THOMAS COOPER WILSON (NPI# 1659647550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659647550 |
Entity Type | Individual |
Full Name | THOMAS COOPER WILSON |
Credential | M.D. |
Practice Address |
625 6th Ave S Ste 450 St Petersburg FL 33701 |
Mailing Address |
625 6th Ave S Ste 450 St Petersburg FL 33701-4629 |
Practice Telephone | 2515333852 |
Mailing Telephone | 7278982663 |
Mailing Fax Number | 7275686836 |
Enumeration Date | 2012-03-26 |
Last Update Date | 2018-07-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
ME137286 | FL | Allopathic & Osteopathic Physicians |
N | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
10332056-1205 | UT | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518287945 | Thomas A Wilson | Dentist | 149 Midland Ave, Bronxville, NY 10708-1808 | 2010-06-08 |
1568790186 | Thomas E. Wilson | Dentist | Bldg 128 Chaffee Rd, Us Army Dental Activit, Fort Bliss, TX 79916 | 2009-11-19 |
1487884375 | Thomas Joseph Wilson | Dentist | 8401 Howland Springs Rd Se, Warren, OH 44484-3120 | 2009-07-26 |
1891922951 | Thomas Cary Wilson | Pathology | 5330 S 900 E Ste 120, Salt Lake City, UT 84117-3504 | 2009-06-16 |
1609080183 | Thomas Cabell Wilson | General Practice | 323 Crescent Rd, Beckley, WV 25801 | 2007-05-10 |
1881817625 | Thomas Gregory Wilson | Dentist | 105 South Porter Street, Bolivar, TN 38008-1734 | 2007-04-10 |
1104901107 | Thomas Wayne Wilson | Dentist | 484 Jake Alexander Blvd W, Salisbury, NC 28147-1365 | 2006-10-26 |
1285716324 | Thomas Anthony Wilson Jr. | Counselor | 514 S Orchard St, Suite 101, Boise, ID 83705-1240 | 2006-10-19 |
1558443432 | Thomas E Wilson | Pathology | 1500 East Medical Center, 2nd Floor University Hospital Recp Pathology, Ann Arbor, MI 48109-5054 | 2006-10-19 |
1821101585 | Thomas William Wilson | Pharmacist | 7128 E Reno Ave, Suite A, Midwest City, OK 73110-4478 | 2006-08-16 |
Street Address |
625 6TH AVE S STE 450 |
City | ST PETERSBURG |
State | FL |
Zip Code | 33701 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457511685 | Sheila Faye Zimmardi | Physician Assistant | 625 6th Ave S Ste 450, St Petersburg, FL 33701-4629 | 2008-06-11 |
1205434867 | Diane Rose Bronkema | Student in an Organized Health Care Education/Training Program | 625 6th Ave S Ste 450, St Petersburg, FL 33701-4629 | 2020-10-15 |
1760045272 | Savannah Kelly Poor | Physician Assistant | 625 6th Ave S Ste 450, St Petersburg, FL 33701-4629 | 2019-04-19 |
1588138499 | Chandler Melton | Physician Assistant | 625 6th Ave S Ste 450, St Petersburg, FL 33701-4629 | 2019-01-14 |
1699240549 | Hilary Margaret Kupstas | Physician Assistant | 625 6th Ave S Ste 450, St Petersburg, FL 33701-4629 | 2018-10-08 |
1265932099 | Jessica Janelle Bryk | Nurse Practitioner | 625 6th Ave S Ste 450, St Petersburg, FL 33701-4629 | 2018-02-19 |
1649700402 | Mohamed Fikry | Physician Assistant | 625 6th Ave S Ste 450, St Petersburg, FL 33701-4629 | 2017-06-14 |
1881078905 | Rachele Mehl | Physician Assistant | 625 6th Ave S Ste 450, St Petersburg, FL 33701-4629 | 2015-07-18 |
1265794473 | Raena Marie Steffen | Specialist/Technologist | 625 6th Ave S Ste 450, St Petersburg, FL 33701-4629 | 2012-06-13 |
1215227293 | Daniel C Bland | Orthopaedic Surgery | 625 6th Ave S Ste 450, St Petersburg, FL 33701-4629 | 2011-04-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013514603 | Tien Thuy Hoang | Pharmacist | 875 Dr M.l.k. Jr St N, St. Petersburg, FL 33701 | 2020-10-06 |
1851920953 | Michelle Tedrowe | Student in an Organized Health Care Education/Training Program | Bayfront Health St Petersburg Family Care Center, 700 6th Street South, St. Petersburg, FL 33701 | 2020-04-02 |
1164070264 | Melissa Joy Fitzpatrick | Occupational Therapist | 239 14 Ave Ne, St Petersburg, FL 33701 | 2019-09-01 |
1841763091 | William Carpenter Scott | Dentist | 239 2nd Ave S # 100, St Petersburg, FL 33701 | 2019-01-09 |
1992289318 | Westminster Senior Services, Inc. | Registered Nurse | 830 North Shore Dr. Ne, St. Petersburg, FL 33701 | 2018-09-21 |
1265929780 | B&b Florida Eye Care Pllc | Optometrist | 1380 4th St N, St. Petersburg, FL 33701 | 2018-04-19 |
1730684895 | Loraine Marie Torres Garcia | Student in an Organized Health Care Education/Training Program | Bayfront Health St Petersburg, 700 6th Street South, St Petersburg, FL 33701 | 2018-03-29 |
1598267445 | Vincent Malik Dehili | Psychologist | 146 2nd Street North, Suite 305, St. Petersburg, FL 33701 | 2018-03-07 |
1770083073 | Megan Sanborn | Nurse Practitioner | 601 5th St S Ste 304, St Petersburg, FL 33701 | 2018-02-14 |
1174037089 | Julius Griffin | Licensed Practical Nurse | 1115 Highland St N, Apt B, Saint Petersburg, FL 33701 | 2017-11-30 |
Find all providers in zip 33701 |
Taxonomy Code | 207XP3100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Pediatric Orthopaedic Surgery |
An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. |
Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215227293 | Daniel C Bland | Orthopaedic Surgery | 625 6th Ave S Ste 450, St Petersburg, FL 33701-4629 | 2011-04-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447898580 | North Broward Hospital District | Orthopaedic Surgery | 3100 Coral Hills Dr Ste 202, Coral Springs, FL 33065-4139 | 2019-12-19 |
1952662355 | Scoliosis & Pediatric Ortho Pa | Orthopaedic Surgery | 6370 N State Road 7, Suite 100, Coconut Creek, FL 33073-3606 | 2012-06-01 |
1144422486 | Hallandale Beach Orthopedics, Inc. | Orthopaedic Surgery | 1250 E Hallandale Beach Blvd Ste 700, Hallandale Beach, FL 33009-4641 | 2007-05-31 |
1427259076 | Davida Packer | Orthopaedic Surgery | 901 45th St Kimmel Bldg, West Palm Beach, FL 33407-2413 | 2007-05-30 |
1124249511 | Jeffrey Alan Crastnopol | Orthopaedic Surgery | 3405 Saddlebrook Ln, Weston, FL 33331-3034 | 2007-05-01 |
1386786838 | Pediatric Orthopedics of Southwest Florida | Orthopaedic Surgery | 15821 Hollyfern Court, Fort Myers, FL 33908 | 2007-02-13 |
1134290414 | Luis Edgardo Kortright | Orthopaedic Surgery | 4600 N Habana Ave Ste 6, Tampa, FL 33614-7123 | 2006-11-10 |
1205862745 | Raymund Woo | Orthopaedic Surgery | 2501 N Orange Ave Ste 514, Orlando, FL 32804-4674 | 2006-06-25 |
1568424075 | David Siambanes | Orthopaedic Surgery | 3003 E. Dr. Martin Luther King Jr. Blvd., Mab-3rd Floor, Tampa, FL 33607-6307 | 2006-04-03 |
1740282292 | Randolph Cohen | Orthopaedic Surgery | 5830 Coral Ridge Dr Ste 207, Coral Springs, FL 33076 | 2005-08-15 |
Find all providers with the same taxonomy |
City | ST PETERSBURG |
Zip Code | 33701 |
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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.