EDWARD S WILSON (NPI# 1588915425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588915425 |
| Entity Type | Individual |
| Full Name | EDWARD S WILSON |
| Credential | C.S.A. |
| Practice Address |
604 Bishop Dr Virginia Beach VA 23455 |
| Mailing Address |
604 Bishop Dr Virginia Beach VA 23455-6544 |
| Practice Telephone | 7576723738 |
| Practice Fax Number | 7574992295 |
| Mailing Telephone | 7576723738 |
| Mailing Fax Number | 7574992295 |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2018-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
0136000040 | VA | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295944189 | Edward W. Wilson | Dentist | 30 E 60th St Rm 302, New York, NY 10022-7102 | 2007-05-21 |
| 1952462756 | Edward Wilson | Dentist | 23680 Us Highway 19 N, Clearwater, FL 33765-1571 | 2006-12-13 |
| 1417030685 | Edward D Wilson | Chiropractor | 4500 Hillcrest, #160, Frisco, TX 75035 | 2006-10-23 |
| 1326133752 | Edward Arthur Wilson | Social Worker | Delaware County Mental Health Clinic, One Hospital Road, Walton, NY 13856 | 2006-10-03 |
| 1194837500 | Edward S Wilson IIi | Psychologist | 1518 Savannah Rd, Lewes, DE 19958 | 2006-08-31 |
| 1376921809 | Edward Todd Wilson Jr. | Student in an Organized Health Care Education/Training Program | 462 Grider St, Erie County Medical Center: David K. Miller Building, Buffalo, NY 14215-3021 | 2015-05-17 |
| 1740668995 | Edward Wilson | Voluntary or Charitable | 1955 Long Beach Blvd, Long Beach, CA 90806-5501 | 2015-05-08 |
| 1619286713 | Edward W Wilson | Counselor | 4020 Palos Verdes Dr N, Suite 201, Rolling Hills Estates, CA 90274-2525 | 2010-10-07 |
| 1558484568 | Edward John Wilson | Dentist | 26365 Carmel Rancho Blvd, A, Carmel, CA 93923-8744 | 2007-04-06 |
| 1992826861 | Edward Wilson | Specialist | 1221 Mercantile Ln, Largo, MD 20774-5374 | 2007-04-02 |
| Street Address |
604 BISHOP DR |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093324162 | Evoscient Gynecology Center for Pelvic Health and Surgery, PC | Obstetrics & Gynecology | 108 Independence Blvd, Suite 162, Virginia Beach, VA 23455 | 2020-07-24 |
| 1942728571 | Delois L Dillard | Occupational Therapy Assistant | 4225 Shore Drive, Virginia Beach, VA 23455 | 2017-09-04 |
| 1295255404 | Unobs Medical Transportation Services LLC | Non-emergency Medical Transport (VAN) | 5812 Tajo Avenue, Virginia Beach, VA 23455 | 2017-06-20 |
| 1831640812 | Wearefit | Dietitian, Registered | 4752 Hollis Road, Virginia Beach, VA 23455 | 2016-10-14 |
| 1629496633 | Jamie Lauren Dermatis | Podiatrist | 1700 Pleasure Road, #101, Virginia Beach, VA 23455 | 2014-04-07 |
| 1619304664 | Syed A Absar | Pharmacist | 4828 Lake Bradford Lane, Virginia Beach, VA 23455 | 2013-10-07 |
| 1851734958 | Cara K Richardson | Occupational Therapist | 2364 Madison Ave., Virginia Beach, VA 23455 | 2013-04-09 |
| 1811249287 | Chl & Associates | Nurse Practitioner | 1367 Sir Richard Rd, Virginia Beach, VA 23455 | 2012-10-10 |
| 1073886842 | April Gilbrech | Registered Nurse | 1103 Canopy Ct, Virginia Beach, VA 23455 | 2012-02-09 |
| 1174893457 | Sonja Jean Smith | Obstetrics & Gynecology | 4600 Churchpoint Place, Virginia Beach, VA 23455 | 2012-01-04 |
| Find all providers in zip 23455 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811126923 | Derik Thompson | Physician Assistant | 2085 Lynnhaven Pkwy Ste 106-308, Virginia Beach, VA 23456-1497 | 2009-07-09 |
| 1912195314 | David John Pullen | Physician Assistant | 5557 Princess Anne Rd, Virginia Beach, VA 23462-3344 | 2007-10-10 |
| 1275696569 | Physician Assistant Services Inc | Physician Assistant | 2132 Creeks Edge Dr, Virginia Beach, VA 23451-6804 | 2006-12-18 |
| 1356456677 | Deborah D Redmond | Physician Assistant | 2233 Elder Rd, Virginia Beach, VA 23451 | 2006-08-19 |
| 1861969164 | Coastal Medsurg, Inc. | Physician Assistant | 1700 Will O Wisp Dr, Virginia Beach, VA 23454-3164 | 2018-10-25 |
| 1790166692 | Melody Lynne Osborne | Physician Assistant | 2075 Glenn Mitchell Dr, Suite 512, Virginia Beach, VA 23456-0179 | 2015-06-16 |
| 1750612701 | Nicolle Lin Stopa | Physician Assistant | 1060 First Colonial Rd, Virginia Beach, VA 23454-3002 | 2010-01-14 |
| 1558319061 | John Philip Conza | Physician Assistant | 1550 Tomcat Blvd, Branch Health Clinic Oceana, Virginia Beach, VA 23464 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962038042 | Emma Alexandra Rouse | Physician Assistant | 2712 Hatmark St, Vienna, VA 22181-6054 | 2020-03-20 |
| 1861059461 | Daniel P Sherman | Physician Assistant | 43165 Thistledown Ter Apt 241, Broadlands, VA 20148-4075 | 2019-05-20 |
| 1184289753 | Vicenta Hanh-phuoc Tran | Physician Assistant | 7611 Trammell Rd, Annandale, VA 22003-1442 | 2019-05-08 |
| 1649833021 | Karlie Diruzza | Physician Assistant | 2900 Lamb Cir # L760, Christiansburg, VA 24073-6344 | 2019-04-21 |
| 1164983599 | Bradley Pretzer | Physician Assistant | 5115 Cliffhaven Dr, Annandale, VA 22003-4348 | 2019-03-28 |
| 1346757416 | Hinda Yasmin Mezaache | Physician Assistant | 1101 Sam Perry Blvd Ste 219, Fredericksburg, VA 22401-4465 | 2018-01-10 |
| 1265974851 | Gerard Surgical Services, LLC | Physician Assistant | 12220 Chattanooga Plz Ste 121, Midlothian, VA 23112-4865 | 2016-11-14 |
| 1417301607 | Jose Gustavo Espino | Physician Assistant | 6866 Deer Run Dr, Alexandria, VA 22306-1124 | 2016-04-14 |
| 1477915098 | Kelly Egan Weaver | Physician Assistant | 1201 Broad Rock Blvd Richmond Va 23224, Richmond, VA 23249-4915 | 2016-03-23 |
| 1871976522 | Hall Surgical Assistance, LLC | Physician Assistant | 10332 Main St, Suite #344, Fairfax, VA 22030-2410 | 2015-06-30 |
| Find all providers with the same taxonomy | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23455 |
Please comment or provide details below to improve the information on EDWARD S 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.