MIKE WILSON (NPI# 1558894956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558894956 |
| Entity Type | Individual |
| Full Name | MIKE WILSON |
| Credential | ORTHOPEDIC TECH |
| Practice Address |
317 N El Camino Real Ste 405 Encinitas CA 92024-2811 |
| Practice Telephone | 7609942663 |
| Mailing Telephone | 7609942663 |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2017-04-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZX2200X |
Specialist/Technologist, Other Specialization: Orthopedic Assistant |
CPT00039417 | TX | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
317 N EL CAMINO REAL STE 405 |
| City | ENCINITAS |
| State | CA |
| Zip Code | 92024-2811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477546125 | Linda R Olafson Md Inc | Family Medicine | 317 N El Camino Real, #101, Encinitas, CA 92024-2811 | 2005-08-29 |
| 1053865790 | Coastal Hearing Aid Center | Hearing Instrument Specialist | 317 N El Camino Real, Encinitas, CA 92024-2811 | 2016-08-11 |
| 1144676586 | Anne Foucault | Acupuncturist | 317 N El Camino Real, Ste 408, Encinitas, CA 92024-2811 | 2016-05-04 |
| 1104286996 | Mccormack Dental Imaging | Dental Laboratory | 317 N El Camino Real, Ste. 301, Encinitas, CA 92024-2811 | 2016-03-07 |
| 1801260773 | Gerald Gollin Md, Inc. | Surgery | 317 N El Camino Real, Ste 502, Encinitas, CA 92024-2811 | 2015-11-16 |
| 1881079986 | Seaside Integrative Medical Center Inc | Family Medicine | 317 N El Camino Real, Suite 406, Encinitas, CA 92024-2811 | 2015-07-30 |
| 1427451202 | Christopher M. Sumer | Hearing Instrument Specialist | 317 N El Camino Real, Ste 501, Encinitas, CA 92024-2816 | 2014-10-07 |
| 1447651831 | El Camino Acupuncture | Acupuncturist | 317 N El Camino Real, Suite 406, Encinitas, CA 92024-2811 | 2014-09-04 |
| 1669892352 | Rachel Pagones | Acupuncturist | 317 N El Camino Real, Suite 406, Encinitas, CA 92024-2811 | 2014-04-21 |
| 1609292275 | Dana Wylie | Massage Therapist | 317 N El Camino Real, Ste 408, Encinitas, CA 92024-2811 | 2014-03-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326688672 | Erika S Roark | Nurse Practitioner | 754 Bonita Drive, Encinitas, CA 92024 | 2020-01-14 |
| 1871064279 | Elana Miller | Physical Therapist | 285 N El Camino Real Ste 202, Encinitas, CA 92024 | 2018-12-10 |
| 1811478654 | Aton Center, Inc. | Substance Abuse Rehabilitation Facility | 3238 Country Rose Cir, Encinitas, CA 92024 | 2018-08-28 |
| 1124508296 | Hardison Medical Corporation | Family Medicine | 2210 Encinitas Blvd Ste N, Encinitas, CA 92024 | 2018-08-18 |
| 1326544990 | Jamin Sarah Sylvada | Midwife | 1141 Balour Drive, Encinitas, CA 92024 | 2018-04-03 |
| 1457856445 | Stephanie Yarnell | Optometrist | 385 Via Montanosa, Encinitas, CA 92024 | 2018-03-29 |
| 1972002954 | J Schaefer Dds Inc | Clinic/Center | 355 Santa Fe Drive Suite 100, Encinitas, CA 92024 | 2018-02-06 |
| 1538691654 | Dr. James C. Lajevic D.m.d. Correct Choice Dental | Point of Service | 199 N El Camino Real Blvd, Suite E, Encinitas, CA 92024 | 2017-03-29 |
| 1649720566 | Marcia A. Rebelo | Social Worker | 187 Calle Magdalena Ste 114, Encinitas, CA 92024 | 2016-10-04 |
| 1346698529 | Jordan Anne Pinozek | Optometrist | 1044b N El Camino Real, Encinitas, CA 92024 | 2016-05-29 |
| Find all providers in zip 92024 | ||||
| Taxonomy Code | 246ZX2200X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Orthopedic Assistant |
| An Orthopaedic Assistant is a person who has been trained to work as a physician extender in both clinical and surgical environments. An Orthopaedic Assistant assists with aspects of patient care as determined by the supervising surgeon including, but not limited to, obtaining patient history, assisting with examinations, injections, recording of office notes, and application/adjustment/removal of splints, casts, and other immobilization devices. Acting as a surgical first assistant for orthopaedic surgery cases includes providing aid in exposure, hemostasis, positioning of the patient, suturing and closure of body planes and skin, application of wound dressings or immobilization devices, and other technical functions that will help the surgeon carry out a safe operation with optimal results for the patient. An Orthopaedic Assistant may be licensed, registered, or certified depending on the state in which the individual practices. |
| Notes: Source: American Society of Orthopaedic Assistants (ASOA), 2014 [7/1/2014: new] Additional Resources: National Board for Certification of Orthopaedic Assistants |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487028999 | Karli Hinson | Specialist/Technologist, Other | 351 Santa Fe Drive, Ste. 100, Encinitas, CA 92024 | 2015-11-20 |
| 1518567734 | Kyle Michael Barefield | Specialist/Technologist, Other | 320 Santa Fe Dr Ste 301, Encinitas, CA 92024-5140 | 2020-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396295226 | Gregory Vincent Froelich | Specialist/Technologist, Other | 6692 Healey Ave, Garden Grove, CA 92845-2217 | 2016-10-04 |
| 1588113401 | Brenda Parmenter | Specialist/Technologist, Other | 2173 Camino Del Este, Apt. 6318, San Diego, CA 92108 | 2016-10-04 |
| 1639626542 | Harold Rice | Specialist/Technologist, Other | 14704 Presilla Dr, Jamul, CA 91935-4005 | 2016-09-08 |
| 1295282648 | Stephen Fasano | Specialist/Technologist, Other | 5472 Geneva Ave, San Diego, CA 92114-1121 | 2016-09-01 |
| 1336509801 | Egon H. Trujillo | Specialist/Technologist, Other | 501 Torrance Bl., Torrance, CA 90502 | 2016-02-26 |
| 1457725434 | Michael Mercado | Specialist/Technologist, Other | 5833 Rockne Ave, Whittier, CA 90606-1117 | 2015-11-13 |
| 1043842123 | Denise Francis-landis | Specialist/Technologist, Other | 2116 E Orangeburg Ave Ste A, Modesto, CA 95355-3370 | 2020-02-06 |
| 1457997710 | Alyssa Sawaya | Specialist/Technologist, Other | 9850 Genesee Ave Ste 210, La Jolla, CA 92037-1206 | 2019-11-21 |
| 1699243550 | Sherrinn Mullen | Specialist/Technologist, Other | 24331 El Toro Rd Ste 200, Laguna Woods, CA 92637-3116 | 2018-11-08 |
| 1669949020 | Rodrigo Rodriguez | Specialist/Technologist, Other | 24331 El Toro Rd Ste 200, Laguna Woods, CA 92637-3116 | 2018-10-24 |
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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.