GRACE WILSON (NPI# 1750761532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750761532 |
| Entity Type | Individual |
| Full Name | GRACE WILSON |
| Other Name | GRACE CARLSON |
| Credential | MD |
| Practice Address |
1 Hospital Dr # Dc043.00 Columbia MO 65212 |
| Mailing Address |
1 Hospital Dr Dc043.00 Columbia MO 65212-1000 |
| Practice Telephone | 5738841606 |
| Practice Fax Number | 5738845690 |
| Mailing Telephone | 5738841606 |
| Mailing Fax Number | 5738845690 |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2018-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 2015017097 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346869062 | Grace R Wilson | Registered Nurse | 1 Herbert St Unit B, Lynn, MA 01902-3808 | 2020-04-13 |
| 1841397569 | Grace Christine Wilson | Speech-Language Pathologist | 3706 N Williams, Oklahoma City, OK 73112-2939 | 2006-09-17 |
| 1578112645 | Grace Wilson | Chore Provider | 7320 Smoke Ranch Rd Ste H, Las Vegas, NV 89128-0259 | 2019-09-10 |
| 1245886449 | Grace Wilson | Behavioral Analyst | 27720 Jefferson Ave Ste 150, Temecula, CA 92590-2630 | 2019-08-13 |
| 1851946859 | Grace Elizabeth Wilson | Physician Assistant | 320 E North Ave Fl 3, Pittsburgh, PA 15212-4756 | 2019-08-06 |
| 1376071274 | Grace Wilson | Behavior Technician | 2740 College Ave, Conway, AR 72034-6141 | 2017-05-23 |
| 1568739118 | Grace Ann Wilson | Marriage & Family Therapist | 3500 Nw 56th St, Suite 100, Oklahoma City, OK 73112-4529 | 2011-11-28 |
| 1467698506 | Grace Agnes Wilson | Student in an Organized Health Care Education/Training Program | 575 East 100 South, Price, UT 84501 | 2008-12-19 |
| 1083740815 | Grace Becker Wilson | Social Worker | 160 Benmont Ave, Bennington, VT 05201-1873 | 2007-02-26 |
| Street Address |
1 HOSPITAL DR # DC043.00 |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689844268 | Vikesh Gupta | Internal Medicine | 1 Hospital Dr # Dc043.00, Columbia, MO 65201-5276 | 2008-03-10 |
| 1508483058 | Christine Cara Schwartz | Internal Medicine | 1 Hospital Dr # Dc043.00, Columbia, MO 65212-1000 | 2020-07-01 |
| 1811514466 | Joseph Shin | Internal Medicine | 1 Hospital Dr # Dc043.00, Columbia, MO 65212-1000 | 2020-06-30 |
| 1639795669 | Corey Wheelock | Internal Medicine | 1 Hospital Dr # Dc043.00, Columbia, MO 65212-1000 | 2020-06-25 |
| 1972129088 | Randi Paige Winter | Internal Medicine | 1 Hospital Dr # Dc043.00, Columbia, MO 65212-1000 | 2020-06-24 |
| 1144846254 | Kelechi Nwabara | Internal Medicine | 1 Hospital Dr # Dc043.00, Columbia, MO 65212-1000 | 2020-06-24 |
| 1598327678 | Mahmoud Mansour | Internal Medicine | 1 Hospital Dr # Dc043.00, Columbia, MO 65212-1000 | 2019-06-28 |
| 1154983237 | Blaine Michael Winterton | Internal Medicine | 1 Hospital Dr # Dc043.00, Columbia, MO 65212-1000 | 2019-06-28 |
| 1740841006 | Reuben Warshawsky | Internal Medicine | 1 Hospital Dr # Dc043.00, Columbia, MO 65201-5276 | 2019-06-26 |
| 1386205748 | Antony Rawindraraj | Internal Medicine | 1 Hospital Dr # Dc043.00, Columbia, MO 65201-5276 | 2019-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225594112 | Hee Young Lee | Student in an Organized Health Care Education/Training Program | 1100 Virginia Avenue, University of Missouri Health Car, Columbia, MO 65212 | 2019-02-15 |
| 1093200966 | Alexander John Lubinski | Radiology | 1 Hospital Drive Dco6910, Columbia, MO 65212 | 2018-06-24 |
| 1235638156 | Jami Bates | Physician Assistant | University of Missouri Hospital 1 Hospital Drive, Columbia, MO 65212 | 2018-02-06 |
| 1124554589 | John Wuennenberg | Student in an Organized Health Care Education/Training Program | 1020 Hitt St 2nd Floor, Columbia, MO 65212 | 2017-05-04 |
| 1336672005 | William Paul Christensen | Physical Medicine & Rehabilitation | One Hospital Dr Dc046.00, Dc046.00, Columbia, MO 65212 | 2017-04-09 |
| 1881127108 | Kelli Danielle Bryant | Student in an Organized Health Care Education/Training Program | 1020 Hitt St 2nd Florr, Columbia, MO 65212 | 2017-04-04 |
| 1952832859 | Juhi Koolwal | Radiology | 1 Hospital Dirve Ddc06910, Columbia, MO 65212 | 2017-03-22 |
| 1518319136 | Joseph Patrick Herbert | Neurological Surgery | One Hospital Drive, Dc048.00, Mc314 Mchaney Hall, Columbia, MO 65212 | 2016-07-07 |
| 1407207319 | Jesse Schmid | Otolaryngology | One Hosital Dr Ma314, Columbia, MO 65212 | 2016-06-22 |
| 1508216920 | David Koch | Radiology | 1 Hospital Drive, Dc06910, Columbia, MO 65212 | 2016-06-16 |
| Find all providers in zip 65212 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740808815 | Thai Quoc Nguyen | Internal Medicine | University Hospital Ma421 Med Sciences Bldg, Columbia, MO 65212-0001 | 2020-07-06 |
| 1649898784 | Peter Egwom | Internal Medicine | University Hospital One Hospital Drive Dc.043.00, Columbia, MO 65212-0001 | 2020-07-06 |
| 1790302362 | Klariz Teves Tucker | Internal Medicine | Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-30 |
| 1851918346 | Maxwell Isaac | Internal Medicine | University Hospital 1 Hospital Drive Dc 043.00, Columbia, MO 65212-0001 | 2020-06-30 |
| 1285251983 | Shannon Ejiofor | Internal Medicine | University Hospital One Hospital Drive Dc043.00, Columbia, MO 65212-0001 | 2020-06-29 |
| 1336766278 | Jordan Stauffer | Internal Medicine | University Hospital One Hospital Dr, Columbia, MO 65212-0001 | 2020-06-26 |
| 1972120814 | Pak Ho Au | Internal Medicine | University Hospital One Hospital Dr Dc043.00, Columbia, MO 65212-0001 | 2020-06-26 |
| 1700402849 | Michael Allan Goble | Internal Medicine | Internal Medical Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-24 |
| 1740806389 | Alan Verl Godfrey | Internal Medicine | University of Missouri Hospital 1 Hospital Dr, Columbia, MO 65212-0001 | 2020-06-19 |
| 1003432642 | Gregory Gaskey | Internal Medicine | University of Missouri Hospital One Hospital Drive, Columbia, MO 65212-0001 | 2020-06-19 |
| Find all providers in COLUMBIA | ||||
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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.