MICHAEL N WILSON (NPI# 1710495007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710495007 |
| Entity Type | Individual |
| Full Name | MICHAEL N WILSON |
| Practice Address |
6365 W Okmulgee St Muskogee OK 74401-4595 |
| Mailing Address |
140 W 60th Pl S Muskogee OK 74401-9031 |
| Practice Telephone | 9186828407 |
| Enumeration Date | 2018-01-20 |
| Last Update Date | 2018-01-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386203537 | Michael John Wilson | Clinical Neuropsychologist | 9301 Madison St Rm 369, Crown Point, IN 46307-7745 | 2019-06-11 |
| 1982268017 | Michael Donavan Wilson | Counselor | 200 North Lewis, Waukegan, IL 60087 | 2019-04-24 |
| 1891201604 | Michael Paul Wilson | Technician/Technologist | 324 Garden Rd, Springfield, PA 19064-3505 | 2017-12-18 |
| 1659897536 | Michael Wilson | Driver | 1628 Bucktown Dr, Danville, VA 24543 | 2017-08-22 |
| 1386096501 | Michael Wilson | Home Health | 596 North Hawkins Ave, Akron, OH 44313 | 2016-07-12 |
| 1164895728 | Michael Wilson | Counselor | 3027 Pleasant Grv, Bossier City, LA 71111-5758 | 2015-11-04 |
| 1013384379 | Michael Wilson | Counselor | 7110 Sw Fir Loop Ste 220, Tigard, OR 97223 | 2015-08-21 |
| 1467828350 | Michael Wilson | Social Worker | 30500 Southfield Road Apt. 200, Michael Wilson, Southfield, MI 48076 | 2015-08-14 |
| 1356723803 | Michael Wilson II | Home Health Aide | 348 Wilson Ave, Port Clinton, OH 43452-1740 | 2015-06-22 |
| 1467641399 | Michael C. Wilson | Developmental Therapist | 820 E 38th Pl Unit 1, Chicago, IL 60653-1969 | 2007-10-16 |
| Street Address |
6365 W OKMULGEE ST |
| City | MUSKOGEE |
| State | OK |
| Zip Code | 74401-4595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457493355 | Green Country Behavioral Health Services, Inc. | Psychiatric Unit | 6365 W Okmulgee St, Muskogee, OK 74401-4595 | 2007-02-14 |
| 1932765674 | Joseph Alexander Daly | Peer Specialist | 6365 W Okmulgee St, Muskogee, OK 74401-4595 | 2019-05-17 |
| 1780154526 | Curtis Lee Brown IIi | Counselor | 6365 W Okmulgee St, Muskogee, OK 74401-4595 | 2018-12-04 |
| 1265940225 | Kendel Jane Greenwood | Peer Specialist | 6365 W Okmulgee St, Muskogee, OK 74401-4595 | 2018-01-11 |
| 1386880334 | Mary Louise Kimbrell | Registered Nurse | 6365 W Okmulgee St, Muskogee, OK 74401-4595 | 2008-12-22 |
| 1710012984 | Green Country Behavioral Health Services, Inc. | Case Management | 6365 W Okmulgee St, Muskogee, OK 74401-4595 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508486978 | Economy Pharmacy | Pharmacy | 3414 W. Okmulgee, Muskogee, OK 74401 | 2020-04-25 |
| 1831678390 | Jaclyn Drass | Nurse Practitioner | 201 N 32nd St, Muskogee, OK 74401 | 2018-08-07 |
| 1225530710 | Cliffetta J Harrison | Case Management | 619 N Main St., Muskogee, OK 74401 | 2018-03-01 |
| 1255700720 | Wesley B Higgs | Physical Therapist | 151 Eco-friendly Drive, Suite 101, Muskogee, OK 74401 | 2015-09-15 |
| 1699163626 | Dependable Medical Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 122 S. 38th, Muskoqee, OK 74401 | 2014-12-29 |
| 1134529928 | Mednow Urgent Care Center LLC | Clinic/Center | 550 W Shawnee St, Muskogee, OK 74401 | 2014-08-28 |
| 1447676770 | Ruby Johns | Counselor | 403 N 24th, Muskogee, OK 74401 | 2014-03-11 |
| 1417393380 | Andreka Pace | Counselor | 223 W Southside Boulevard, Muskogee, OK 74401 | 2013-05-17 |
| 1730438342 | Gordon Keith Harlin | Social Worker | 619 N Main, Muskogee, OK 74401 | 2012-08-29 |
| 1740565928 | Channing Kathleen Burke | Counselor | 741 South 32nd Street, Muskogee, OK 74401 | 2011-10-19 |
| Find all providers in zip 74401 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467934380 | Zoe November Hall | Peer Specialist | 1217 Foxcroft Cir Apt 4, Muskogee, OK 74403-7621 | 2018-09-06 |
| 1548776156 | Markita James | Peer Specialist | 503 S 9th St, Muskogee, OK 74401-7145 | 2017-12-19 |
| 1538776547 | Amber Marie Wade | Peer Specialist | 619 N Main St, Muskogee, OK 74401-4431 | 2020-09-24 |
| 1982210159 | Dakota James Smith | Peer Specialist | 619 N Main St, Muskogee, OK 74401-4431 | 2020-09-22 |
| 1689287765 | Garrett Boyce Mcguire | Peer Specialist | 619 N Main St, Muskogee, OK 74401-4431 | 2020-08-28 |
| 1083226484 | Robert Samuel Stewart | Peer Specialist | 619 N Main St, Muskogee, OK 74401-4431 | 2020-08-18 |
| 1760007512 | Jacqueline Vernice Hopkins | Peer Specialist | 619 N Main St, Muskogee, OK 74401-4431 | 2020-06-08 |
| 1003442567 | Jeffery Coe | Peer Specialist | 619 N Main St, Muskogee, OK 74401-4431 | 2020-03-17 |
| 1245865872 | Matthew Mark Porter | Peer Specialist | 619 N Main St, Muskogee, OK 74401-4431 | 2020-03-04 |
| 1598399313 | Cheyenne Dawn Russell | Peer Specialist | 619 N Main St, Muskogee, OK 74401-4431 | 2020-03-02 |
| Find all providers in MUSKOGEE | ||||
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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.