MR. LARRY GREG WILSON (NPI# 1801390273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801390273 |
| Entity Type | Individual |
| Full Name | MR. LARRY GREG WILSON |
| Practice Address |
115 Private Road 977 Pedro OH 45659-8608 |
| Practice Telephone | 7405341386 |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2018-03-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750869285 | Larry Colenzo Wilson | Counselor | 6224 N Inwood Rd, Shreveport, LA 71119-7213 | 2018-08-06 |
| 1992171086 | Larry Wilson | Chiropractor | 800 W Platt St Ste 2, Tampa, FL 33606-4112 | 2015-08-12 |
| 1528211232 | Larry James Wilson | Social Worker | 1572 Zephyr Ave, El Cajon, CA 92021-3560 | 2008-10-25 |
| 1538344908 | Larry Dwight Wilson Jr. | Counselor | 3020 18th St Suite 17, Catholic Charities, Columbus, NE 68601-4254 | 2008-01-04 |
| 1689749582 | Larry Flick Wilson | Preventive Medicine | Faa, Ace-300, 901 Locust Street, Rm 350, Kansas City, MO 64106 | 2006-11-24 |
| 1932297892 | Larry Don Wilson | Dentist | 2247 Helton Dr, Florence, AL 35630-1063 | 2006-10-10 |
| 1275541344 | Larry Bertram Wilson | Dentist | 721 W Arapaho Rd, #102, Richardson, TX 75080-4155 | 2006-08-04 |
| 1801819495 | Larry Al Wilson | Counselor | 2708 E Tanager Trl, Orange, TX 77632-0750 | 2006-07-25 |
| 1134121221 | Larry T Wilson | Family Medicine | 701 S Morgan Ave, Andrews, SC 29510 | 2005-06-02 |
| 1063918167 | Larry Wilson | Case Manager/Care Coordinator | 418 Center St, Wheelersburg, OH 45694-1712 | 2018-04-05 |
| Street Address |
115 PRIVATE ROAD 977 |
| City | PEDRO |
| State | OH |
| Zip Code | 45659-8608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316117831 | Mollie D Lackey | Counselor | 115 Private Road 977, Pedro, OH 45659-8608 | 2008-03-12 |
| 1083227201 | Stacy M Scherer | Registered Nurse | 115 Private Road 977, Pedro, OH 45659-8608 | 2020-08-27 |
| 1144831389 | Christina Lee Nelson | Registered Nurse | 115 Private Road 977, Pedro, OH 45659-8608 | 2020-08-12 |
| 1285244251 | Kelly Renee Higgins | Registered Nurse | 115 Private Road 977, Pedro, OH 45659-8608 | 2020-08-05 |
| 1144856527 | Emillie Crank | Registered Nurse | 115 Private Road 977, Pedro, OH 45659-8608 | 2020-03-18 |
| 1184257156 | Rebecca Lucas | Case Manager/Care Coordinator | 115 Private Road 977, Pedro, OH 45659-8608 | 2020-02-19 |
| 1437782455 | Crystal Pauley | Case Manager/Care Coordinator | 115 Private Road 977, Pedro, OH 45659-8608 | 2020-02-18 |
| 1326670175 | Courtney Marie Truitt | Licensed Practical Nurse | 115 Private Road 977, Pedro, OH 45659-8608 | 2020-02-10 |
| 1740828961 | Heather Black | Licensed Practical Nurse | 115 Private Road 977, Pedro, OH 45659-8608 | 2019-12-18 |
| 1689211708 | Melissa J Cox | Registered Nurse | 115 Private Road 977, Pedro, OH 45659-8608 | 2019-12-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740756097 | Matthew Salyers | Case Manager/Care Coordinator | 115 County Road 977, Pedro, OH 45659 | 2018-10-15 |
| 1023557923 | Michelle Taylor | Counselor | 115private Rd, Pedro, OH 45659 | 2017-02-13 |
| 1710426630 | Lisa Thompson | Case Manager/Care Coordinator | 115 Private Drive 977, Pedro, OH 45659 | 2017-02-13 |
| 1760925531 | Tracy Tufts | Case Manager/Care Coordinator | 115 Priv Rd 977, Pedro, OH 45659 | 2016-11-29 |
| 1376786699 | Rhonda Gail Pierce | Home Health Aide | 5153 County Road 16, Pedro, OH 45659 | 2009-04-16 |
| 1194993964 | T. Steven Cantley | Social Worker | 115 Private Rd. 977, Pedro, OH 45659 | 2008-02-14 |
| 1831301068 | Tammy Sue Bostic | Home Health Aide | 6975 County Road 4, Pedro, OH 45659 | 2007-05-03 |
| 1124240395 | Angela Jo April Brown Gipson | Home Health Aide | 6975 Country Road 4, Pedro, OH 45659 | 2007-05-03 |
| 1033230289 | Ena Inc. | Community/Behavioral Health | 115 Private Dr. 997, Pedro, OH 45659 | 2007-04-03 |
| 1679698898 | Mary Ann Howard | Home Health Aide | 8628 County Road 4, Pedro, OH 45659 | 2007-03-20 |
| Find all providers in zip 45659 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740756097 | Matthew Salyers | Case Manager/Care Coordinator | 115 County Road 977, Pedro, OH 45659 | 2018-10-15 |
| 1710426630 | Lisa Thompson | Case Manager/Care Coordinator | 115 Private Drive 977, Pedro, OH 45659 | 2017-02-13 |
| 1760925531 | Tracy Tufts | Case Manager/Care Coordinator | 115 Priv Rd 977, Pedro, OH 45659 | 2016-11-29 |
| 1184257156 | Rebecca Lucas | Case Manager/Care Coordinator | 115 Private Road 977, Pedro, OH 45659-8608 | 2020-02-19 |
| 1437782455 | Crystal Pauley | Case Manager/Care Coordinator | 115 Private Road 977, Pedro, OH 45659-8608 | 2020-02-18 |
| 1154971976 | Karissa Adkins | Case Manager/Care Coordinator | 115 Private Road 977, Pedro, OH 45659-8608 | 2019-09-13 |
| 1194381707 | Erin Page Johnson | Case Manager/Care Coordinator | 115 Private Road 977, Pedro, OH 45659-8608 | 2019-05-20 |
| 1851954895 | Brittany Nichole Roe | Case Manager/Care Coordinator | 115 Private Road 977, Pedro, OH 45659-8608 | 2019-04-16 |
| 1609330919 | Amber Malone | Case Manager/Care Coordinator | 115 Private Road 977, Pedro, OH 45659-8608 | 2019-01-31 |
| 1568926293 | Xavier Ferguson | Case Manager/Care Coordinator | 115 Private Road 977, Pedro, OH 45659-8608 | 2019-01-28 |
| Find all providers in PEDRO | ||||
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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.