DR. TIMOTHY ANDREW WILSON (NPI# 1457871006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457871006 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY ANDREW WILSON |
| Credential | MD |
| Practice Address |
1 Childrens Pl Dept Emergency Medicine Saint Louis MO 63110-1002 |
| Mailing Address |
1 Childrens Pl Msc 8515-87-1200 Saint Louis MO 63110-1002 |
| Practice Telephone | 3144546000 |
| Practice Fax Number | 3147473338 |
| Mailing Telephone | 3144542779 |
| Mailing Fax Number | 3144542110 |
| Enumeration Date | 2017-06-25 |
| Last Update Date | 2020-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
2020012908 | MO | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 2020012908 | MO | Allopathic & Osteopathic Physicians |
| 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 |
| 1417984139 | Timothy P Wilson | Family Medicine | 115b S Illinois Ave, Oak Ridge, TN 37830-6202 | 2006-06-27 |
| 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 |
| 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 |
1 CHILDRENS PL DEPT EMERGENCY MEDICINE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63110-1002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669476495 | William Lee Johnson | Pediatrics | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2005-06-09 |
| 1114527033 | Kristin Kueper | Dietitian, Registered | 1 Childrens Pl, Saint Louis, MO 63110-1081 | 2020-10-29 |
| 1609474055 | Courtney Tompkins | Audiologist | 1 Childrens Pl, Saint Louis, MO 63110-1081 | 2020-10-16 |
| 1164036851 | Andrea Bumb | Nurse Practitioner | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2020-09-01 |
| 1235741513 | Shannon Ries | Nurse Practitioner | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2020-08-19 |
| 1144832320 | Lacey Bender | Nurse Practitioner | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2020-08-19 |
| 1699386417 | Kristen Bagby | Nurse Practitioner | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2020-08-14 |
| 1720696115 | Abigail Patricia Klatch | Nurse Practitioner | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2020-07-21 |
| 1518575422 | St Louis Childrens Hospital | Clinical Medical Laboratory | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2020-07-16 |
| 1730707068 | Alyssa Lavalle | Nurse Practitioner | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2020-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
| 1245856046 | Jeevin Shahi | Radiology | 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 | 2020-06-18 |
| 1497371314 | Wilson Eduardo Rodriguez | Student in an Organized Health Care Education/Training Program | 1008 S. Spring, St Louis, MO 63110 | 2020-06-17 |
| 1578184065 | Kathryn Kay Lindsay | Registered Nurse | Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 | 2020-05-06 |
| 1881232700 | Ashley Diane Pace | Nurse Practitioner | 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 | 2019-12-11 |
| 1619520418 | Krithika Damodar Shenoy | Pathology | 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2019-07-20 |
| 1467912550 | Ian Ferguson | Dermatology | 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 | 2019-03-23 |
| 1760978688 | Ihab Hassanieh | Student in an Organized Health Care Education/Training Program | 33660 Vista Ave, St. Louis, MO 63110 | 2018-07-03 |
| 1336634500 | Martin K Mwangi | Pediatrics | 1 Childrens Place, 3s34, St. Louis, M, MO 63110 | 2018-06-28 |
| Find all providers in zip 63110 | ||||
| Taxonomy Code | 207PP0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Pediatric Emergency Medicine |
| Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/ Board certification is provided by the American Board of Emergency Medicine. Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497190854 | Michel John Adonis | Emergency Medicine | 1465 S Grand Blvd, Saint Louis, MO 63104 | 2013-04-29 |
| 1326324609 | Jaya Goswami | Emergency Medicine | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2011-10-31 |
| 1740577105 | Erin Marie Hall | Emergency Medicine | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2011-07-06 |
| 1720309016 | Philip Mulayara Abraham | Emergency Medicine | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2010-06-21 |
| 1548403181 | Timothy James Casper | Emergency Medicine | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2009-04-13 |
| 1073769733 | Noor Riaz | Emergency Medicine | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2008-08-13 |
| 1508022823 | Washington University | Emergency Medicine | 1 Barnes Hospital Plz, Saint Louis, MO 63110-1003 | 2008-08-06 |
| 1689838138 | Leanne Michelle Depalma | Emergency Medicine | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2008-07-14 |
| 1134318751 | Dana E Ankney | Emergency Medicine | 4488 Forest Park Ave, Ste 230, Saint Louis, MO 63108-2283 | 2007-10-19 |
| 1891893764 | Sarah Ward Alander | Emergency Medicine | 621 S New Ballas Rd, Saint Louis, MO 63141-8232 | 2006-09-21 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63110 |
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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.