DR. ROBERT BORDEN WILSON (NPI# 1477971885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477971885 |
| Entity Type | Individual |
| Full Name | DR. ROBERT BORDEN WILSON |
| Credential | M.D. |
| Practice Address |
2300 Hospital Dr Ste 120 Bossier City LA 71111-2193 |
| Mailing Address |
1202 Louisiana Ave Shreveport LA 71101-3910 |
| Practice Telephone | 3182127982 |
| Practice Fax Number | 3182127989 |
| Mailing Telephone | 3182128951 |
| Mailing Fax Number | 3182126752 |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2019-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 306374 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2449508 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6431 Fannin St, Suite Msb 3.151, Houston, TX 770301501 | 7135005800 | 7135005805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164957668 | Robert Wilson | Pharmacist | 11950 De Palma Rd, Corona, CA 92883-8499 | 2017-04-22 |
| 1487020566 | Robert Wilson | Acupuncturist | 537 W Washington St, Marquette, MI 49855-4133 | 2015-08-12 |
| 1205247129 | Robert Norman Wilson IIi | Student in an Organized Health Care Education/Training Program | Gru College of Dental Medicine, Augusta, GA 30912-0001 | 2014-05-13 |
| 1922362888 | Robert Travis Wilson | Emergency Medicine | 517 Kerri Cove Ct Apt 104, Midlothian, VA 23113-6873 | 2012-06-26 |
| 1144589458 | Robert Wilson | Chiropractor | 132a N Central Ave, Centerville, TN 37033 | 2012-05-07 |
| 1649575937 | Robert George Wilson | Military Health Care Provider | 515 Tessentee Rd, Franklin, NC 28734 | 2011-01-18 |
| 1396078317 | Robert Max Wilson | Case Manager/Care Coordinator | 618 Manzano Ne, Albuquerque, NM 87110 | 2009-09-09 |
| 1013140672 | Robert James Wilson | Dentist | 1321 N Tennessee St, # 108, Mckinney, TX 75069-2142 | 2009-08-31 |
| 1417189994 | Robert P Wilson Jr. | Physical Therapist | 225 Evergreeen Road, Pottstown, PA 19464 | 2009-08-17 |
| 1902035678 | Robert J Wilson | Physician Assistant | 3808 Padre Blvd, South Padre Island, TX 78597-7004 | 2009-07-02 |
| Street Address |
2300 HOSPITAL DR STE 120 |
| City | BOSSIER CITY |
| State | LA |
| Zip Code | 71111-2193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760043491 | Wk Preferred Pediatrics | Pediatrics | 2300 Hospital Dr Ste 120, Bossier City, LA 71111-2193 | 2019-06-24 |
| 1295199016 | Randall Glen White Jr. | Pediatrics | 2300 Hospital Dr Ste 120, Bossier City, LA 71111 | 2016-04-07 |
| 1780048587 | Elise Fontenot Edwards | Pediatrics | 2300 Hospital Dr Ste 120, Bossier City, LA 71111-2193 | 2016-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669007951 | Tamara 'tammy' Larck | Counselor | 1525 Fullilove Drive, Shreveport, LA 71111 | 2020-03-06 |
| 1912538315 | Lagniappe Chiropractic | Chiropractor | 2400 Airline Drive, Bossier City, LA 71111 | 2020-02-04 |
| 1649817420 | Lifecare Medical Transportation, LLC. | Non-emergency Medical Transport (VAN) | 25 Duck Haven Pointe, Bossier City, LA 71111 | 2019-11-29 |
| 1770126344 | Bertresea White Evans | Nurse Practitioner | Coastal Urgernt Care, 5314 Airline Drive, Bossier City, LA 71111 | 2019-10-25 |
| 1861964058 | Erika Davis Reed | Counselor | 1515 Doctors Dr # 16, Bossier City, LA 71111 | 2018-12-28 |
| 1518436898 | Charlotte Mckay | Case Manager/Care Coordinator | 31330 Hwy 22, Ste 101, Bossier City, LA 71111 | 2018-11-16 |
| 1992271464 | Np2u, LLC | Nurse Practitioner | 2008 Airline Drive Suite 300 #194, Bossier City, LA 71111 | 2018-10-22 |
| 1114416542 | Lashaunda Autrey | Counselor | 410 Half Moon Lane, Bossier, LA 71111 | 2018-05-01 |
| 1750887196 | Shenya Williams-pennywell | Counselor | 1007 Gould Drive Bldg 2, Suite 1, Bossier City, LA 71111 | 2018-04-04 |
| 1336647304 | Patrick Vance | Physical Therapist | 5000 Benton Rd Ste 1, Bossier City, LA 71111 | 2018-01-24 |
| Find all providers in zip 71111 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548471832 | Megan E Gardner | Pediatrics | 2400 Hospital Dr., Suite 120, Bossier City, LA 71111-2386 | 2007-05-25 |
| 1023086873 | Mandhar R. Manchandia | Pediatrics | 2706 Shed Rd, Bossier City, LA 71111-3348 | 2006-03-09 |
| 1760043491 | Wk Preferred Pediatrics | Pediatrics | 2300 Hospital Dr Ste 120, Bossier City, LA 71111-2193 | 2019-06-24 |
| 1295199016 | Randall Glen White Jr. | Pediatrics | 2300 Hospital Dr Ste 120, Bossier City, LA 71111 | 2016-04-07 |
| 1780048587 | Elise Fontenot Edwards | Pediatrics | 2300 Hospital Dr Ste 120, Bossier City, LA 71111-2193 | 2016-04-07 |
| 1861860629 | Wk Premier Pediatrics | Pediatrics | 2300 Hospital Dr, Suite 420, Bossier City, LA 71111-2394 | 2015-09-10 |
| 1851783955 | Wk Internal Medicine and Pediatric Specialists | Pediatrics | 2300 Hospital Dr, Suite 300, Bossier City, LA 71111-2394 | 2015-02-26 |
| 1639435233 | Tara Ashley Andrews | Pediatrics | 1514 Doctors Dr, Bossier City, LA 71111-3379 | 2012-04-09 |
| 1710205547 | Lauren Milner | Pediatrics | 2400 Hospital Dr, Suite 120, Bossier City, LA 71111-2385 | 2010-05-04 |
| 1649595950 | Wk Bossier Pediatric Partners | Pediatrics | 2300 Hospital Dr, Suite 120, Bossier City, LA 71111-2394 | 2010-03-30 |
| Find all providers in BOSSIER CITY | ||||
| City | BOSSIER CITY |
| Zip Code | 71111 |
Please comment or provide details below to improve the information on DR. ROBERT BORDEN 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.