DR. DOUGLAS A WILSON (NPI# 1679502918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679502918 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS A WILSON |
| Credential | MD |
| Practice Address |
930 Sw Abbey St Ste B Newport OR 97365-4820 |
| Mailing Address |
Po Box 2847 Corvallis OR 97339-2847 |
| Practice Telephone | 5415747235 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2020-11-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | MD157658 | OR | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | M10679 | ID | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 4301056816 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | WASHINGTON LABOR & INDUSTRIES | 0249855 | 01 |
| WA | 1679502918 | 05 | |
| MI | RAILROAD MEDICARE | 20039075 | 01 |
| ID | BLUE CROSS | 77943 | 01 |
| ID | REGENCE BLUE SHIELD | 000010173389 | 01 |
| MI | BLUE CROSS | 0201174022 | 01 |
| ID | 808373700 | 05 | |
| ID | DEA | BW3672260 | 01 |
| MT | 1679502918 | 05 | |
| MI | DEA | BW3672260 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730260969 | Douglas Smith Wilson | Chiropractor | 2615 S Miller St Ste 108, Santa Maria, CA 93455-1775 | 2006-10-17 |
| 1164533345 | Douglas W Wilson | Dentist | 100 River Place, Suite 110, Madison, WI 53716 | 2006-08-31 |
| 1285693572 | Douglas Richard Wilson | Family Medicine | 1141 Pear Tree Lane, Suite 100, Napa, CA 94558-6485 | 2006-03-23 |
| 1346235702 | Douglas C. Wilson | Dentist | 13065 E 17th Ave, Aurora, CO 80045-2532 | 2005-09-13 |
| 1235138876 | Douglas J Wilson | Optometrist | 400 W Green Meadows Dr, Suite 108, Greenfield, IN 46140-3204 | 2005-07-15 |
| 1407417538 | Douglas Van Wilson | Nurse Practitioner | 47344 Us Highway 78, Lincoln, AL 35096-6748 | 2019-06-28 |
| 1083101422 | Douglas Alan Wilson | Pharmacist | 1814 Spring Rd, Carlisle, PA 17013-1150 | 2018-04-20 |
| 1174833750 | Douglas Alan Wilson | Counselor | 17224 Van Wagoner Rd, Spring Lake, MI 49456-9702 | 2010-10-15 |
| 1467658369 | Douglas Eugene Wilson | Counselor | 4436 Nw 50th St, Oklahoma City, OK 73112-2212 | 2007-06-26 |
| 1679797260 | Douglas Glen Wilson | Emergency Medicine | 54 Hospital Dr, Osage Beach, MO 65065-3050 | 2007-04-13 |
| Street Address |
930 SW ABBEY ST STE B |
| City | NEWPORT |
| State | OR |
| Zip Code | 97365-4820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174525091 | Carrie Lynn Johnson | Obstetrics & Gynecology | 930 Sw Abbey St Ste B, Newport, OR 97365-4820 | 2005-08-11 |
| 1134692296 | Samaritan Pacific Health Services, Inc. | Neurological Surgery | 930 Sw Abbey St Ste B, Newport, OR 97365-4820 | 2019-01-10 |
| 1407325871 | Samaritan Pacific Health Services, Inc. | Urology | 930 Sw Abbey St Ste B, Newport, OR 97365-4820 | 2018-11-15 |
| 1083082192 | Christopher Michael Hart | Physician Assistant | 930 Sw Abbey St Ste B, Newport, OR 97365-4820 | 2015-09-04 |
| 1376982199 | Andrew Mark Evans | Podiatrist | 930 Sw Abbey St Ste B, Newport, OR 97365-4820 | 2013-06-14 |
| 1164781142 | Samaritan Pacific Health Services, Inc | Internal Medicine | 930 Sw Abbey St Ste B, Newport, OR 97365-4820 | 2012-05-10 |
| 1659659001 | David Zarkou | Podiatrist | 930 Sw Abbey St Ste B, Newport, OR 97365-4820 | 2011-08-02 |
| 1205015518 | David Arnold Larsen | Surgery | 930 Sw Abbey St Ste B, Newport, OR 97365-4820 | 2007-11-02 |
| 1356545172 | Melissa Ann Dewolfe | Surgery | 930 Sw Abbey St Ste B, Newport, OR 97365-4820 | 2007-06-14 |
| 1801910849 | Lindsay Renee Kern | Obstetrics & Gynecology | 930 Sw Abbey St Ste B, Newport, OR 97365-4820 | 2007-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063036101 | Integrity Women's Health & Wellness, LLC | Obstetrics & Gynecology | 594 Se Running Springs, Newport, OR 97365 | 2020-06-04 |
| 1538799333 | Big Creek Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 1664 N Coast Hwy, Newport, OR 97365 | 2020-01-21 |
| 1710527999 | Costal Support Services | Case Management | 125 Se Mast Ave #55, Lincoln City, OR 97365 | 2020-01-15 |
| 1821650169 | Darren Lee Taylor | Peer Specialist | 35 North Cottage Street, Newport, OR 97365 | 2019-07-08 |
| 1518405091 | The City of Newport 60 Plus Activity Center | Clinic/Center | 20 Se 2nd St, Newport, OR 97365 | 2017-02-06 |
| 1982020384 | Kristine Elizabeth Foley | Dental Hygienist | 123 Se Douglas Street, Family Dental, Newport, OR 97365 | 2014-03-10 |
| 1245655075 | Catherine Marie Vickers | Registered Nurse | 36 Sw Nye Street, Lincoln County Health and Human Services, Newport, OR 97365 | 2014-03-04 |
| 1114295342 | Donna Cressy | Physical Therapist | 140 Nw 4th Street, Newport, OR 97365 | 2011-12-02 |
| 1063647949 | Wrazen & Rash PC, Physicians | Pediatrics | 775 Sw 9th Street, Annex A, Newport, OR 97365 | 2009-05-21 |
| 1194950048 | Stephen Macbain Burns, Md, PC | Pediatrics | 775 Sw 9th Street, Annex A, Newport, OR 97365 | 2009-05-21 |
| Find all providers in zip 97365 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710083936 | Orest Zaklynsky | Surgery | 220 Bellevue Ave, Newport, RI 02840-3515 | 2006-09-15 |
| 1932147170 | Gregg L. Personett | Surgery | 929 Sw Bay St, Newport, OR 97365-4862 | 2006-06-02 |
| 1003896986 | Bradford Clayton Gray | Surgery | 19 Friendship St Bldg Suite240, Newport, RI 02840-2272 | 2006-01-18 |
| 1023099397 | Timothy V Chavis | Surgery | 714 W Pine St, Newport, WA 99156-9046 | 2005-11-14 |
| 1144213984 | Mark Christopher Meredith | Surgery | 41 Medical Village Dr, Newport, VT 05855-9835 | 2005-08-26 |
| 1568461960 | Donald Wayne Pate | Surgery | 1117 Mclain St Ste 300, Newport, AR 72112-3551 | 2005-07-18 |
| 1548264815 | Mcdonald Gray Jr. | Surgery | 434 4th St, Ste 309, Newport, TN 37821-3735 | 2005-06-02 |
| 1275930554 | Larry David Graham | Surgery | 434 4th St, Newport, TN 37821-3746 | 2014-12-02 |
| 1720428568 | Peter Benjamin Schroer | Surgery | 41 Medical Village Dr, Newport, VT 05855-9835 | 2013-06-25 |
| 1184935322 | Julia Stockman Tassinari | Surgery | 19 Friendship St Bldg Suite240, Newport, RI 02840-2272 | 2010-06-22 |
| Find all providers in NEWPORT | ||||
Please comment or provide details below to improve the information on DR. DOUGLAS 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.