LANCE T WILSON (NPI# 1750398707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750398707 |
| Entity Type | Individual |
| Full Name | LANCE T WILSON |
| Credential | MD |
| Practice Address |
3128 Don Quixote Dr Nw Albuquerque NM 87104-3007 |
| Practice Telephone | 5052435008 |
| Practice Fax Number | 5052448386 |
| Mailing Telephone | 5052435008 |
| Mailing Fax Number | 5052448386 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2009-04-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 2001-124 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 000G5508 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053793117 | Lance Wilson | Pharmacist | 2516 2nd Ave, Kearney, NE 68847-4415 | 2015-06-25 |
| 1619901196 | Lance D Wilson | Emergency Medicine | 2500 Metrohealth Dr, Mhmc-emergency Medicine, Cleveland, OH 44109-1900 | 2006-07-10 |
| 1942237862 | Lance B Wilson | Family Medicine | 777 Township Line Road, Ste. 200, Yardley, PA 19067-5564 | 2006-06-27 |
| Street Address |
3128 DON QUIXOTE DR NW |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87104-3007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053839639 | Alicia Lovato | Pharmacist | 1731 Towner Ave Nw, Albuquerque, NM 87104 | 2017-09-05 |
| 1649650797 | Anna Marie L Dinallo | Counselor | 1602 Escalante Ave, Albuquerque L, NM 87104 | 2015-06-04 |
| 1487057246 | Larry Steve Archuleta Sr. Sr. | Counselor | 1611 Central Nw, Alb., NM 87104 | 2014-10-07 |
| 1386072866 | Bridges | Day Training, Developmentally Disabled Services | 1509 Los Jardines Place, Albuquerque, NM 87104 | 2013-10-22 |
| 1275974792 | Mary R. Gomez | Counselor | 1611 Central Ave. Nw, Albuq, NM 87104 | 2013-07-12 |
| 1861727992 | Corrianne H Broner | Counselor | 1208 Claire Court Nw, Albuquerque, NM 87104 | 2009-10-07 |
| 1578711545 | Raymond Louis Zoumar | Anesthesiology | 2312 Campbell Rd Nw, Albuquerque, NM 87104 | 2008-09-03 |
| 1972785756 | Rochelle Young | Counselor | 1316- A Granite Ave. Nw, Albuquerque, NM 87104 | 2007-12-03 |
| 1023134699 | Elizabeth Anne Ferrell | Dental Hygienist | 400 San Felipe Nw, Suite F, Albuquerque, NM 87104 | 2007-03-22 |
| 1366566705 | Abq Home Health Care Inc. | Home Health | 1600 Lomas Blvd Nw, Suite B, Albuquerque, NM 87104 | 2007-03-19 |
| Find all providers in zip 87104 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730612359 | Adam Michael Tolar | Emergency Medicine | Mcs 11 6025, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2017-04-10 |
| 1538691712 | David Scott Fischman | Emergency Medicine | 6400 Paseo Del Norte Blvd Ne, Albuquerque, NM 87113-8711 | 2017-03-28 |
| 1265895486 | Nedda Fariba Karimi | Emergency Medicine | 4515 Coors Blvd Nw, Albuquerque, NM 87120-3699 | 2016-04-04 |
| 1417310764 | Justin Itty Mathew | Emergency Medicine | Department of Emergency Medicine Msc11 6025, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2016-04-04 |
| 1639532583 | Amanda Lauren Ventura | Emergency Medicine | Msc Emergency Medicine 1 University of New Mexico, Albuquerque, NM 87131-2364 | 2016-03-29 |
| 1083000178 | David Michael Glass | Emergency Medicine | Emergency Medicine Msc 11 6025, University of New Mexico, Albuquerque, NM 87131-0001 | 2015-04-15 |
| 1952797300 | Eleni Marie Bucuvalas | Emergency Medicine | Msc 11-6025, 1 University of New Mexico, Albuquerque, NM 87131 | 2015-04-13 |
| 1225423239 | Joseph Smith Jr. | Emergency Medicine | Msc 11 6025 University of New Mexico, Albuquerque, NM 87131-0001 | 2015-04-06 |
| 1073932471 | Kimberly Marie Ruth Pruett | Emergency Medicine | Unm Department of Emergency Medicine 1 Unm, Albuquerque, NM 87131-4700 | 2014-04-14 |
| 1538509484 | Jason S. Zeller | Emergency Medicine | Msc 11 6025 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2013-06-25 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87104 |
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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.