DR. PETER JOHN WILTSE (NPI# 1699770552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699770552 |
| Entity Type | Individual |
| Full Name | DR. PETER JOHN WILTSE |
| Credential | D.O. |
| Practice Address |
3608 Preston Rd Ste 150 Plano TX 75093-8655 |
| Mailing Address |
3608 Preston Rd Suite 150 Plano TX 75093-8655 |
| Practice Telephone | 9725664040 |
| Practice Fax Number | 9727690884 |
| Mailing Telephone | 9725664040 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2013-05-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | G8514 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 032033502 | 05 | |
| TX | BLUE CROSS | 8R5383 | 01 |
| Street Address |
3608 PRESTON RD STE 150 |
| City | PLANO |
| State | TX |
| Zip Code | 75093-8655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780687582 | Horizon Open Mri of Plano LLC | Clinic/Center | 3608 Preston Rd, Ste 150, Plano, TX 75093-8651 | 2005-05-24 |
| 1356717201 | Thomas P. Files | Counselor | 3608 Preston Rd, Suite 146, Plano, TX 75093-8655 | 2015-08-14 |
| 1295007599 | Dr Christina R Chang & Associates, Od, Pa | Optometrist | 3608 Preston Rd, Suite 148, Plano, TX 75093-8655 | 2012-02-01 |
| 1710150644 | Michael H. Bennett, Ph.d. | Psychologist | 3608 Preston Rd, Ste. 150, Plano, TX 75093-8655 | 2008-04-11 |
| 1548447097 | N. Texas Laparoscopic and General Surgery, Pllc | Surgery | 3608 Preston Rd, Suite 150, Plano, TX 75093-8655 | 2008-01-28 |
| 1972727097 | Nathaniel Thomas Yokubaitis | Internal Medicine | 3608 Preston Rd, Suite 120, Plano, TX 75093-8654 | 2007-04-12 |
| 1760606883 | Joel Martin Brown, M.d., P.a. | Internal Medicine | 3608 Preston Rd, 105, Plano, TX 75093-8655 | 2007-04-12 |
| 1356488993 | Nathaniel T. Yokubaitis, M.d., P.a. | Internal Medicine | 3608 Preston Rd, Suite 120, Plano, TX 75093-8654 | 2007-01-31 |
| 1134294457 | Joel Martin Brown | Internal Medicine | 3608 Preston Rd, Suite 105, Plano, TX 75093-8655 | 2006-11-21 |
| 1912084567 | Christina R Chang | Optometrist | 3608 Preston Rd, Suite 148, Plano, TX 75093-8655 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
| 1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
| 1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
| 1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
| 1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
| 1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
| 1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
| 1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
| 1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
| 1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
| Find all providers in zip 75093 | ||||
| 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 |
|---|---|---|---|---|
| 1174147086 | North Texas General Surgery Pllc | Surgery | 1600 Coit Rd Ste 207, Plano, TX 75075-6172 | 2020-06-05 |
| 1487178745 | Integris Surgical Group and Medical Management | Surgery | 3313 Westclarke Dr, Plano, TX 75093-7974 | 2017-07-28 |
| 1780134122 | Teaxas Medical Results, LLC | Surgery | 1708 Coit Rd Ste 150, Plano, TX 75075-6198 | 2016-10-10 |
| 1275918054 | Advanced Surgical Consultants | Surgery | 3628 Curbstone Way, Plano, TX 75074-8931 | 2015-07-22 |
| 1528443355 | Village Surgical Group Pa | Surgery | 8080 Independence Pkwy Ste 115, Plano, TX 75025-4005 | 2015-07-22 |
| 1093046773 | Erika Cristina Van Doorn | Surgery | 4001 W 15th St Ste 200, Plano, TX 75093-5855 | 2010-01-20 |
| 1245485663 | Julie C Kilgore | Surgery | 5500 Democracy Dr Ste 150, Plano, TX 75024-4202 | 2008-11-26 |
| 1710132527 | Aaron Michael Roberts | Surgery | 5425 W Spring Creek Pkwy Ste 205, Plano, TX 75024-4236 | 2008-11-20 |
| 1659556751 | David W. Hampe, Md, Pa | Surgery | 5920 W Parker Rd Ste 100, Plano, TX 75093-6413 | 2008-01-08 |
| 1639374861 | Angela Anne Guzzetta | Surgery | 4090 Mapleshade, Suite #100, Plano, TX 75093-0022 | 2007-06-18 |
| Find all providers in PLANO | ||||
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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.