DIANA LORRAINE WILSON


Address: 1209 E Cumberland Ave, Unit 2505, Tampa, FL 33602-4256
Phone: 7045758825

DIANA LORRAINE WILSON (NPI# 1720159692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720159692
Entity Type Individual
Full Name DIANA LORRAINE WILSON
Credential MD
Practice Address 1209 E Cumberland Ave
Unit 2505
Tampa
FL 33602-4256
Practice Telephone 7045758825
Mailing Telephone 7045758825
Enumeration Date 2006-11-13
Last Update Date 2017-01-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology 077328 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA ANTHEM HEALTHKEEPERS 239379 01

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1528482114 Diana Lee Wilson Licensed Practical Nurse 1170 Nadine Dr, Heath, OH 43056-9233 2014-02-18
1194146613 Diana Leah Wilson Dietitian, Registered 301 Fayetteville St, 2910, Raleigh, NC 27601-1974 2013-12-31
1508137894 Diana Lee Wilson Nurse Practitioner 550 Osborn Blvd Ste 1006, Sault Sainte Marie, MI 49783-1899 2012-01-19
1861521163 Diana Wilson Home Health Aide 156 Navajo Dr, Sardinia, OH 45171-9245 2007-03-04
1962570259 Diana Lynne Wilson Marriage & Family Therapist 611 Arthur St, Novato, CA 94947-4499 2006-12-02
1538152400 Diana Elizabeth Wilson Neurological Surgery 1325 Pennsylvania Ave Ste 890, Fort Worth, TX 76104-2145 2005-08-25

Office Location

Street Address 1209 E CUMBERLAND AVE
UNIT 2505
City TAMPA
State FL
Zip Code 33602-4256

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306482088 Michael P. Flynn Radiology 1003 Bay Harbour Place, Tampa, FL 33602 2019-11-18
1821649211 Shannon Tracy Munz Nurse Practitioner 203 N Marion St, Tampa, FL 33602 2019-09-26
1932682846 Ferrara Dental Pllc Dentist 201 East Kennedy Blvd, Suite 1425, Tampa, FL 33602 2018-09-07
1639668692 Darrell Wayne Fennell Jr. Counselor 400 N Ashley Dr Ste 2600, Tampa, FL 33602 2018-05-05
1093233967 Synergic Healthcare Solutions LLC Clinic/Center 303 W Palm Ave, Tampa, FL 33602 2017-08-31
1568980464 Drsoncalls General Practice 449 S 12th St., Unit 2801, Tampa, FL 33602 2017-08-31
1386178283 Charles Stuart Occupational Therapy Assistant 313 E. Oak Ave, Tampa, FL 33602 2017-04-18
1285172122 Frank Watson Chiropractor 1004 North Florida Ave., Tampa, FL 33602 2017-02-10
1295189801 Stephanie Buchman Student in an Organized Health Care Education/Training Program 1156 Shipwatch Circle, Tampa, FL 33602 2016-04-20
1093189896 Jonnique Adjmul Counselor 300 E Madison St Ste 201, Tampa, FL 33602 2015-11-17
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Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811459563 Tampa Bay Premier Obgyn Pllc Obstetrics & Gynecology 2727 W Dr Mlk Blvd Ste 630, Tampa, FL 33607-6399 2019-04-02
1033512264 Tampa Obstetrics, P.a. Obstetrics & Gynecology 4503 North 22nd Street, Tampa, FL 33610-6201 2014-10-02
1902209257 Exodus Women's Center, Inc. Obstetrics & Gynecology 4503 N 22nd St, Tampa, FL 33610-6201 2014-10-01
1710388814 Ana Maria Fraguada Obstetrics & Gynecology 3450 E Fletcher Ave Ste 110, Tampa, FL 33613-4603 2014-09-08
1245659010 Pawan Kumar Rattan Obstetrics & Gynecology 612 E Davis Blvd, Tampa, FL 33606-3922 2014-04-09
1356760359 Exodus Women's Center, Inc. Obstetrics & Gynecology 5537 Sheldon Rd Ste N, Tampa, FL 33615-3167 2014-04-08
1124459326 Michael Fernandez Obstetrics & Gynecology 13806 Khilani Ct, Tampa, FL 33624-6919 2013-12-12
1730514225 Charles Samuel Mahan Obstetrics & Gynecology 3111 E. Fletcher Av., Tampa, FL 33611 2013-09-04
1992140677 Wilfredo Nicolas Herrera Obstetrics & Gynecology 2727 W Dr. Mlk Jr Blvd, Ste 630, Tampa, FL 33607 2013-05-08
1912244831 William Larry Capps Obstetrics & Gynecology 577 Luzon Ave, Tampa, FL 33606-3623 2013-01-11
Find all providers in TAMPA

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City TAMPA
Zip Code 33602

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Dataset Information

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.

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