TIMOTHY P WILSON (NPI# 1417984139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417984139 |
| Entity Type | Individual |
| Full Name | TIMOTHY P WILSON |
| Credential | M.D. |
| Practice Address |
115b S Illinois Ave Oak Ridge TN 37830-6202 |
| Mailing Address |
1835 Royal Harbor Dr Knoxville TN 37922-7214 |
| Practice Telephone | 8654834040 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2007-10-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD26476 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3096655 | 05 | |
| TN | MEDICARE | 3096650 | 01 |
| TN | RAILROAD MEDICARE | CA7018 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619173549 | Timothy Allen Wilson | Family Medicine | 9712 E 66th Ter, Raytown, MO 64133-5848 | 2007-06-26 |
| 1720186257 | Timothy Wilson | Dentist | 6868 E Becker Ln, Suite 101, Scottsdale, AZ 85254-6708 | 2006-09-20 |
| 1013946615 | Timothy Jon Wilson | Optometrist | 2413 Wards Rd, Lynchburg, VA 24502-2103 | 2006-07-03 |
| 1174588362 | Timothy C Wilson | Orthopaedic Surgery | 1760 Nicholasville Rd Ste 101, Lexington, KY 40503-1410 | 2006-04-19 |
| 1942269253 | Timothy M. Wilson | Anesthesiology | 129 N. Washington St., Sumter, SC 29150 | 2006-03-23 |
| 1487613402 | Timothy R Wilson | Family Medicine | 300 71st Street, Suite 620, Miami Beach, FL 33141-3089 | 2006-03-20 |
| 1194370965 | Timothy J Wilson Jr. | Counselor | 6221 Ne Fourth Plain Blvd Apt 130, Vancouver, WA 98661-7210 | 2019-08-07 |
| 1457871006 | Timothy Andrew Wilson | Emergency Medicine | 1 Childrens Pl, Dept Emergency Medicine, Saint Louis, MO 63110-1002 | 2017-06-25 |
| 1407393358 | Timothy Wilson | Case Manager/Care Coordinator | 2624 9th Ave S, Fargo, ND 58103-2350 | 2017-01-30 |
| 1417408147 | Timothy Wilson | Registered Nurse | 800 E 28th St, Minneapolis, MN 55407-3723 | 2016-10-18 |
| Street Address |
115B S ILLINOIS AVE |
| City | OAK RIDGE |
| State | TN |
| Zip Code | 37830-6202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194388702 | Oak Ridge Pharmacy | Pharmacy | 854 Main St W, Oak Ridge, TN 37830 | 2019-04-18 |
| 1134682693 | Mac's Pharmacy Oak Ridge, LLC | Pharmacy | 45 New York Avenue, Oak Ridge, TN 37830 | 2019-04-11 |
| 1689153876 | Tapuwa Martin Chikowore | Dentist | 377 S Illinois Ave, Oak Ridge, TN 37830 | 2018-08-09 |
| 1710475660 | Oak Ridge Smiles Dentistry, PC | Dentist | 377 S. Illinois Ave., Oak Ridge, TN 37830 | 2018-04-26 |
| 1417344763 | Heather Cupp | Social Worker | 723 Emory Valley Road, Oak Ridge, TN 37830 | 2015-04-23 |
| 1366701534 | Quality Care From The Heart | Preferred Provider Organization | 144 Newport Drive, Oak Ridge, TN 37830 | 2012-05-09 |
| 1578838223 | Second Chance Recovery In Faith, Inc | Community/Behavioral Health | 234 W Tennessee Ave, Oak Ridge, TN 37830 | 2012-03-14 |
| 1720364615 | Douglas Miller | Pharmacist | 1299 Oak Ridge Turnpike, Oak Ridge, TN 37830 | 2011-10-24 |
| 1619263852 | Namratha Reddy Vontela | Internal Medicine | 200 New York Ave Ste 200, Oak Ridge, TN 37830 | 2011-06-27 |
| 1356658165 | Fred Lewis Stephens | Social Worker | 150 E Division Rd Ste 10, Oak Ridge, TN 37830 | 2010-09-01 |
| Find all providers in zip 37830 | ||||
| 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 |
|---|---|---|---|---|
| 1841451119 | Anastasia Zoe Rairigh | Family Medicine | 1 Bethel Valley Rd Bldg 4500, Oak Ridge, TN 37830-8050 | 2008-06-19 |
| 1114113776 | Kimber A. Jones, Do, PC | Family Medicine | 22 Rockingham Ln, Oak Ridge, TN 37830-9033 | 2007-09-18 |
| 1437238797 | Summit Medical Group Pllc | Family Medicine | 801 Oak Ridge Turnpike, Oak Ridge, TN 37830 | 2006-11-06 |
| 1215049242 | Kip Alam Corrington | Family Medicine | 7607 Nc Highway 68 N Ste B, Oak Ridge, NC 27310-8803 | 2006-08-31 |
| 1033146568 | Alex M Alexander | Family Medicine | 114 Dover Ln, Oak Ridge, TN 37830-8793 | 2006-06-28 |
| 1639141583 | Christopher Charles Theune | Family Medicine | 5678 Berkshire Valley Rd, Oak Ridge, NJ 07438-9348 | 2006-02-05 |
| 1497224703 | Novant Medical Group, Inc. | Family Medicine | 7607 Nc Highway 68 N Ste B, Oak Ridge, NC 27310-8803 | 2018-11-15 |
| 1124528468 | Fast Pace Medical Clinic, Pllc | Family Medicine | 441 S Illinois Ave, Oak Ridge, TN 37830-7510 | 2018-02-13 |
| 1760911879 | Robert Eugene Chalmers | Family Medicine | 801 Oak Ridge Tpke, Oak Ridge, TN 37830-6916 | 2017-06-12 |
| 1881129443 | Ryan Semko | Family Medicine | 100 Vermont Ave, Oak Ridge, TN 37830-6471 | 2017-04-20 |
| Find all providers in OAK RIDGE | ||||
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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.