DEREK JAMES WILSON


Address: 1600 Sw Archer Rd, Gainesville, FL 32610-0371
Phone: 3522650301

DEREK JAMES WILSON (NPI# 1558760132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558760132
Entity Type Individual
Full Name DEREK JAMES WILSON
Practice Address 1600 Sw Archer Rd
Gainesville
FL 32610-0371
Mailing Address Po Box 13833
Philadelphia
PA 19101-3833
Practice Telephone 3522650301
Enumeration Date 2014-08-19
Last Update Date 2014-08-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Other Providers DEREK WILSON

NPI Name Taxonomy Address Enumeration
1134640741 Derek James Wilson Pharmacist 2a Walter E Foran Blvd, Flemington, NJ 08822 2017-07-05
1093143950 Derek Wilson Counselor 204 S Irwin Ave, Charlotte, NC 28202-1117 2013-10-30
1043829302 Derek Alan Wilson Developmental Therapist 4160 Piedmont Pkwy Ste 207, Greensboro, NC 27410-8174 2020-07-23
1841668035 Derek Timothy Wilson Nurse Anesthetist, Certified Registered 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 2015-09-04
1114348729 Derek James Wilson Counselor 360 Bloomfield Ave Ste 301, Windsor, CT 06095-2700 2013-12-27
1417034026 Derek Edward Wilson Physician Assistant 800 W Laurel St, Independence, KS 67301-3211 2006-11-01

Office Location

Street Address 1600 SW ARCHER RD
City GAINESVILLE
State FL
Zip Code 32610-0371

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669475554 Walter J Milton Radiology 1600 Sw Archer Rd, Gainesville, FL 32610-3003 2005-05-24
1104427251 Morgan Elizabeth Gilbert Nurse Practitioner 1600 Sw Archer Rd, Gainesville, FL 32610-3003 2020-11-05
1598365306 Kristin Renee Lapham Nurse Practitioner 1600 Sw Archer Rd, Gainesville, FL 32610-3003 2020-10-30
1225638174 Leigha Fridley Student in an Organized Health Care Education/Training Program 1600 Sw Archer Rd, Gainesville, FL 32610-3003 2020-10-29
1962000950 Kelli O'shaughnessy Physician Assistant 1600 Sw Archer Rd, Gainesville, FL 32610-3003 2020-10-13
1053919985 Amber Lynn Bart Nurse Practitioner 1600 Sw Archer Rd, Gainesville, FL 32610-3003 2020-10-13
1134726847 Emily Elizabeth Farhat Social Worker 1600 Sw Archer Rd, Gainesville, FL 32610-3003 2020-10-06
1346847944 Nicholas Scott Duarte Physician Assistant 1600 Sw Archer Rd, Gainesville, FL 32610-3003 2020-10-06
1922613231 Trinh Nguyen Pharmacist 1600 Sw Archer Rd, Gainesville, FL 32610-3003 2020-09-14
1053926501 Annalise Deboef Nurse Practitioner 1600 Sw Archer Rd, Gainesville, FL 32610-3003 2020-09-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003440660 Thy Cam Huynh Occupational Therapist 1549 Gale Lemerand Dr, Gainesville, FL 32610 2020-02-23
1093359226 Lauren Anne Ruddocks Dentist University of Florida College of Dentistry, 1395 Center Drive, Gainesville, FL 32610 2019-10-31
1104310549 Brandon Lucke-wold Neurological Surgery 1149 S Newell Dr Deapartment of Neurosurgery Bldg #59, Gainesville, FL 32610 2018-06-19
1619465754 Carlos Eduardo Vervloet Sollero Student in an Organized Health Care Education/Training Program 1149 Newell Drive, University of Florida, Department of Neurology, Gainesville, FL 32610 2018-04-24
1811359151 Ramsha A. Kudia Internal Medicine 1549 Gale Lemerand Drive, 3rd Floor, Gainesville, FL 32610 2016-03-25
1447619937 Wajdi Mohammed Dentist 1395 Center Dr., D8-6, Gainesville, FL 32610 2016-02-12
1922484344 Kavan Ashit Gandhi Dentist 1395 Center Drive D7-19, Gainesville, FL 32610 2015-08-07
1972981512 David Shin Student in an Organized Health Care Education/Training Program 1600 Sw Archer Road, Fl 1, Rm 1097, Gainesville, FL 32610 2015-05-15
1669887485 Alejandro Jose Delgado Dentist 1395 Center Drive, University of Florida, College of Dentistry, Gainsville, FL 32610 2014-07-01
1194167296 Zain Shahid Student in an Organized Health Care Education/Training Program 1600 Sw Archer Rd # Ng-45, Gainesville, FL 32610 2013-07-18
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750989471 Rylee Holland Physician Assistant 701 Sw 62nd Blvd Apt 118, Gainesville, FL 32607-2079 2020-10-14
1992329726 Clinton Thomas Zopf Physician Assistant 4229 Nw 43rd St Apt E40, Gainesville, FL 32606-2508 2020-06-08
1689298721 Michael Wood Physician Assistant 10360 Sw 51st Ln, Gainesville, FL 32608-4380 2020-06-04
1386268431 Alexandra Christina Clayton Physician Assistant 1600 Sw Archer Rd Rm 6130, Gainesville, FL 32610-6922 2020-06-04
1437782851 Madison Raye Huth Physician Assistant 743 Spring Street Se, Gainesville, GA 30501 2020-02-13
1003454786 Erica Lynn Iketani Physician Assistant 1600 Sw Archer Rd Rm 10-504, Gainesville, FL 32610-3003 2019-12-13
1952967184 Naomi Lux Physician Assistant 15418 N State Road 121, Gainesville, FL 32653-7513 2019-05-13
1700441441 Alexandria Brown Physician Assistant 3538 Nw 25th Ter, Gainesville, FL 32605-2296 2019-05-08
1891250502 Mark Burdette Mechak Physician Assistant 14535 John Marshall Hwy Ste 105, Gainesville, VA 20155-4024 2019-02-06
1427564848 Ngan Lam Physician Assistant 200 Sw 62nd Blvd Ste C, Gainesville, FL 32607-2067 2017-12-20
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Competitor

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City GAINESVILLE
Zip Code 32610

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Dataset Information

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.

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