PAUL R WILSON (NPI# 1710084124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710084124 |
| Entity Type | Individual |
| Full Name | PAUL R WILSON |
| Credential | MD |
| Practice Address |
1701 W. Curtis Road Adult Medicine Champaign IL 61822 |
| Mailing Address |
611 W. Park St. Bwpc Urbana IL 61801-2500 |
| Practice Telephone | 2173656507 |
| Practice Fax Number | 2173656380 |
| Mailing Telephone | 2173836792 |
| Mailing Fax Number | 2173834752 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2014-05-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
036080131 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | DMERC | 0533210001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013475268 | Paul Anthony Wilson | Behavior Technician | 3101 Grant St, Mckinney, TX 75071-2989 | 2019-03-06 |
| 1700210283 | Paul Wilson | Registered Nurse | 150-48 113th Ave, Jamaica, NY 11433 | 2013-09-03 |
| 1215221916 | Paul D Wilson | Psychologist | 8575 West 110th Street, 304, Overland Park, KS 66210 | 2011-05-31 |
| 1013247246 | Paul James Wilson | Optometrist | 26077 Arjuna Ave, Temecula, CA 92590-3541 | 2010-01-11 |
| 1912137217 | Paul Kent Wilson | Podiatrist | 110 Bermuda Dr, Jonesborough, TN 37659-3166 | 2009-07-21 |
| 1073782140 | Paul Joseph Wilson | Chiropractor | 2828 Old Route 33, Horner, WV 26372-9705 | 2008-02-22 |
| 1548456312 | Paul T Wilson | Optometrist | 653 E Cottonwood Lane, Casa Grande, AZ 85122 | 2007-09-14 |
| 1063622439 | Paul Thomas Wilson | Counselor | 307 Simpson St, Greencastle, IN 46135-0066 | 2007-05-23 |
| 1275678617 | Paul Hudson Wilson | Ophthalmology | 2389 South Collins Street, Arlington, TX 76014-1236 | 2007-02-21 |
| 1992770218 | Paul J Wilson IIi | Family Medicine | 967 E Lancaster Ave, Downingtown, PA 19335-3328 | 2006-02-21 |
| Street Address |
1701 W. CURTIS ROAD ADULT MEDICINE |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205866415 | Ines O Baquero | Obstetrics & Gynecology | 1701 W. Curtis Road, Ob/gyn, Champaign, IL 61822 | 2006-07-04 |
| 1669791166 | Sean Patrick Fullan | Pediatrics | 1701 W. Curtis Road, Champaign, IL 61822-9678 | 2010-05-24 |
| 1518195155 | William D. Holmes | Dermatology | 1701 W. Curtis Road, Champaign, IL 61822-9678 | 2009-06-22 |
| 1457590408 | Tina Yi-ting Yang | Family Medicine | 1701 W. Curtis Road, Champaign, IL 61822-9678 | 2009-02-16 |
| 1518158914 | Jody K Gurtler | Registered Nurse | 1701 W. Curtis Road, Pediatrics, Champaign, IL 61822 | 2007-08-09 |
| 1922159110 | Jeremy Medler | Physician Assistant | 1701 W. Curtis Road, Dermatology, Champaign, IL 61822 | 2007-01-15 |
| 1649347550 | Joyce S Rhee | Internal Medicine | 1701 W. Curtis Road, Adult Medicine, Champaign, IL 61822 | 2006-11-29 |
| 1518067743 | Gretchen B Sperka | Internal Medicine | 1701 W. Curtis Road, Adult Medicine, Champaign, IL 61822 | 2006-09-25 |
| 1891898110 | Janet W Welch | Internal Medicine | 1701 W. Curtis Road, Adult Medicine, Champaign, IL 61822 | 2006-09-06 |
| 1427151646 | Keith B White | Psychologist | 1701 W. Curtis Road, Psychology, Champaign, IL 61822 | 2006-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083180830 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 2718 N Prospect Avenue, Champaign, IL 61822 | 2018-10-19 |
| 1487129730 | Siegfred T. Celis | Occupational Therapy Assistant | 1820 Oak Park Drive, Champaign, IL 61822 | 2018-10-12 |
| 1134633746 | Osf Healthcare System | Home Health | 1501 Interstate Dr Ste C, Champaign, IL 61822 | 2017-11-20 |
| 1386164200 | Carlo Sandico | Physical Therapist | 612 Corey Lane, Champagne, IL 61822 | 2017-06-21 |
| 1295270288 | Jennifer Lee Lugo | Registered Nurse | 3101 Fields South Dr., Champaign, IL 61822 | 2016-12-29 |
| 1902341209 | Jala Simmons | Behavioral Analyst | 4112 Fieldstone Rd, Suite B, Champaign, IL 61822 | 2016-12-22 |
| 1639552433 | Muhammad Ajmal | Internal Medicine | 1701 Curtis Road, Carle Clinic, Champaign, IL 61822 | 2015-06-30 |
| 1518363761 | Margaret A. Hallden | Hearing Instrument Specialist | 3354 Big Pine Trail #c, Audibel Hearing Aids, Champaign, IL 61822 | 2014-11-17 |
| 1801291638 | Kristen Karlsen | Pharmacist | 3114 Village Office Place, Champaign, IL 61822 | 2014-10-22 |
| 1649601543 | Jeff Chu | Optometrist | 507 W. Town Center Blvd, Champaign, IL 61822 | 2013-12-03 |
| Find all providers in zip 61822 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1962497032 | Toufic Abdo | Internal Medicine | 1813 W. Kirby Avenue, Endocrinology, Champaign, IL 61821 | 2005-09-15 |
| 1598860512 | Kathryn A Wilson | Internal Medicine | 1813 W. Kirby Avenue, Endocrinology, Champaign, IL 61821 | 2006-09-14 |
| 1033128764 | Sathya Subbiah | Internal Medicine | 1801 Windsor Rd, Champaign, IL 61822-6217 | 2006-08-05 |
| 1376551085 | John D. Stokes | Internal Medicine | 1801 Windsor Rd, Champaign, IL 61822-6217 | 2006-08-04 |
| 1558387217 | Shruti M Dave | Internal Medicine | 1813 W. Kirby Avenue, Endocrinology, Champaign, IL 61821 | 2006-07-14 |
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|---|---|---|---|---|
| 1356961304 | Wahid Kassar Md Ltd | Internal Medicine | 7447 W Talcott Ave Ste 444, Chicago, IL 60631-3715 | 2020-04-20 |
| 1245701812 | Chrysalis Health of Il P.C. | Internal Medicine | 402 Gardenia Ln, Buffalo Grove, IL 60089-1661 | 2018-12-07 |
| 1467920124 | Impact Physician Group, Illinois, LLC | Internal Medicine | 115 E South St Ste F, Plano, IL 60545-1595 | 2018-11-10 |
| 1538669510 | Oa Labs Clinic LLC. | Internal Medicine | 6321 Fairview Ave Ste B, Westmont, IL 60559-2886 | 2018-02-16 |
| 1457866519 | Mohammad Jamal Uddin Ansari | Internal Medicine | 751 N Rutledge St Ste 400, Springfield, IL 62702 | 2017-12-11 |
| 1356861496 | Javier Alcid Duron Tabora | Internal Medicine | 1725 W Harrison St Ste 250-a, Chicago, IL 60612-3841 | 2017-06-20 |
| 1336676923 | Villagemd Indiana, PC | Internal Medicine | 1 N Franklin St Ste 1205, Chicago, IL 60606 | 2017-05-15 |
| 1780135426 | Endocrine and Metabolic Center Inc | Internal Medicine | 280 Stonegate Rd, Algonquin, IL 60102-5600 | 2016-10-18 |
| 1174975601 | Bilal Shaikh | Internal Medicine | 1750 W Harrison St Ste 250, Chicago, IL 60612 | 2016-07-08 |
| 1316396294 | Melissa Faye Cohen | Internal Medicine | 835 S. Wolcott Street, Suite E625, M/c 640, Chicago, IL 60612 | 2016-06-10 |
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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.