DR. WENDY MEADE WILSON (NPI# 1427145986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427145986 |
| Entity Type | Individual |
| Full Name | DR. WENDY MEADE WILSON |
| Credential | MD |
| Practice Address |
6820 Parkdale Place Suite 211 Indianapolis IN 46254-6600 |
| Practice Telephone | 3173297050 |
| Practice Fax Number | 3173286809 |
| Mailing Telephone | 3173297050 |
| Mailing Fax Number | 3173286809 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2010-05-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NI0002X |
Dermatology Specialization: Clinical & Laboratory Dermatological Immunology |
01057248 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200441010 | 05 | |
| IN | ANTHEM | 000000279117 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609491307 | Wendy Wilson | Behavior Technician | 1400 Ne Rockwell Dr, Estacada, OR 97023-7615 | 2020-06-09 |
| 1285271403 | Wendy Wilson | Respite Care | 9800 E Golden Currant Dr, Tucson, AZ 85748-7897 | 2019-12-06 |
| 1245603471 | Wendy Dee Wilson | Dietitian, Registered | 15113 Rick Rd, Oklahoma City, OK 73170-7501 | 2015-11-10 |
| 1275970550 | Wendy Elizabeth Wilson | Counselor | 130 N Morgan St, Suite 201, Morganfield, KY 42437-1477 | 2013-05-28 |
| 1730524547 | Wendy Lynette Wilson | Social Worker | 9377 Highland Oaks Ave, Zachary, LA 70791-7450 | 2013-05-07 |
| 1588954390 | Wendy K Wilson | Physical Therapy Assistant | 12431 S Keeney Rd, Spokane, WA 99224-9644 | 2011-04-13 |
| 1770764698 | Wendy Renee Wilson | Licensed Practical Nurse | 654 Vedette St, Reynoldsburg, OH 43068-8574 | 2007-11-19 |
| 1477616399 | Wendy A Wilson | Physical Therapist | 1206 Keim Trl, Bartlett, IL 60103-7500 | 2006-12-19 |
| 1083783070 | Wendy Ann Wilson | Social Worker | 9 Bay Dr, Massapequa, NY 11758-7303 | 2006-11-06 |
| 1639730989 | Wendy H Wilson | Registered Nurse | 655 W 8th St, Jacksonville, FL 32209-6511 | 2019-06-27 |
| Street Address |
6820 PARKDALE PLACE SUITE 211 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46254-6600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205883295 | John M Delaney | Psychiatry & Neurology | 6820 Parkdale Place, Suite 115, Indianapolis, IN 46254-4699 | 2006-05-27 |
| 1356509731 | Sara P. Viernes Dds PC | Dentist | 6820 Parkdale Place, Suite 117, Indianapolis, IN 46254-4699 | 2008-06-02 |
| 1710068796 | Ingrida Iveta Ozols | Dermatology | 6820 Parkdale Place, Suite 211, Indianapolis, IN 46254-6600 | 2006-10-18 |
| 1306933858 | Mary Coffey Greist | Dermatology | 6820 Parkdale Place, Suite 211, Indianapolis, IN 46254-6600 | 2006-10-06 |
| 1407890445 | Edlyn N Jones | Psychologist | 6820 Parkdale Place, Suite 115, Indianapolis, IN 46254-4699 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427673052 | Sanders Empowerment Services LLC | Social Worker | 5026 Clarkson Drive, Indianapolis, IN 46254 | 2020-06-09 |
| 1316587660 | Yulisa Carrera-ochoa | Behavior Technician | 6925 Parkdale Place, Indianapolis, IN 46254 | 2020-01-14 |
| 1396230140 | Emeri Taivalkoski | Registered Nurse | Eskenazi Health West 38th Street, 5515 38th St, Indianapolis, IN 46254 | 2018-06-25 |
| 1811499759 | Sara Peterson | Speech-Language Pathologist | 4102 Shore Drive, Indianapolis, IN 46254 | 2018-03-07 |
| 1427560002 | Swan Garden Home Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4906 Quail Ridge Ln, Indianapolis, IN 46254 | 2017-11-03 |
| 1477083475 | Sherry Mason | Counselor | 5959 Staffordshire Cir, Indianapolis, IN 46254 | 2017-06-13 |
| 1790111680 | The Health and Hospital Corporation of Marion County | Pharmacy | 5515 W 38th St Ste 1200, Indianapolis, IN 46254 | 2013-09-24 |
| 1790051563 | Theracare | Skilled Nursing Facility | 5356 Holly Springs Ct, Indianapolis, IN 46254 | 2012-03-27 |
| 1750659827 | Apollon | Counselor | 5362 Deer Creek Drive, Indianapolis, IN 46254 | 2011-12-05 |
| 1235413253 | Irene Williams | Pharmacist | 6269 W. 38th St, Indianapolis, IN 46254 | 2011-10-10 |
| Find all providers in zip 46254 | ||||
| Taxonomy Code | 207NI0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Clinical & Laboratory Dermatological Immunology |
| A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| City | INDIANAPOLIS |
| Zip Code | 46254 |
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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.