JACOB WILSON (NPI# 1831678325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831678325 |
| Entity Type | Individual |
| Full Name | JACOB WILSON |
| Practice Address |
123 Summer St Worcester MA 01608-1216 |
| Mailing Address |
5 Slipper Hill Ln Jefferson MA 01522-1408 |
| Practice Telephone | 5083635000 |
| Mailing Telephone | 7742623631 |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2018-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780181016 | Jacob Wilson | Emergency Medicine | 1313 21st Avenue, South, 703 Oxford House, Nashville, TN 37232-4700 | 2018-04-12 |
| 1396192423 | Jacob Wilson | Family Medicine | 333 Whitesport Dr Sw Ste 204, Huntsville, AL 35801-3455 | 2016-05-18 |
| 1043819303 | Jacob Wilson | Chiropractor | 930 Hilltop Dr Ste 102, Weatherford, TX 76086-5943 | 2020-10-19 |
| 1962029165 | Jacob Allen Wilson | Registered Nurse | 3720 Sinton Rd Ste 104, Colorado Springs, CO 80907-5085 | 2020-07-03 |
| 1396234670 | Jacob Landis Wilson | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2018-05-02 |
| 1255849626 | Jacob Wilson | Physical Therapist | 2000 S Main St, Fairfield, IA 52556-9572 | 2018-01-18 |
| 1730618356 | Jacob Dammon Wilson | Student in an Organized Health Care Education/Training Program | 42 E Laurel Rd Ste 2600, Stratford, NJ 08084-1354 | 2017-06-07 |
| 1073976502 | Jacob Michael Wilson | Orthopaedic Surgery | 57 Executive Park S, Atlanta, GA 30329-2288 | 2016-04-01 |
| 1265871701 | Jacob Joseph Wilson | Psychiatry & Neurology | 6363 France Ave S, Edina, MN 55435-2129 | 2013-06-18 |
| 1114286648 | Jacob W. Wilson | Social Worker | 301 Deinhard Ln, Mccall, ID 83638-4703 | 2012-05-03 |
| Street Address |
123 SUMMER ST |
| City | WORCESTER |
| State | MA |
| Zip Code | 01608-1216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265434229 | Thom A. Tarquinio | Orthopaedic Surgery | 123 Summer St, Suite 320, Worcester, MA 01608-1216 | 2005-06-02 |
| 1396352092 | Arushi Sharma | Internal Medicine | 123 Summer St, Worcester, MA 01608-1216 | 2020-09-26 |
| 1134733280 | Freda Agyemang | Nurse Practitioner | 123 Summer St, Worcester, MA 01608-1216 | 2020-09-06 |
| 1316559305 | Bijay Khanal | Student in an Organized Health Care Education/Training Program | 123 Summer St, Worcester, MA 01608-1216 | 2020-08-20 |
| 1497367395 | Hajrah Ahsan | Student in an Organized Health Care Education/Training Program | 123 Summer St, Worcester, MA 01608-1216 | 2020-08-20 |
| 1205448487 | Sajjadh Mohamed Jawahar Ali | Internal Medicine | 123 Summer St, Worcester, MA 01608-1216 | 2020-08-19 |
| 1639781909 | Kamal Pokhrel | Student in an Organized Health Care Education/Training Program | 123 Summer St, Worcester, MA 01608-1216 | 2020-08-18 |
| 1366054637 | Regina Devi Shrestha | Student in an Organized Health Care Education/Training Program | 123 Summer St, Worcester, MA 01608-1216 | 2020-08-18 |
| 1912519489 | Mithun George Jacob | Internal Medicine | 123 Summer St, Worcester, MA 01608-1216 | 2020-08-17 |
| 1194336800 | Anil Phuyal | Internal Medicine | 123 Summer St, Worcester, MA 01608-1216 | 2020-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033721733 | Rebecca Smith Morgan | Physical Therapist | Easter Seals Massachusetts, 484 Main St, Worcester, MA 01608 | 2020-08-24 |
| 1083244057 | Marc Labb | Counselor | 25 Union St 3rd Floor, Worcester, MA 01608 | 2020-01-18 |
| 1154974145 | Shanil Shah | Student in an Organized Health Care Education/Training Program | St Vincent Hospital, Department of Internal Medicine, 123 Summer Street, Worcester, MA 01608 | 2019-07-19 |
| 1194377069 | Varun Kommalapati | Student in an Organized Health Care Education/Training Program | St Vincent Hospital, 123 Summer Street, Worcester, MA 01608 | 2019-07-11 |
| 1992361182 | Jenna Recko | Physical Therapy Assistant | Easter Seals of Massachusetts, 484 Main St, Worcester, MA 01608 | 2019-05-14 |
| 1619452646 | Kara Thompson | Registered Nurse | 100 Martin Luther King Jr Blvd, Worcester, MA 01608 | 2018-09-25 |
| 1427555325 | Baran Umut Vardar | Student in an Organized Health Care Education/Training Program | 123 Summer Street, Saint Vincent Hospital Radiology Dep, Worcester, MA 01608 | 2018-04-09 |
| 1609380765 | Mary Elizabeth O'donnell | Occupational Therapist | Easter Seals Ma, 484 Main Street, Worcester, MA 01608 | 2017-11-28 |
| 1093227316 | Oasis Home Care, LLC | Home Health | 340 Main St Ste 803, Worcester, MA 01608 | 2017-10-26 |
| 1912437500 | Peter A Rondon | Social Worker | 11 Sycamore Street, Worcester, MA 01608 | 2017-06-15 |
| Find all providers in zip 01608 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610633 | Maria Zammarelli | Physician Assistant | 48 Vincent Cir, Worcester, MA 01604-3462 | 2020-08-24 |
| 1861001901 | Dajia Angell | Physician Assistant | 13 Greendale Ave Apt 2, Worcester, MA 01606-3261 | 2020-07-24 |
| 1194353219 | Jessica Noga | Physician Assistant | 322 Lovell St Apt 2, Worcester, MA 01602-4375 | 2020-04-01 |
| 1821658840 | Jonathan Sachariah | Physician Assistant | 327 Plantation St Apt 315, Worcester, MA 01604-1774 | 2019-06-20 |
| 1295394906 | Morgan Talbot Mitchell | Physician Assistant | 27 Wachusett St Apt 46, Worcester, MA 01609-4602 | 2019-06-07 |
| 1730642299 | Mary Howard | Physician Assistant | 600 Main St Apt 1004, Worcester, MA 01608-2064 | 2019-04-11 |
| 1861965790 | Priscilla Yeon | Physician Assistant | 8 Grafton St Apt 710, Worcester, MA 01604-4951 | 2019-01-03 |
| 1891263323 | Janet Elaine Greenslade | Physician Assistant | 100 Mlk Jr Blvd Ste 2, Worcester, MA 01608-1209 | 2018-11-02 |
| 1629577887 | Emily Elizabeth Lemay | Physician Assistant | 11 Cutting Ave, Worcester, MA 01606-2207 | 2018-02-02 |
| 1851752794 | Edward Chester Mcinerny | Physician Assistant | 123 Summer St Ste 695, Worcester, MA 01608-1216 | 2016-03-18 |
| Find all providers in WORCESTER | ||||
Please comment or provide details below to improve the information on JACOB 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.