211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437153764 | Mekki M El Saba | Orthopaedic Surgery | 800 W Laurel St, Independence, KS 67301-3211 | 2005-05-31 |
| 1033532098 | Jodi Oder | Nurse Practitioner | 800 W Laurel St, Independence, KS 67301-3211 | 2014-01-28 |
| 1861730780 | Kala Ilene Hillery | Nurse Practitioner | 800 W Laurel St, Independence, KS 67301-3211 | 2013-01-28 |
| 1972732931 | Deepa Perumal | Family Medicine | 800 W Laurel St, Independence, KS 67301-3211 | 2009-07-10 |
| 1003054933 | Cancer Center of Kansas, P.a. | Internal Medicine | 800 W Laurel St, Independence, KS 67301-3211 | 2009-01-30 |
| 1225177140 | Jane Phillips Memorial Medical Center, Inc | Pharmacy | 800 W Laurel St, Independence, KS 67301-3211 | 2007-02-06 |
| 1912014929 | Mercy Kansas Communities Inc | Clinic/Center | 800 W Laurel St, Independence, KS 67301-3211 | 2006-08-24 |
| 1609842285 | Mercy Kansas Communities Inc | Internal Medicine | 800 W Laurel St, Independence, KS 67301-3211 | 2006-02-24 |
| 1770569121 | James E Hignight | Internal Medicine | 800 W Laurel St, Independence, KS 67301-3211 | 2005-12-19 |
| 1922083765 | Soheila Sohaei | Obstetrics & Gynecology | 800 W Laurel St, Independence, KS 67301-3211 | 2005-12-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417509217 | Lee Ann Gingery | Social Worker | 116 1/2 West Myrtle, Independence, KS 67301 | 2019-07-11 |
| 1801180070 | Jeffrey Neil Carnes | Counselor | 1101 Donald Avenue, Independence, KS 67301 | 2011-06-06 |
| 1699099077 | Four County Mental Health Center | Home Health | 415 Fruitland, Independence, KS 67301 | 2010-03-15 |
| 1558570234 | Rahab M Nduati | Occupational Therapist | 1000 W Mulberry Street, Independence, KS 67301 | 2007-05-21 |
| 1164639779 | Robert M Osborn Do Pa | Family Medicine | 400 N. 14th St., Independence, KS 67301 | 2007-05-16 |
| 1619198280 | Michael Alford | Social Worker | 3751 West Main, Independence, KS 67301 | 2007-05-01 |
| 1699836650 | Dacia Christine Thiele | Social Worker | 200 Arco Suite 501, Independence, KS 67301 | 2006-12-13 |
| 1134157167 | Carl L Mitchell Jr. | Social Worker | 220 E. Chestnut, Independence, KS 67301 | 2006-06-29 |
| 1437118239 | Renal Treatment Centers West Inc | Clinic/Center | 801 W Myrtle St, Independence, KS 67301 | 2006-03-21 |
| 1649767112 | Rachael Dawn Miles | Counselor | 3751 W Main St, Independence, KS 67301 | 2018-04-19 |
| Find all providers in zip 67301 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912538752 | Karen Anghel | Physician Assistant | 804 S Kisner Dr, Independence, MO 64056-3062 | 2020-01-30 |
| 1295259588 | Lindsey Grant | Physician Assistant | 19550 E 39th St S Ste 410, Independence, MO 64057-2307 | 2017-07-28 |
| 1013451558 | Courtney Adams | Physician Assistant | 19550 E 39th St S, Ste 410, Independence, MO 64057-2358 | 2016-12-16 |
| 1649725714 | Lacey Elizabeth Perez | Physician Assistant | 19600 E 39th St S, Independence, MO 64057-2301 | 2016-08-18 |
| 1083092514 | Shelly Wimmer | Physician Assistant | 1430 Monmouth St, Independence, OR 97351-1127 | 2015-05-17 |
| 1033519830 | Mallory E. Harris | Physician Assistant | 3751 W Main St, Independence, KS 67301-8446 | 2014-08-28 |
| 1942569215 | Stephen Daniel Miller | Physician Assistant | 19550 E 39th St S, Ste 410, Independence, MO 64057-2303 | 2012-05-08 |
| 1912288960 | Susan Winterhalter Decker | Physician Assistant | 6801 Brecksville Rd Ste 10, Independence, OH 44131-5057 | 2011-09-05 |
| 1730415597 | Emily M Hennes | Physician Assistant | 19550 E 39th St S, Ste 410, Independence, MO 64057-2303 | 2009-10-28 |
| 1205075249 | Tangipahoa Emergency Group LLC | Physician Assistant | 52579 Highway 51 S, Independence, LA 70443-2231 | 2009-02-16 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 67301 |
Please comment or provide details below to improve the information on MR. DEREK EDWARD 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.