JEFFREY WHITESIDE WILSON (NPI# 1417065715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417065715 |
| Entity Type | Individual |
| Full Name | JEFFREY WHITESIDE WILSON |
| Credential | MD |
| Practice Address |
10229 W Greenfield Ave West Allis WI 53214 |
| Practice Telephone | 4144536330 |
| Practice Fax Number | 4144536523 |
| Mailing Telephone | 4144536330 |
| Mailing Fax Number | 4144536523 |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2010-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
15620 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 31772200 | 05 | |
| AMER BOARD OF PSYCH NEURO | 11713 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720505274 | Jeffrey L Wilson | Counselor | 14201 S Mur Len Rd Ste 101, Olathe, KS 66062-1859 | 2017-08-25 |
| 1700317153 | Jeffrey Wilson | Student in an Organized Health Care Education/Training Program | Florida Atlantic University Internal Medicine Residency, 800 Meadows Road, Boca Raton, FL 33486 | 2017-03-27 |
| 1962955435 | Jeffrey John Wilson | Specialist/Technologist | 24062 Taft Rd, Novi, MI 48375-3022 | 2016-08-01 |
| 1073909883 | Jeffrey Lynn Wilson | Clinical Nurse Specialist | 5516 Barons Pt, Ooltewah, TN 37363-8875 | 2015-04-08 |
| 1801185814 | Jeffrey Matthew Wilson | Registered Nurse | 7750 Via Francesco Unit 2, San Diego, CA 92129-5149 | 2011-03-30 |
| 1447425798 | Jeffrey Joseph Wilson | Dentist | 1542 Union St, Schenectady, NY 12309 | 2008-04-28 |
| 1184701658 | Jeffrey M Wilson | Dentist | 73 Greentree Dr # 407, Dover, DE 19904-7646 | 2006-11-01 |
| 1922108745 | Jeffrey Lynn Wilson | Family Medicine | 1810 Eldron Blvd., Se, Palm Bay, FL 32909 | 2006-09-22 |
| 1184727612 | Jeffrey F Wilson | Optometrist | 126 W Wheatland Ave, Remus, MI 49340 | 2006-09-07 |
| 1972522068 | Jeffrey S Wilson | Podiatrist | 381 Cline Ave, Mansfield, OH 44907 | 2006-07-19 |
| Street Address |
10229 W GREENFIELD AVE |
| City | WEST ALLIS |
| State | WI |
| Zip Code | 53214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912177858 | David R Winter | Social Worker | 10229 W Greenfield Ave, West Allis, WI 53214-3911 | 2008-03-06 |
| 1629167192 | Gary Major | Psychologist | 10229 W Greenfield Ave, West Allis, WI 53214-3911 | 2006-10-12 |
| 1700989837 | Linda Lustig | Social Worker | 10229 W Greenfield Ave, West Allis, WI 53214 | 2006-09-06 |
| 1366552887 | Craig Alan Modell | Psychologist | 10229 W Greenfield Ave, West Allis, WI 53214 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740740208 | Melanie Figueroa | Counselor | West Milwaukee Ctc, 1610 Miller Park Way, West Milwaukee, WI 53214 | 2019-03-21 |
| 1619403011 | Lea Salome Denny | Counselor | 8626b W Greenfield Ave, Suite B300, West Allis, WI 53214 | 2017-05-04 |
| 1891148318 | West Allis Prescription Center Inc | Pharmacy | 6737 W Washington Ave, Suite 1100, West Allis, WI 53214 | 2016-07-20 |
| 1316390495 | Kristina Overlee | Nurse Practitioner | 6737 W. Washington Street, Suite 2150, West Allis, WI 53214 | 2016-07-13 |
| 1801239843 | Daniel Anthony Cichy | Pharmacist | 10101 W Greenfield Ave Ste 130, West Allis, WI 53214 | 2013-04-09 |
| 1295072544 | Wisconsin Vision, Inc. | Optometrist | 1220 Miller Park Way, West Milwaukee, WI 53214 | 2013-01-07 |
| 1831457720 | Kevin Konieczka | Physical Therapist | 1224 Miller Parkway, Milwaukee, WI 53214 | 2012-04-27 |
| 1497031843 | Jill Elizabeth Gerou | Registered Nurse | 8420 West Greenfield Ave, Apartment #7, West Allis, WI 53214 | 2011-10-31 |
| 1700176815 | Carolyn Hasek | Counselor | 1126 S 70th St Ste 112-113, West Allis, WI 53214 | 2011-04-10 |
| 1972802775 | Barbara Smith | Licensed Practical Nurse | 651 S 63 St, Apt1, Milwaukee, WI 53214 | 2011-03-18 |
| Find all providers in zip 53214 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194960765 | Shikha Verma | Psychiatry & Neurology | 11101 W Lincoln Ave, Rogers Memorial Hospital, West Allis, WI 53227-1133 | 2008-12-10 |
| 1245419696 | Mohammed Iqbal | Psychiatry & Neurology | 11101 W Lincoln Ave, West Allis, WI 53227-1133 | 2007-11-01 |
| 1215122395 | Crain H. Bliwas M.d., S.c. | Psychiatry & Neurology | 11101 W Lincoln Ave, West Allis, WI 53227-1133 | 2007-09-11 |
| 1942331400 | Matthew Eli Kleban | Psychiatry & Neurology | 11101 W Lincoln Ave, West Allis, WI 53227-1133 | 2007-03-08 |
| 1578651436 | Keyur H Parikh | Psychiatry & Neurology | 11101 W Lincoln Ave, West Allis, WI 53227-1133 | 2006-10-10 |
| 1437168358 | Ahmed Numaan | Psychiatry & Neurology | 11101 W Lincoln Ave, West Allis, WI 53227-1133 | 2006-08-07 |
| 1437166048 | Donald Feinsilver M.d. | Psychiatry & Neurology | 2424 S 90th St, Suite 402, West Allis, WI 53227-2455 | 2006-08-03 |
| 1619914629 | Donald L Feinsilver | Psychiatry & Neurology | 2424 S 90th St, West Allis, WI 53227-2455 | 2006-05-31 |
| 1235103375 | Kambiz Pahlavan | Psychiatry & Neurology | 11101 W Lincoln Ave, West Allis, WI 53227-1133 | 2006-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144844069 | Ania Fida | Psychiatry & Neurology | 1900 Westwood Dr, Wausau, WI 54401-7842 | 2020-06-05 |
| 1740764034 | New Frontiers Tms LLC | Psychiatry & Neurology | 2675 N Mayfair Rd Ste 400, Milwaukee, WI 53226-1305 | 2018-09-21 |
| 1912492398 | Heidi Ruth Wohlrabe | Psychiatry & Neurology | 1010 Franklin St, Wausau, WI 54403-5012 | 2018-06-27 |
| 1811494628 | Udoyen Health LLC | Psychiatry & Neurology | 1414 W Park Pl, Suite 202, Milwaukee, WI 53224 | 2018-04-09 |
| 1053811307 | Bret Reynolds | Psychiatry & Neurology | 2000 Progress Road, New Lisbon Correctional Institute-health Services Unit, New Lisbon, WI 53950 | 2018-02-13 |
| 1194223933 | Forefront-holbrook Medical Service Corporation | Psychiatry & Neurology | W315n7677 State Road 83 Unit 20, Hartland, WI 53029-9784 | 2018-01-26 |
| 1972015048 | Suzanne Lee | Psychiatry & Neurology | 1835 Winnebago St. #402, Madison, WI 53704 | 2017-10-30 |
| 1790212603 | Imad Khan | Psychiatry & Neurology | Uw Hospitals & Clinics 600 Highland Avenue, Madison, WI 53792 | 2017-05-23 |
| 1275980799 | Pyrimad Psychiatric Services and Health Care Management Solutions | Psychiatry & Neurology | 2460 Prairie Flower Ln, De Pere, WI 54115-9373 | 2016-05-16 |
| 1659725497 | Chelsea Maria Sprick | Psychiatry & Neurology | 5000 W National Ave Fl 3, Milwaukee, WI 53295-3133 | 2016-04-18 |
| Find all providers with the same taxonomy | ||||
| City | WEST ALLIS |
| Zip Code | 53214 |
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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.