WEBB CLANTON WILSON


Address: 1002 Bellevue St Se, Salem, OR 97301
Phone: 5038145554

WEBB CLANTON WILSON (NPI# 1639371966) 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) 1639371966
Entity Type Individual
Full Name WEBB CLANTON WILSON
Credential DO
Practice Address 1002 Bellevue St Se
Salem
OR 97301
Mailing Address Po Box 14001
Salem
OR 97309-5014
Practice Telephone 5038145554
Enumeration Date 2007-05-31
Last Update Date 2018-05-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine DO157451 OR Allopathic & Osteopathic Physicians
N 207P00000X Emergency Medicine 20700000X TN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX TEXAS MEDICAL LICENSE M8432 01
TN TENNESSEE MEDICAL LICENSE 2012 01
INSTITUTIONAL PERMIT BP1-0026737 01

Office Location

Street Address 1002 BELLEVUE ST SE
City SALEM
State OR
Zip Code 97301

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447293337 Davis K Cho Emergency Medicine 1002 Bellevue St Se, Salem, OR 97301-4006 2006-06-14
1003454992 Ashley Barth Nurse Practitioner 1002 Bellevue St Se, Salem, OR 97301-4006 2019-12-11
1962919431 Brenda Sue Hess Nurse Practitioner 1002 Bellevue St Se, Salem, OR 97301 2018-01-05
1518401611 Michael Patrick Smith Nurse Practitioner 1002 Bellevue St Se, Salem, OR 97301-4006 2016-12-07
1134507270 Erika Mote Nurse Practitioner 1002 Bellevue St Se, Salem, OR 97301-4006 2015-05-08
1023458973 Curtis B Gill Nurse Practitioner 1002 Bellevue St Se, Salem, OR 97301-4006 2013-06-25
1528337201 Enrique Barrera Jr. Registered Nurse 1002 Bellevue St Se, Salem, OR 97301-4006 2011-12-24
1003946294 Jack Buchanan Family Medicine 1002 Bellevue St Se, Salem Hospital Urgent Care Center, Salem, OR 97301-4006 2007-03-06
1578629697 Gina Man-mui Sheedy Preventive Medicine 1002 Bellevue St Se, Salem, OR 97301-4006 2007-01-01
1326112178 Patricia Lorraine Stupfel Registered Nurse 1002 Bellevue St Se, Salem, OR 97301-4006 2006-11-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205450970 Jehan Seals Behavior Technician 3400 State St Set G750, Salem, OR 97301 2020-05-29
1093335929 Sterling Recovery, LLC Dietitian, Registered 3758 Amber St Ne #105, Salem, OR 97301 2020-04-21
1760018360 Riverfront Mental Health LLC Counselor 338 State St, Suite 985, Salem, OR 97301 2020-03-16
1871126888 Amity Beth Haddon Maxwell Social Worker Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 2020-02-18
1861042632 Brenda Grizelda Vargas Behavioral Analyst 3400 State Ste Ste G750, Salem, OR 97301 2019-09-13
1588213177 Natalie Stone Registered Nurse 2045 Siverton Rd Ne, Salem, OR 97301 2019-09-06
1588228720 Jeramy Disenso Counselor 270 Cottage St Ne, Salem, OR 97301 2019-04-23
1801353297 Gwendolyn Kersey Registered Nurse 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 2019-02-21
1841769114 Spine Clinic PC Massage Therapist 1281 Lancaster Drive Ne, Salem, OR 97301 2018-11-16
1013482132 Kellie Linn Hansen Physical Therapist 4049 Market St Se, Salem, OR 97301 2018-10-04
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Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760725485 Deirdre Harmony Witte Emergency Medicine Salem Emergency Physicians, C/o Salem Hospital Ed, 890 Oak St, Se, Building A, Salem, OR 97301 2013-04-01
1689992117 Jillian Colleen Schmunk Emergency Medicine 890 Oak Street, Se, Building A, Salem Emergency Physicians Services, Salem, OR 97301 2010-05-07
1184894081 Lourdes Maria Page Emergency Medicine 429 Homeplace Dr, Salem, VA 24153-7158 2008-03-06
1750589024 Vicky L Gulley Emergency Medicine 35629 Hwy 72, Pob 1, Suite 3, Salem, MO 65560 2007-07-06
1477672483 Michael Joseph Barra Emergency Medicine 890 Oak St Se Bldg A, Salem, OR 97301-3905 2007-03-29
1396810206 David Austin Rideout Emergency Medicine 60 Washington St Ste 403, Salem, MA 01970-3517 2006-11-24
1134204795 Fulton County Hospital Emergency Medicine 679 North Main, Salem, AR 72576 2006-10-25
1154336444 Jenai E Beland Cohen Emergency Medicine Salem Hospital, 81 Highland Avenue, Salem, MA 01970 2006-07-29
1013942192 John A Michael Emergency Medicine 28 1/2 Broad St, Salem, MA 01970-3143 2006-07-11
1447293337 Davis K Cho Emergency Medicine 1002 Bellevue St Se, Salem, OR 97301-4006 2006-06-14
Find all providers in SALEM

Competitor

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City SALEM
Zip Code 97301

Improve Information

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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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