JOSEPH L WILSON MD INC


Address: 1901 Mission 66, Vicksburg, MS 39180-3711
Phone: 6016360097

JOSEPH L WILSON MD INC (NPI# 1730287707) 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) 1730287707
Entity Type Organization
Organization Name JOSEPH L WILSON MD INC
Practice Address 1901 Mission 66
Vicksburg
MS 39180-3711
Practice Telephone 6016360097
Practice Fax Number 6016299969
Mailing Telephone 6016360097
Mailing Fax Number 6016299969
Enumeration Date 2006-09-21
Last Update Date 2020-08-22
Authorized Official Name JOSEPH L WILSON (PRESIDENT)
Authorized Official Telephone 6016360097
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 10040 MS Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MS 01976796 05

Office Location

Street Address 1901 MISSION 66
City VICKSBURG
State MS
Zip Code 39180-3711

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023087855 Good Samaritan Physical Therapy,inc. Durable Medical Equipment & Medical Supplies 1901 Mission 66, Suite A, Vicksburg, MS 39180-3711 2006-03-15
1922633916 Physician Management Services of Mississippi, LLC Family Medicine 1901 Mission 66, Vicksburg, MS 39180-3711 2020-03-10
1417410911 Cal-med LLC Family Medicine 1901 Mission 66, Vicksburg, MS 39180-3711 2019-04-11
1174067250 Robert M Cannon Md LLC Clinic/Center 1901 Mission 66, Vicksburg, MS 39180-3711 2016-12-08
1659739787 Denesia Y Giffin Pllc Nurse Practitioner 1901 Mission 66, Vicksburg, MS 39180-3711 2016-02-03
1710351572 Alliance Healthcare Services Inc Clinic/Center 1901 Mission 66, Vicksburg, MS 39180-3711 2015-11-17
1588078737 Christina Hossley Inc Nurse Practitioner 1901 Mission 66, Vicksburg, MS 39180-3711 2014-06-16
1639597966 K Mcdaniel Inc Nurse Practitioner 1901 Mission 66, Vicksburg, MS 39180-3711 2014-04-03
1215373139 Robert Michael Cannon Family Medicine 1901 Mission 66, Vicksburg, MS 39180-3711 2013-05-18
1326289612 J Russell Barnes Md PC Family Medicine 1901 Mission 66, Vicksburg, MS 39180-3711 2009-03-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255877346 Elite Performance and Rehab, LLC Clinic/Center 1901 A Mission 66, Vicksburg, MS 39180 2017-01-12
1679931083 Heather M Anderson Physician Assistant 2080 S Frontage Rd Ste 100, Vicksburg, MS 39180 2016-02-01
1245604941 Warren County Assn.for Retarded Citizens, Inc. Day Training, Developmentally Disabled Services 100 Smokey Lane, Vicksburg, MS 39180 2015-11-18
1386012904 Brian Oliver Snowden Counselor 3530 Manor Dr Ste 5a, Vicksburg, MS 39180 2015-09-14
1962802710 Jordan P. Crocker, D.m.d., Pllc Clinic/Center 109 Monument Place, Vicksburg, MS 39180 2014-08-29
1821434259 Trisha Addison Physical Therapist 2222 South Frontage Road, Suite D, Vicksburg, MS 39180 2013-05-13
1073862157 Laura Jeanne Briggs Physical Therapist 1901-a Mission 66, Vicksburg, MS 39180 2012-09-05
1912175258 Andrea T. Harris Counselor Warren-yazoo Mental Health Service, 3444 Wisconsin Ave., Vicksburg, MS 39180 2008-02-20
1922217314 Austin Family Dentistry Dentist 3040 Indiana Ave, Vicksburg, MS 39180 2007-05-22
1063539138 Ollie Hardaway Jr. Dentist 154 Cottonwood Street, Vicksburg, MS 39180 2007-03-23
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497710685 Jeffrey Morris Internal Medicine 2080 S Frontage Rd, Suite 100, Vicksburg, MS 39180-5328 2006-04-19
1114459070 Thulasi Ram Gudi Internal Medicine 2100 Highway 61 N, Vicksburg, MS 39183-8211 2017-03-30
1508278177 Medical Associates of Vicksburg Pllc Internal Medicine 2080 S Frontage Rd, Vicksburg, MS 39180-5328 2014-05-29
1548557168 Clary Ann Montalvo Galiano Internal Medicine 2100 Highway 61 N, Vicksburg, MS 39183 2011-07-03
1053642462 Charles A. Marascalco Internal Medicine 2100 Highway 61 N, Vicksburg, MS 39183-8211 2010-01-25
1518051705 Feras Hamadeh Internal Medicine 2100 Highway 61 N, Vicksburg, MS 39183-8211 2006-10-03
1568560530 Joseph L Wilson Internal Medicine 1901 Mission 66, Vicksburg, MS 39180-3711 2006-09-21
1831120724 Paul W Pierce Internal Medicine 2080 S Frontage Rd, Suite T, Vicksburg, MS 39180-5328 2006-07-06
1811928005 Thomas K Sligh Internal Medicine 2200 Highway 61 N, Vicksburg, MS 39183-8246 2006-07-05
1770511420 William H Wooten Internal Medicine 104 Mcauley Dr, Vicksburg, MS 39183-2825 2006-06-30
Find all providers in VICKSBURG

Competitor

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City VICKSBURG
Zip Code 39180

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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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