DR. MATTHEW WILSON (NPI# 1699798876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699798876 |
Entity Type | Individual |
Full Name | DR. MATTHEW WILSON |
Credential | MD |
Practice Address |
777 Clinton Ave S Rochester NY 14620-1401 |
Mailing Address |
1060 South Ave Rochester NY 14620-2741 |
Practice Telephone | 5852794800 |
Enumeration Date | 2006-07-26 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982211231 | Matthew Wilson | Homemaker | 5515 Plain City Georgesville Rd, Plain City, OH 43064-8825 | 2020-09-29 |
1821655986 | Matthew Wilson | Student in an Organized Health Care Education/Training Program | 322 E Prentiss St Apt 502, Iowa City, IA 52240-1766 | 2019-05-23 |
1003472853 | Matthew Francis Wilson | Social Worker | 417 Gettysburg St Ste 200, Pittsburgh, PA 15206-4529 | 2019-05-17 |
1629492798 | Matthew James Wilson | Student in an Organized Health Care Education/Training Program | 725 W Maple St, Johnson City, TN 37604-6507 | 2014-02-10 |
1568752392 | Matthew Steven Wilson | Orthopaedic Surgery | 834 Chestnut Street, Suite G-114, The Philadelphia Hand Center, Philadelphia, PA 19107 | 2011-04-13 |
1174839054 | Matthew C Wilson | Family Medicine | Schneck Primary Care - Jackson Park, 1124 Medical Place, Seymour, IN 47274 | 2010-08-30 |
1184892531 | Matthew J Wilson | Technician, Other | 119 Beal Pkwy Se, Suite 101, Fort Walton Beach, FL 32548-5386 | 2008-02-19 |
1003093600 | Matthew J. Wilson | Internal Medicine | 755 Mt Vernon Hwy, Suite 530, Atlanta, GA 30328 | 2008-01-25 |
1770193732 | Matthew Dwight Wilson | Case Manager/Care Coordinator | 2250 N Airport Rd, Weatherford, OK 73096-3351 | 2020-08-05 |
1972128643 | Matthew Hall Wilson | Student in an Organized Health Care Education/Training Program | 680 Centre St, Brockton, MA 02302-3308 | 2020-06-09 |
Street Address |
777 CLINTON AVE S |
City | ROCHESTER |
State | NY |
Zip Code | 14620-1401 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184664948 | Strong Medical Group | Pediatrics | 777 Clinton Ave S, Rochester, NY 14620-1448 | 2006-06-08 |
1386266971 | Julia Sanger | Student in an Organized Health Care Education/Training Program | 777 Clinton Ave S, Rochester, NY 14620-1448 | 2020-05-18 |
1962024299 | Sarah Minney | Student in an Organized Health Care Education/Training Program | 777 Clinton Ave S, Rochester, NY 14620-1448 | 2020-05-08 |
1912528142 | Lisa Michelle Denmark | Registered Nurse | 777 Clinton Ave S, Rochester, NY 14620-1448 | 2020-04-28 |
1669093993 | Ellerie Chen | Student in an Organized Health Care Education/Training Program | 777 Clinton Ave S, Rochester, NY 14620-1448 | 2020-04-27 |
1962022301 | Alexis Davis | Student in an Organized Health Care Education/Training Program | 777 Clinton Ave S, Rochester, NY 14620-1448 | 2020-04-24 |
1114547452 | Courtney Elizabeth Kodweis | Student in an Organized Health Care Education/Training Program | 777 Clinton Ave S, Rochester, NY 14620-1448 | 2020-04-16 |
1861011348 | Joel Fandel | Student in an Organized Health Care Education/Training Program | 777 Clinton Ave S, Rochester, NY 14620-1448 | 2020-04-14 |
1063031748 | Scott Joseph Neary | Student in an Organized Health Care Education/Training Program | 777 Clinton Ave S, Rochester, NY 14620-1448 | 2020-04-13 |
1316566110 | Hannah Marie Root | Student in an Organized Health Care Education/Training Program | 777 Clinton Ave S, Rochester, NY 14620-1448 | 2020-04-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356974174 | Linda D Pratt | Speech-Language Pathologist | Rochester Hearing and Speech Center, 1000 Elmwood Ave Suite 400, Rochester, NY 14620 | 2020-02-20 |
1609417617 | Maisie Katherine Pipher | Physician Assistant | 110 Crittenden Blvd, Rochester, NY 14620 | 2019-10-01 |
1215592332 | Allison Mckeown | Student in an Organized Health Care Education/Training Program | 777 S. Clinton Avenue - Box Hh 37, Rochester, Ny 14620, Box Hh 37, Rochester, NY 14620 | 2019-05-03 |
1114495736 | Tabitha Domonique Griffin | Licensed Practical Nurse | 55 Forthill Terrace, Rochester, NY 14620 | 2018-11-13 |
1700371960 | Deborah Paul | Dermatology | 40 Celebration Dr # 697, Rochester, NY 14620 | 2018-06-28 |
1942725791 | Emily Catone | Nurse Practitioner | 252 Cobb Terrace, Rochester, NY 14620 | 2017-08-12 |
1104355593 | Acacia Palmer | Counselor | 150 Mount Hope Avenue, Rochester, NY 14620 | 2017-06-08 |
1750818803 | Meagan Michelle Goates | Student in an Organized Health Care Education/Training Program | 150 Crittenden Blvd, Rochester, NY 14620 | 2017-05-20 |
1386170470 | Kendall Battle | Licensed Practical Nurse | 479 South Ave Apt B, Rochester, NY 14620 | 2017-05-10 |
1285167700 | Gina Josette Kuehn | Student in an Organized Health Care Education/Training Program | 40 Celebration Dr # 278733, Rochester, NY 14620 | 2017-04-11 |
Find all providers in zip 14620 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174130421 | Carolyne Copley | Student in an Organized Health Care Education/Training Program | 226 2nd St Sw, Rochester, MN 55905-0001 | 2020-09-29 |
1497362925 | Alexandra Michelle Hasiotis | Student in an Organized Health Care Education/Training Program | 36 Copperfield Rd, Rochester, NY 14615-1102 | 2020-09-29 |
1750905873 | Anna C Lin | Student in an Organized Health Care Education/Training Program | 419 7th Ave Sw, Rochester, MN 55902-3216 | 2020-06-04 |
1558985101 | Erin Marissa Hannigan | Student in an Organized Health Care Education/Training Program | 4802 8th St Sw, Rochester, MN 55902-8711 | 2020-05-29 |
1710501408 | Anna Dowling | Student in an Organized Health Care Education/Training Program | 609 E 2650 North Rd, Rochester, IL 62563-8108 | 2020-05-29 |
1689296386 | Bryan Liming Jan | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave # 632, Rochester, NY 14642-0001 | 2020-05-15 |
1780206474 | Robert Tainsh | Student in an Organized Health Care Education/Training Program | 601 Elmwood Avenue Box 604, Rochester, NY 14642-0001 | 2020-05-15 |
1578185302 | Shaahin Dadjoo | Student in an Organized Health Care Education/Training Program | 625 Elmwood Ave Ofc 683, Rochester, NY 14620-2913 | 2020-05-14 |
1578185534 | Starling Tolliver | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave # Ac-5696, Rochester, NY 14642-0001 | 2020-05-13 |
1548882707 | Christian A Archer | Student in an Organized Health Care Education/Training Program | 601 Elmwood Avenue Box Hh 37, Rochester, NY 14642-0001 | 2020-05-11 |
Find all providers in ROCHESTER |
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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.