DR. SHAWN ANTHONY WILSON (NPI# 1699068445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699068445 |
| Entity Type | Individual |
| Full Name | DR. SHAWN ANTHONY WILSON |
| Credential | D.O. |
| Practice Address |
5838 Harbour View Blvd Bldg Ste 100 Suffolk VA 23435-2663 |
| Practice Telephone | 7576735680 |
| Practice Fax Number | 7574833075 |
| Mailing Telephone | 7576735680 |
| Mailing Fax Number | 7574833075 |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2018-09-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 0102205257 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598141525 | Shawn Wilson | Contractor | 880 W Eden Cir, Fayetteville, AR 72701-6931 | 2015-07-31 |
| 1811337553 | Shawn Kevin Wilson | Dentist | 3110 Churn Creek Rd, Redding, CA 96002 | 2013-06-26 |
| 1588891634 | Shawn Wilson | Student in an Organized Health Care Education/Training Program | 2100 Stantonsburg Rd, Graduate Medical Education, Greenville, NC 27834-2818 | 2009-06-16 |
| 1558423863 | Shawn Wilson | Social Worker | Unit 14010, Apo, AP 96543-4010 | 2006-12-14 |
| 1447341821 | Shawn Wilson | Physical Therapy Assistant | 490 Centre Lake Dr Ne, Palm Bay, FL 32907-1189 | 2006-09-28 |
| 1356458517 | Shawn P Wilson | Emergency Medicine | 1969 W Hart Rd, Beloit, WI 53511 | 2006-08-24 |
| 1790794931 | Shawn H Wilson | Emergency Medicine | 110 S 9th Ave, Yakima, WA 98902-3315 | 2006-08-05 |
| Street Address |
5838 HARBOUR VIEW BLVD BLDG STE 100 |
| City | SUFFOLK |
| State | VA |
| Zip Code | 23435-2663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902423700 | Sean Eric Surber | Physical Therapist | 5818 D Harbour View Blvd., Suite 150, Suffolk, VA 23435 | 2020-06-29 |
| 1871158691 | Lumen Flux Pllc | Dentist | 5501 Bennett's Pasture Road, Suite D, Suffolk, VA 23435 | 2019-05-07 |
| 1588175970 | Louisa Catherine Korte | Anesthesiology | 3107 Summerhouse Drive, Suffolk, VA 23435 | 2017-10-12 |
| 1134648686 | Nicole Short Brown | Non-emergency Medical Transport (VAN) | 782 D Bennetts Meadow Lane, Suffolk, VA 23435 | 2017-09-15 |
| 1104346923 | Southerncare, Inc. | Hospice Care, Community Based | 1037 Champions Way Ste 600, Suffolk, VA 23435 | 2017-06-22 |
| 1801245329 | Usn | Military Hospital | 3602 Traverse Circle, Suffolk, VA 23435 | 2016-06-06 |
| 1366836173 | Vernon Johnson | Counselor | 6805 Castlewood Avenue, Suffolk, VA 23435 | 2015-03-19 |
| 1265776751 | Sister's Developing Growth & Change, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6101 Bradford Drive #b, Suffolk, VA 23435 | 2012-11-21 |
| 1770899247 | Lefcoe, Weinstein, Sachs, Schiff & Associates | Dentist | 210 Meadow View Boulevard, Suffolk, VA 23435 | 2010-08-23 |
| 1770805178 | Nikkiah Wyatt Smith | Counselor | 5705 Lee Farm Ln Ste D, Suffolk, VA 23435 | 2010-02-25 |
| Find all providers in zip 23435 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629629340 | Tidewater Orthopaedic Associates Inc | Orthopaedic Surgery | 3920a Bridge Rd Ste 305, Suffolk, VA 23435-1126 | 2019-09-24 |
| 1023633369 | Bon Secours Medical Group Hampton Roads Specialty Care LLC | Orthopaedic Surgery | 3920 Bridge Rd Ste 305, Suffolk, VA 23435-1107 | 2020-06-12 |
| 1932724275 | Bon Secours Medical Group Hampton Roads Specialty Care LLC | Orthopaedic Surgery | 2790 Godwin Blvd Ste 320, Suffolk, VA 23434-8174 | 2020-06-12 |
| 1619445426 | Sport Medicine and Orthopaedic Center Inc | Orthopaedic Surgery | 150 Burnetts Way Ste 100, Suffolk, VA 23434-8168 | 2018-11-09 |
| 1699243402 | Sport Medicine and Orthopaedic Center Inc | Orthopaedic Surgery | 3920a Bridge Rd Ste 301, Suffolk, VA 23435-1125 | 2018-11-09 |
| 1962702704 | Jessica R Haynie | Orthopaedic Surgery | 5818 Harbour View Blvd # D, Suite 150, Suffolk, VA 23435-3315 | 2010-10-27 |
| 1174755961 | Kraig S Graham | Orthopaedic Surgery | 5838 Harbour View Blvd, Suite 108, Suffolk, VA 23435-2663 | 2009-08-13 |
| 1598999013 | Nicolai Bert Baecher | Orthopaedic Surgery | 150 Burnetts Way Ste 100, Suffolk, VA 23434 | 2009-05-12 |
| 1437162815 | Bryan Alan Fox | Orthopaedic Surgery | 150 Burnetts Way, Ste. 100, Suffolk, VA 23434-8168 | 2006-08-15 |
| 1265454417 | Jeffrey B Persons | Orthopaedic Surgery | 2012 Meade Pkwy, Suffolk, VA 23434-4259 | 2006-07-24 |
| Find all providers in SUFFOLK | ||||
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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.