ANDREA LOIS WILSON (NPI# 1558424614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558424614 |
| Entity Type | Individual |
| Full Name | ANDREA LOIS WILSON |
| Credential | PA-C |
| Practice Address |
9000 N Main Street Suite 101 Dayton OH 45415 |
| Practice Telephone | 9378322425 |
| Practice Fax Number | 9378329804 |
| Mailing Telephone | 9378322425 |
| Mailing Fax Number | 9378329804 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2014-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 50-001937 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 50001937 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0067865 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659847150 | Andrea Margaret Wilson | Registered Nurse | 8221 Royal Scarlet Dr, Baldwinsville, NY 13027-8942 | 2018-10-23 |
| 1912494923 | Andrea Sherrell Wilson | Non-emergency Medical Transport (VAN) | 5339 Arbor Pl, Williamsburg, VA 23188-2469 | 2018-04-16 |
| 1326590944 | Andrea Wilson | In Home Supportive Care | 298 Martin Luther King Jr Dr, Jersey City, NJ 07305-3515 | 2016-10-31 |
| 1447603493 | Andrea Wilson | Counselor | 4115 W Adams St, Chicago, IL 60624-2702 | 2016-07-14 |
| 1194196618 | Andrea Wilson | Health Educator | 100 North Washington St., Station 14, Livingston, AL 35470 | 2015-10-09 |
| 1396169306 | Andrea Wilson | Nurse's Aide | 18519 Egret Bay Blvd Apt 1610, Houston, TX 77058-3280 | 2014-02-11 |
| 1891047833 | Andrea Wilson | Behavioral Analyst | 3990 Sheridan St Ste 209, Hollywood, FL 33021-3656 | 2012-10-14 |
| 1609172253 | Andrea Michelle Wilson | Doula | 2915 N Texas St, 150, Fairfield, CA 94533-1291 | 2011-01-30 |
| 1871812586 | Andrea M Wilson | Licensed Practical Nurse | 772 Smiley Ave, Cincinnati, OH 45240-1948 | 2010-05-19 |
| 1265596530 | Andrea Gibbs Wilson | Counselor | 5950 N Oak Trfy Ste 104, Gladstone, MO 64118-5164 | 2006-12-21 |
| Street Address |
9000 N MAIN STREET SUITE 101 |
| City | DAYTON |
| State | OH |
| Zip Code | 45415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457881062 | Angelique Oluyitan | Registered Nurse | 50 Granite Dr, Dayton, OH 45415 | 2017-06-15 |
| 1255869244 | Sherry Marie Buchanan | Occupational Therapy Assistant | 140 Ewoodbury Dr, Dayton, OH 45415 | 2017-06-02 |
| 1417328972 | Thomas Riddell | Hearing Instrument Specialist | 5525 N. Main St, Dayton, OH 45415 | 2015-10-09 |
| 1932448537 | Mory Summer | General Practice | 141 Trailwoods Dr., Dayton, OH 45415 | 2013-02-04 |
| 1184909095 | Yolanda Jean Jenkins | Registered Nurse | 6339 Afton Drive, Dayton, OH 45415 | 2011-10-12 |
| 1023392560 | Megan E Betts | Specialist/Technologist, Other | 9000 N Main St. Ste 303, Dayton, OH 45415 | 2011-10-03 |
| 1356655195 | Gwendolyn L. Warren | Massage Therapist | 8393 N. Main St., Ste B, Dayton, OH 45415 | 2010-08-04 |
| 1811141559 | Dayton Physicians, LLC | Durable Medical Equipment & Medical Supplies | 9000 N Main St Suite 333, Dayton, OH 45415 | 2008-11-07 |
| 1730331224 | Joel Metze | Obstetrics & Gynecology | 9000 N Main St Ste 232, Englewood, OH 45415 | 2008-10-16 |
| 1023236247 | James Otis Hurst | Dentist | 9000 N. Main Street, Suite 207, Dayton, OH 45415 | 2007-04-23 |
| Find all providers in zip 45415 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091241 | Beau Webb | Physician Assistant | 6017 Cruxten Dr, Dayton, OH 45424-3702 | 2020-10-18 |
| 1043838782 | Marie Therese Mualla Oram | Physician Assistant | 204 Sears St Apt 518, Dayton, OH 45402-1573 | 2020-07-09 |
| 1720542509 | Herodina Ibanez Lu | Physician Assistant | 1 Elizabeth Pl Nwb Ste 15, Dayton, OH 45417-3445 | 2019-01-25 |
| 1427585819 | Mita Morar | Physician Assistant | 938 Olde Sterling Way, Dayton, OH 45459-3100 | 2017-05-16 |
| 1306394275 | Danielle Elizabeth Tirjer Cleary | Physician Assistant | 320 Judith Dr, Dayton, OH 45429-5306 | 2016-09-20 |
| 1831555234 | Lisa Byers | Physician Assistant | 7980 N Main St, Dayton, OH 45415-2328 | 2016-01-14 |
| 1205205358 | Kelby Snorf | Physician Assistant | 30 E Apple Street, Suite 3300, Dayton, OH 45409 | 2015-09-18 |
| 1104201730 | Dominique Hunt | Physician Assistant | 5300 Far Hills Ave Ste 300, Dayton, OH 45429-2381 | 2015-07-24 |
| 1285025957 | Holly Griffin | Physician Assistant | 4340 Clyo Rd, Dayton, OH 45459-7000 | 2015-02-16 |
| 1073885216 | Shawn Breeding | Physician Assistant | 627 Edwin C. Moses Blvd, Suite K, Dayton, OH 45417-3474 | 2012-02-03 |
| Find all providers in DAYTON | ||||
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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.