JOHN STEVEN WILSON (NPI# 1689639270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689639270 |
| Entity Type | Individual |
| Full Name | JOHN STEVEN WILSON |
| Credential | MD |
| Practice Address |
765 Liberty St Suite 105 Meadville PA 16335-2566 |
| Mailing Address |
1034 Grove St Cbo Meadville PA 16335-2945 |
| Practice Telephone | 8143732310 |
| Practice Fax Number | 8143732313 |
| Mailing Telephone | 8143732923 |
| Mailing Fax Number | 8143335640 |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2016-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD052384L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0014676790001 | 05 | |
| BS | 0764259 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376107979 | John Zaakery Wilson | Peer Specialist | 3350 E Beech Way # A, Wasilla, AK 99654-7417 | 2019-04-29 |
| 1639673924 | John Michael Wilson | Student in an Organized Health Care Education/Training Program | 235 Sable Fls, San Antonio, TX 78258-4870 | 2018-03-21 |
| 1427429133 | John Wilson | Internal Medicine | 5 Ladd Rd, Hanover, NH 03755-3420 | 2015-10-08 |
| 1760878599 | John Wilson IIi | Psychiatry & Neurology | 212 W Route 38 Ste 105, Moorestown, NJ 08057-4100 | 2015-04-08 |
| 1194110718 | John Stewart Wilson Jr. | Radiology | 220 Glen Forest Dr, Greensburg, PA 15601-3718 | 2015-03-31 |
| 1720417496 | John Wilson | Specialist/Technologist, Other | 2550 Spurlock Rd, Nederland, TX 77627 | 2013-11-04 |
| 1982031944 | John Forrest Wilson IIi | Licensed Practical Nurse | 412 Ketcham St, Riverside, OH 45431-2124 | 2013-10-03 |
| 1265782213 | John Matthew Wilson | Speech-Language Pathologist | 3517 Norfolk Ct Se, Olympia, WA 98501-7021 | 2012-09-18 |
| 1396009676 | John A Wilson II | Rehabilitation Practitioner | 6054 Giant Forest Ln, North Las Vegas, NV 89031-1663 | 2012-07-01 |
| 1932494127 | John C Wilson | Dentist | 2675 Central Ave Ste L8, Billings, MT 59102-6686 | 2011-06-15 |
| Street Address |
765 LIBERTY ST SUITE 105 |
| City | MEADVILLE |
| State | PA |
| Zip Code | 16335-2566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578566113 | Sharon Palotas | Nurse Practitioner | 765 Liberty St, Suite 309, Meadville, PA 16335-2566 | 2005-05-27 |
| 1124408604 | Meadville Physician Services | Internal Medicine | 765 Liberty St, Ste 309, Meadville, PA 16335-2566 | 2015-06-01 |
| 1225432545 | Emily Prenatt | Physician Assistant | 765 Liberty St, Meadville, PA 16335-2566 | 2014-10-15 |
| 1962804955 | French Creek Internal Medicine | Internal Medicine | 765 Liberty St, 307, Meadville, PA 16335-2566 | 2014-09-22 |
| 1801296470 | Oyler Internal Medicine, LLC | Internal Medicine | 765 Liberty St, Suite 307, Meadville, PA 16335-2566 | 2014-09-02 |
| 1255773784 | Dipesh Maan | Internal Medicine | 765 Liberty St, Meadville, PA 16335-2566 | 2013-07-25 |
| 1093154924 | Meadville Physician Services | Family Medicine | 765 Liberty St, Suite 310, Meadville, PA 16335-2566 | 2013-06-25 |
| 1831534189 | Anthony Randolph | Internal Medicine | 765 Liberty St, Suite 307, Meadville, PA 16335-2566 | 2013-04-30 |
| 1538420658 | Meadville Medical Center | Psychiatry & Neurology | 765 Liberty St, Suite 303, Meadville, PA 16335-2566 | 2012-06-05 |
| 1114287414 | Meadville Physician Services | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 765 Liberty St, Suite 105, Meadville, PA 16335-2566 | 2012-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811533508 | Stacey Lynette Lantz | Physical Therapy Assistant | 11277 Vernon Place Road, Meadville, PA 16335 | 2019-11-18 |
| 1952874794 | Amy Lynn Weaver | Social Worker | Parkside Psychological Associates, 435 Chestnut Street, Meadville, PA 16335 | 2019-01-04 |
| 1013437789 | Raymond Walter Keller Jr. | Family Medicine | 735 Liberty St, Meadville, PA 16335 | 2017-06-23 |
| 1750735742 | Nicole Fies | Counselor | 201 Chestnut Street, Floor 2, Meadville, PA 16335 | 2016-04-16 |
| 1760894422 | Amie S Coffman | Psychiatry & Neurology | 765 Liberty St Ste 303, Meadville, PA 16335 | 2014-05-28 |
| 1649609710 | Gina Marie Michalak | Pharmacist | 379 North Street, Meadville, PA 16335 | 2013-11-08 |
| 1518396704 | Cassandra Lynn Ketler | Physician Assistant | 847 North Main Street, Meadville, PA 16335 | 2013-11-07 |
| 1194159913 | Judy Mcelwain | Speech-Language Pathologist | 31 N Park Ave, Meadville, PA 16335 | 2013-08-28 |
| 1649604463 | Jonelle Elizabeth Taylor | Occupational Therapist | 31 North Park Ave, Meadville, PA 16335 | 2013-08-28 |
| 1699046961 | James Richard Mclamb | Orthopaedic Surgery | 6060 Ehrgott Rd, Meadville, PA 16335 | 2012-01-19 |
| Find all providers in zip 16335 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699741181 | Primary Care Services of Crawford County | Internal Medicine | Meadville Cardiology Consultants, 765 Liberty Street, Suite 105, Meadville, PA 16335-2566 | 2006-02-24 |
| 1073591715 | Manuel F Forero | Internal Medicine | 287 North St, Meadville, PA 16335-2521 | 2006-01-04 |
| 1407003031 | Meadville Medical Center | Internal Medicine | 751 Liberty St, Cardiology Stress, Meadville, PA 16335 | 2008-08-26 |
| 1356495477 | Meadville Medical Center | Internal Medicine | 751 Liberty St, Cardiology Fpa, Meadville, PA 16335-2559 | 2007-01-23 |
| 1114994530 | J. Thomas Arno | Internal Medicine | 765 Liberty St, Suite 105, Meadville, PA 16335-2566 | 2006-03-03 |
| 1245236512 | Angel Raphel Flores | Internal Medicine | 765 Liberty St, 105, Meadville, PA 16335-2566 | 2005-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811507445 | St. Clair Medical Services, Inc. | Internal Medicine | 363 Vanadium Rd Ste 300, Pittsburgh, PA 15243-1477 | 2020-08-07 |
| 1336772490 | Gslpg Inc | Internal Medicine | 1165 Centre Tpke, Orwigsburg, PA 17961-9343 | 2020-02-18 |
| 1215560503 | Alliance Cardiology PC | Internal Medicine | 21 Yost Blvd Ste 216, Pittsburgh, PA 15221-5283 | 2020-02-15 |
| 1366007478 | Certified Cardiology of Roxborough PC | Internal Medicine | 640 Anthony Rd, Elkins Park, PA 19027-1702 | 2019-05-03 |
| 1023576436 | Mark J. Geller, Md, LLC | Internal Medicine | 121 Freeport Rd Ste 200, Blawnox, PA 15238-3411 | 2019-03-05 |
| 1215437173 | Walter Herman | Internal Medicine | 275 N Latches Ln, Merion Station, PA 19066-1726 | 2018-02-17 |
| 1780198754 | William Sigmund | Internal Medicine | 608 Spruce St, Philadelphia, PA 19106-4114 | 2017-11-28 |
| 1982128690 | Mercy Management of Sepa | Internal Medicine | 501 S 54th St Ste 186, Philadelphia, PA 19143-1900 | 2017-08-03 |
| 1538681457 | Rahul Gupta | Internal Medicine | Lehigh Valley Physicians Practice, 1250 S. Cedar Crest Blvd, Ste. 300, Allentown, PA 18103 | 2017-07-12 |
| 1831637263 | Your Travel Health LLC | Internal Medicine | 847 Youngs Ford Rd, Gladwyne, PA 19035-1610 | 2017-02-06 |
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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.