MR. RALPH EDWIN WILSON JR. (NPI# 1639537707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639537707 |
| Entity Type | Individual |
| Full Name | MR. RALPH EDWIN WILSON JR. |
| Other Name | MR. ED WILSON |
| Credential | PA |
| Practice Address |
100 Kellie Drive Smithfield NC 27577 |
| Mailing Address |
120 William Penn Plz Durham NC 27704-2150 |
| Practice Telephone | 9199341094 |
| Practice Fax Number | 9193131276 |
| Mailing Telephone | 9192205255 |
| Mailing Fax Number | 9193131276 |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2019-05-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0010-06282 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578887048 | Ralph Sloan Wilson Sr. | Ophthalmology | 140 Washington Rd., Rye, NH 03870 | 2010-03-26 |
| 1629210489 | Ralph Wilson | Naturopath | 5101 Wisconsin Ave Nw Ste 100, Washington, DC 20016-4136 | 2009-03-25 |
| 1083633861 | Ralph W. Wilson | Dentist | 1607 Martens Dr, Hammond, LA 70401-1619 | 2006-07-19 |
| 1639219678 | Ralph Charles Wilson | Optometrist | 891 Route 9, Queensbury, NY 12804 | 2007-02-07 |
| 1770650244 | Ralph F. Wilson | Dentist | 7500 E Pinnacle Peak Rd, Suite A200, Scottsdale, AZ 85255-3406 | 2006-11-29 |
| 1053484196 | Ralph Wilson | Counselor | 6301 Inducon Dr E, Sanborn, NY 14132-9014 | 2006-11-16 |
| 1053400069 | Ralph Ray Wilson | Chiropractor | 2000 E Main St, Ventura, CA 93001-3506 | 2006-10-11 |
| 1134169881 | Ralph Valentine Wilson | Orthopaedic Surgery | 2940 E Banner Gateway Dr, #200, Gilbert, AZ 85234-2168 | 2006-06-08 |
| 1376502138 | Ralph Stanley Wilson | Otolaryngology | 1020 Professional Blvd, Evansville, IN 47714-8009 | 2006-03-21 |
| Street Address |
100 KELLIE DRIVE |
| City | SMITHFIELD |
| State | NC |
| Zip Code | 27577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851919047 | Sherwin Cuaresma Bernardino | Physical Therapist | Meadowview Assisted Living Center, 250 Nc-210, Smithfield, NC 27577 | 2020-07-14 |
| 1386297299 | Johnston Opco, LLC | Non-emergency Medical Transport (VAN) | 200 Kellie Dr, Smithfield, NC 27577 | 2019-07-19 |
| 1790255362 | Adrian Brook Taylor | Physical Therapist | 540 North Street, Smithfield, NC 27577 | 2018-11-27 |
| 1497260608 | Providence Healthcare of The Carolinas | Assisted Living Facility | 4302 Hwy Nc 210, Smithfield, NC 27577 | 2017-12-11 |
| 1720593908 | Latorya Delois Moore | Nurse Practitioner | 514 N Brightleaf Blvd Ste 1100, Smithfield, NC 27577 | 2017-12-09 |
| 1124546171 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 104 N Brightleaf Blvd, Smithfield, NC 27577 | 2017-08-30 |
| 1316482201 | Providence Pain, Spine & Recovery, Pllc | Anesthesiology | 7 Berkshire Rd, Smithfield, NC 27577 | 2016-12-30 |
| 1407203318 | Linda Pearl Trujillo | Early Intervention Provider Agency | 623 Tralee Dr, Smithfield, NC 27577 | 2016-05-20 |
| 1336500206 | Saundra Casey | Counselor | 15 Noble Street, Smithfield, NC 27577 | 2016-03-18 |
| 1821475732 | John Marion Radford Jr. | Counselor | 101-2f East Market Street, Smithfield, NC 27577 | 2015-04-29 |
| Find all providers in zip 27577 | ||||
| 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 |
|---|---|---|---|---|
| 1083239495 | Megan Rotondo | Physician Assistant | 96 Orchard Meadows Dr, Smithfield, RI 02917-1846 | 2020-06-11 |
| 1407471105 | Dylan Gene Godyn | Physician Assistant | 9 Summer Ct, Smithfield, RI 02917-1868 | 2020-06-09 |
| 1669802880 | Ashley Murr Seekins | Physician Assistant | 707 Lassiter Street, Smithfield, NC 27577 | 2013-11-25 |
| 1548511207 | Ryan Lloyd Hoover | Physician Assistant | 507 N Brightleaf Blvd Ste 205, Smithfield, NC 27577-4405 | 2012-09-20 |
| 1033104708 | Deborah Thomas | Physician Assistant | 41 Sanderson Rd Ste 201, Smithfield, RI 02917-2603 | 2005-09-19 |
| 1881686590 | Blaine C Etzel | Physician Assistant | 100 Kellie Dr, Smithfield, NC 27577-9444 | 2005-08-18 |
| 1093331936 | Adam Aydin Atik | Physician Assistant | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2020-06-16 |
| 1437785821 | Robert Christopher Wicklund | Physician Assistant | 1150 Douglas Pike, Smithfield, RI 02917-1291 | 2020-03-17 |
| 1891336251 | Alexxis Rae Langton | Physician Assistant | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2019-10-07 |
| 1750941753 | Stephanie Nicole Prusko | Physician Assistant | 41 Sanderson Rd Ste 201, Smithfield, RI 02917-2603 | 2019-06-20 |
| Find all providers in SMITHFIELD | ||||
| City | SMITHFIELD |
| Zip Code | 27577 |
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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.