BENJAMIN WILSON (NPI# 1417247644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417247644 |
| Entity Type | Individual |
| Full Name | BENJAMIN WILSON |
| Credential | M.D. |
| Practice Address |
800 S Ash St Nevada MO 64772-3223 |
| Mailing Address |
627 S Ash St Nevada MO 64772-3218 |
| Practice Telephone | 4176673355 |
| Mailing Telephone | 4176676800 |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2016-03-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2015010966 | MO | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | P5148 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336754258 | Benjamin David Wilson | Pharmacist | 8110 Hghway 100, Bellevue, TN 37221 | 2020-09-09 |
| 1235663204 | Benjamin David Wilson | Student in an Organized Health Care Education/Training Program | 169 16th St Apt 3b, Brooklyn, NY 11215-4415 | 2017-04-17 |
| 1093257461 | Benjamin Russell Wilson | Counselor | 6461 Dawn Dr, Bellevue, MI 49021-8411 | 2016-11-16 |
| 1952694549 | Benjamin Wilson | Family Medicine | 115 Sunnyside Ave Ste A, Granger, WA 98932 | 2011-05-16 |
| 1841824125 | Benjamin Carl Wilson | Case Manager/Care Coordinator | 1085 Maple St, Farmington, MO 63640-1955 | 2020-02-26 |
| 1700434636 | Benjamin Martin Wilson | Marriage & Family Therapist | 4010 Dupont Cir Ste 582, Louisville, KY 40207-4888 | 2019-09-04 |
| 1598310088 | Benjamin Wilson | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2019-08-02 |
| 1316506959 | Benjamin Montgomery Wilson | Radiology | 101 E Wood St, Spartanburg, SC 29303-3040 | 2019-06-07 |
| 1629539143 | Benjamin Thomas Wilson | Student in an Organized Health Care Education/Training Program | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2019-03-27 |
| 1598225583 | Benjamin Frederick Wilson | General Practice | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2019-03-25 |
| Street Address |
800 S ASH ST |
| City | NEVADA |
| State | MO |
| Zip Code | 64772-3223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437152634 | John Thomas Weaver | Surgery | 800 S Ash St, Nevada, MO 64772-3223 | 2005-05-23 |
| 1629602024 | Jody M Pryor | Nurse Practitioner | 800 S Ash St, Nevada, MO 64772-3224 | 2020-02-25 |
| 1689133134 | Teresa Reed | Nurse Practitioner | 800 S Ash St, Nevada, MO 64772-3224 | 2019-03-14 |
| 1942768833 | Jessica Cornett | Nurse Practitioner | 800 S Ash St, Nevada, MO 64772-3224 | 2019-03-09 |
| 1437604592 | Jamie O'farrell | Nurse Practitioner | 800 S Ash St, Nevada, MO 64772-3224 | 2016-08-18 |
| 1619319381 | Emelia S. Whiteaker | Specialist/Technologist | 800 S Ash St, Nevada, MO 64772-3223 | 2013-07-23 |
| 1740621408 | Megan Leann Martin | Speech-Language Pathologist | 800 S Ash St, Nevada, MO 64772-3223 | 2013-07-10 |
| 1154613297 | Mid America Medical Consultants | Radiology | 800 S Ash St, Nevada, MO 64772-3223 | 2011-05-09 |
| 1477854065 | Vernon Emergency Group LLC | Physician Assistant | 800 S Ash St, Nevada, MO 64772-3223 | 2010-11-12 |
| 1316275985 | Nrmc Wound Clinic | General Acute Care Hospital | 800 S Ash St, Nevada, MO 64772-3223 | 2009-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184116170 | Elizabeth Hoang | Dentist | 14054 Us-54, Nevada, MO 64772 | 2018-06-05 |
| 1376056424 | Chelsea Deines | Social Worker | 19940 S. 1481 Road, Nevada, MO 64772 | 2017-11-13 |
| 1558712422 | Ozark Tri County Healthcare Consortium | Dentist | 204 N Cedar, Nevada, MO 64772 | 2016-06-22 |
| 1144605312 | Nevada City Hospital | Clinic/Center | 627 S Ash St Ste B, Nevada, MO 64772 | 2015-07-29 |
| 1205233129 | Julie Ann Parker | Dental Hygienist | 204 North Cedar, Nevada, MO 64772 | 2014-11-20 |
| 1023432101 | Ashley Mckinney | Speech-Language Pathologist | 811 W Hickory, Nevada, MO 64772 | 2014-02-11 |
| 1477975183 | Krc 1505 Health Care Services LLC | Assisted Living Facility | 1505 East Ashland Street, Nevada, MO 64772 | 2014-01-15 |
| 1649520727 | Kathy J Hallam | Registered Nurse | 320 N Mac Boulevard, Nevada, MO 64772 | 2012-09-14 |
| 1396090916 | Emily Lane | Speech-Language Pathologist | 16927 S 1413 Rd, Nevada, MO 64772 | 2012-07-19 |
| 1427385517 | Nevada City Hospital | Clinic/Center | 345 S Barrett Ln., Nevada, MO 64772 | 2009-11-10 |
| Find all providers in zip 64772 | ||||
| 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 |
|---|---|---|---|---|
| 1285608778 | Alison B Carleton | Family Medicine | 1011 6th St, Nevada, IA 50201-1825 | 2006-02-14 |
| 1023080504 | Story County Hospital | Family Medicine | 640 S 19th St, Nevada, IA 50201-2902 | 2006-02-07 |
| 1073503082 | Timothy Cole Lowry | Family Medicine | 230 S. 6th St., Nevada, IA 50201-2534 | 2005-10-21 |
| 1114914520 | Pierre Rene' Bernard | Family Medicine | 230 South 6th Street, Nevada, IA 50201-2534 | 2005-09-30 |
| 1649277831 | Russell Richard Kemm | Family Medicine | 216 N Main St, Nevada, MO 64772-2332 | 2005-07-01 |
| 1104821867 | Nevada Medical Clinic L.L.C. | Family Medicine | 900 S Adams St, Nevada, MO 64772-3210 | 2005-06-17 |
| 1164754859 | Nevada City Hospital | Family Medicine | 800 S. Ash Street, Suite 220, Nevada, MO 64772-3224 | 2010-02-04 |
| 1508190737 | Carleton Family Medicine, Pllc | Family Medicine | 1011 6th St, Nevada, IA 50201-1825 | 2009-09-21 |
| 1528222460 | Ryan Harrison | Family Medicine | 900 S Adams St, Nevada Medical Clinic, LLC, Nevada, MO 64772-3210 | 2008-07-10 |
| 1144356890 | Jill Kristine Spangler | Family Medicine | 900 S Adams St, Nevada, MO 64772-3210 | 2007-02-26 |
| Find all providers in NEVADA | ||||
Please comment or provide details below to improve the information on BENJAMIN 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.