SHERI A WILSON (NPI# 1568454940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568454940 |
| Entity Type | Individual |
| Full Name | SHERI A WILSON |
| Credential | PA-C |
| Practice Address |
1245 E Ireland Rd South Bend IN 46614-3448 |
| Mailing Address |
516 Windy Ct Kokomo IN 46901-3703 |
| Practice Telephone | 7431270225 |
| Mailing Telephone | 2692407300 |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2018-06-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 10000582A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 505 W Cleveland Rd, Mishawaka, IN 465451003 | 5742353135 | |
| 900 Johnson St, Elkhart, IN 465143328 | 5747478004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598109845 | Sheri Ann Wilson | Psychologist | 102 Jennings Mill Dr, Bowie, MD 20721-7260 | 2013-04-17 |
| 1255531703 | Sheri Melaine Wilson | Licensed Practical Nurse | 3501 Fallsburg Rd Ne, Newark, OH 43055-9672 | 2007-07-23 |
| Street Address |
1245 E IRELAND RD |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46614-3448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073155420 | Priya Kaur | Physician Assistant | 1245 E Ireland Rd, South Bend, IN 46614-3448 | 2019-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417574013 | Hellen Gathesha | Nurse Practitioner | 2123 W Irvington Dr, South Bend, IN 46614 | 2020-06-30 |
| 1033759394 | Diane Galvas | Pharmacist | 1217 E. Ireland Rd., South Bend, IN 46614 | 2020-01-14 |
| 1730668690 | Julenne Henriquez-gil | Physical Therapist | 202 W Ireland Rd Ste 101a, South Bend, IN 46614 | 2018-08-11 |
| 1467747014 | Deidre A Coffey | Nurse Practitioner | 1025 Widener Ln, South Bend, IN 46614 | 2011-06-12 |
| 1588727655 | Wal-mart Stores East, Lp | Technician/Technologist | 700 W. Ireland Rd., South Bend, IN 46614 | 2006-12-19 |
| 1437262847 | Lori F Risser | Dentist | 734 E Ireland Rd, South Bend, IN 46614 | 2006-08-17 |
| 1912388018 | Laura Ellen Albright | Family Medicine | 2102 E Inwood Rd, South Bend, IN 46614 | 2015-06-15 |
| 1245626225 | Kathleen Kelley | Dermatology | 1815 E Ireland Rd, South Bend, IN 46614 | 2015-04-07 |
| 1073869806 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 1950 Ridgedale Rd, South Bend, IN 46614 | 2012-07-30 |
| 1326300666 | Kristine Marie Jones | Optometrist | 700 W Ireland Rd, South Bend, IN 46614 | 2012-06-12 |
| Find all providers in zip 46614 | ||||
| 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 |
|---|---|---|---|---|
| 1245421031 | Lisa D Raderstorf | Physician Assistant | 5838 W Brick Rd, Suite 106, South Bend, IN 46628-8423 | 2007-08-06 |
| 1316167307 | Dwaine Siade | Physician Assistant | 611 Lincoln Way East Suite 1, South Bend, IN 46601 | 2007-05-01 |
| 1699764308 | Gary L. Armock | Physician Assistant | 53880 Carmichael Dr, South Bend, IN 46635-1567 | 2005-10-14 |
| 1740803238 | Taylor Reinhardt | Physician Assistant | 615 N Michigan St, South Bend, IN 46601-1033 | 2020-05-19 |
| 1073155420 | Priya Kaur | Physician Assistant | 1245 E Ireland Rd, South Bend, IN 46614-3448 | 2019-10-16 |
| 1730720301 | Mackenzie S Warrick | Physician Assistant | 53880 Carmichael Dr, South Bend, IN 46635-1567 | 2019-10-03 |
| 1649736604 | Meghan M. Hart | Physician Assistant | 100 Navarre Pl Ste 4440, South Bend, IN 46601-1171 | 2019-02-14 |
| 1477021038 | Ashlee Dennise Swafford | Physician Assistant | 615 N Michigan St, South Bend, IN 46601-1033 | 2018-11-12 |
| 1801300330 | Alejandro Mikelonis | Physician Assistant | 610 N Michigan St Ste 306, South Bend, IN 46601-1079 | 2017-11-20 |
| 1295256808 | Elizabeth D. Progar | Physician Assistant | 610 N Michigan St Ste 306, South Bend, IN 46601-1079 | 2017-07-05 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46614 |
Please comment or provide details below to improve the information on SHERI A 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.