MS. AMANDA LOUISE WILSON (NPI# 1821066085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821066085 |
| Entity Type | Individual |
| Full Name | MS. AMANDA LOUISE WILSON |
| Credential | MD |
| Practice Address |
82 Main St. West Springfield MA 01089 |
| Mailing Address |
Po Box 32 Northampton MA 01061-0032 |
| Practice Telephone | 4177880100 |
| Practice Fax Number | 4137361813 |
| Mailing Telephone | 4135842173 |
| Mailing Fax Number | 4135842427 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2011-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 049592 | CT | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 205246 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0126748 | 05 | |
| CT | 003126944 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861002883 | Amanda L Wilson | Registered Nurse | 17444 Q Dr N, Marshall, MI 49068-9418 | 2020-08-04 |
| 1932748217 | Amanda R Wilson | Homemaker | 312 Flint St, Haines City, FL 33844-8219 | 2020-01-03 |
| 1861043119 | Amanda L Wilson | Social Worker | 3034 St Armand Rd, Swanton, VT 05488-8737 | 2019-09-26 |
| 1124679899 | Amanda Wilson | Counselor | 3707 Main St # 5, College Park, GA 30337-3544 | 2019-09-24 |
| 1558838052 | Amanda Renee Wilson | Social Worker | 2118 Adams Overlook Nw, Atlanta, GA 30318 | 2018-11-01 |
| 1518476316 | Amanda Jo Wilson | Case Manager/Care Coordinator | 1106 W 2nd St, Coffeyville, KS 67337-3816 | 2017-09-25 |
| 1972024693 | Amanda Wilson | Social Worker | 60 Edmund Street, Stratford, CT 06614 | 2017-07-03 |
| 1306392238 | Amanda Wilson | Dentist | 2134 State Route 208, Montgomery, NY 12549-2613 | 2016-08-31 |
| 1285083683 | Amanda Wilson | Community Health Worker | 124 Akhiok Street, Akhiok, AK 99615 | 2016-06-07 |
| 1265887608 | Amanda Wilson | Speech-Language Pathologist | 4031 San Fernando Ln, Saint Charles, MO 63304-2831 | 2016-05-03 |
| Street Address |
82 MAIN ST. |
| City | WEST SPRINGFIELD |
| State | MA |
| Zip Code | 01089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366040990 | Konrad Syrek | Behavioral Analyst | 1472 Riverdale St. Suite A, West Springfield, MA 01089 | 2020-10-15 |
| 1861099335 | Vanna Leang | Behavioral Analyst | 1472 Riverdale St, Suite A, West Springfield, MA 01089 | 2020-10-07 |
| 1215534755 | Malakie Berry | Behavioral Analyst | 1472 Riverdale St., Suite A, West Springfield, MA 01089 | 2020-10-07 |
| 1952800930 | Nicole Coughlin | Social Worker | 103 Myron St. Suite A, West Springfield, MA 01089 | 2018-02-06 |
| 1679017156 | Tender Care Helping Hands LLC | Home Health | 1434 Memorial Ave, Westspringfield, MA 01089 | 2016-12-19 |
| 1154736130 | Mikin Patel | Dentist | 235b Memorial Ave, West Springfield, MA 01089 | 2014-06-27 |
| 1881029312 | Melinda A Koblosh | Physical Therapist | 1111 Elm St., Suite 9, West Springfield, MA 01089 | 2013-09-03 |
| 1316379852 | Jessica C Marquez | Social Worker | 204 Wayside Ave, West Springfield, MA 01089 | 2013-08-07 |
| 1114360112 | Center for Human Development | In Home Supportive Care | 247 Park St, West Springfield, MA 01089 | 2013-04-10 |
| 1336421395 | John L. O'neill | Social Worker | 103 Myron Street Suite A, West Springfield, MA 01089 | 2011-09-15 |
| Find all providers in zip 01089 | ||||
| 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 |
|---|---|---|---|---|
| 1912347089 | Agnieszka Hordejuk | Internal Medicine | 103 Grandview Ave, West Springfield, MA 01089-1814 | 2013-07-03 |
| 1821173311 | Roberto B Salva-otero | Internal Medicine | 2085 Riverdale St, West Springfield, MA 01089-1025 | 2006-10-25 |
| 1114955481 | Susan G Johnson | Internal Medicine | 82 Main Street, West Springfield, MA 01089 | 2006-06-28 |
| 1194778159 | Abdul M Khadra | Internal Medicine | 954 Westfield St, West Springfield, MA 01089-3809 | 2006-05-18 |
| 1295705598 | Anas Wardeh | Internal Medicine | 64 Appaloosa Ln, West Springfield, MA 01089 | 2006-01-26 |
| 1366428013 | Reda H Ishak | Internal Medicine | 274 Westfield St, West Springfield, MA 01089-2572 | 2005-12-15 |
| 1801878681 | Eric T Lao | Internal Medicine | 46 Daggett Drive, West Springfield, MA 01089-4638 | 2005-11-16 |
| 1710299664 | Navatha Hanumagutti | Internal Medicine | 46 Daggett Drive, West Springfield, MA 01089-4628 | 2010-07-08 |
| 1427251438 | Phyllis Owusu-griffin | Internal Medicine | 46 Daggett Dr, West Springfield, MA 01089-4638 | 2007-06-07 |
| 1457476319 | Roberto B. Salva-otero, Md, LLC | Internal Medicine | 2085 Riverdale St, West Springfield, MA 01089-1025 | 2007-03-20 |
| Find all providers in WEST SPRINGFIELD | ||||
| City | WEST SPRINGFIELD |
| Zip Code | 01089 |
Please comment or provide details below to improve the information on MS. AMANDA LOUISE WILSON.
| 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.