ALEX WILSON (NPI# 1871551481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871551481 |
| Entity Type | Individual |
| Full Name | ALEX WILSON |
| Credential | PA-C |
| Practice Address |
1921 Stonecipher Blvd Ada OK 74820 |
| Practice Telephone | 5804214570 |
| Practice Fax Number | 5804216283 |
| Mailing Telephone | 5804214570 |
| Mailing Fax Number | 5804216283 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2016-09-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1058 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100187660B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275902868 | Alex Reed Wilson | Counselor | 8915 Sw Center St, Tigard, OR 97223-6307 | 2015-09-24 |
| 1104294073 | Alex Wilson | Technician, Other | 1109 Jones St, Kennett, MO 63857-3824 | 2015-09-09 |
| 1942620257 | Alex Mary Logan Wilson | Internal Medicine | 1814 Westchester Dr Ste 301, High Point, NC 27262 | 2014-04-25 |
| Street Address |
1921 STONECIPHER BLVD |
| City | ADA |
| State | OK |
| Zip Code | 74820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316945363 | Jerry S Morgan | Internal Medicine | 1921 Stonecipher Blvd, Ada, OK 74820-3439 | 2005-07-13 |
| 1568967602 | Pamela Kelli Grafton | Student in an Organized Health Care Education/Training Program | 1921 Stonecipher Blvd, Ada, OK 74820 | 2018-03-29 |
| 1396273314 | Mohammed R. Kayyali | Dentist | 1921 Stonecipher Blvd, Ada, OK 74820 | 2017-06-03 |
| 1174063903 | Chickasaw Nation Division of Health | Medicare Defined Swing Bed Unit | 1921 Stonecipher Blvd, Ada, OK 74820-3439 | 2017-02-27 |
| 1891247466 | Nissa Harrington | Dietitian, Registered | 1921 Stonecipher Blvd, Ada, OK 74820 | 2016-10-31 |
| 1437605078 | Mara Michael | Physical Therapist | 1921 Stonecipher Blvd, Ada, OK 74820 | 2016-09-01 |
| 1427505072 | Tammy Gearhart | Registered Nurse | 1921 Stonecipher Blvd, Ada, OK 74820 | 2016-09-01 |
| 1588017131 | Jeffrey Wells | Physical Therapist | 1921 Stonecipher Blvd, Ada, OK 74820 | 2016-07-19 |
| 1801254792 | Ashley Curtis | Nurse Practitioner | 1921 Stonecipher Blvd, Ada, OK 74820 | 2016-02-05 |
| 1053778514 | Darlene Seck | Dietitian, Registered | 1921 Stonecipher Blvd, Ada, OK 74820 | 2016-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578103727 | Curry Orthopedics and Sports Medicine Pllc | Orthopaedic Surgery | 919 Colony Drive, Ada, OK 74820 | 2020-01-15 |
| 1215574603 | Miranda Denise Bowman | Counselor | 1300 Hoppe Blvd., Suite 5, Ada, OK 74820 | 2019-12-04 |
| 1326509654 | Patricia June Harjo | Case Manager/Care Coordinator | Nittak Himitta' Women's and Children's Recovery Center, 2024 Te Ata Drive, Ada, OK 74820 | 2019-03-28 |
| 1649737172 | Rylee Nikole Leblanc | Case Manager/Care Coordinator | 1119 S High School St, Ada, OK 74820 | 2019-02-20 |
| 1891251328 | David Kinback | Rehabilitation Counselor | 1400 Hoppe Blvd., Suite 3, Cn Recovery Resource Services, Ada, OK 74820 | 2019-02-20 |
| 1922571009 | Central Oklahoma Family Medical Center, Inc. | Pharmacy | 905 Colony Dr, Ada, OK 74820 | 2019-01-10 |
| 1063988673 | Central Oklahoma Family Medical Center, Inc | Clinic/Center | 905 Colony Drive Bldg, Ada, OK 74820 | 2018-10-22 |
| 1265907885 | Apex Surgery Center, LLC | Surgery | 2001 Cradduck Road, Ada, OK 74820 | 2018-10-10 |
| 1689150898 | Sabrina Simmons | Social Worker | 2516 Oakhurst Dr Apt E, Ada, OK 74820 | 2018-07-11 |
| 1700370467 | Brianna Leigh Youngwolfe | Nurse Practitioner | 2020 Arlington St Ste 6, Ada, OK 74820 | 2018-06-17 |
| Find all providers in zip 74820 | ||||
| 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 |
|---|---|---|---|---|
| 1710528898 | Morgan Nicole Nolletti | Physician Assistant | 505 N Gilbert St, Ada, OH 45810-1011 | 2019-09-30 |
| 1386035715 | Kacie Wilkin | Physician Assistant | 905 Colony Dr Bldg, Ada, OK 74820-2297 | 2015-02-06 |
| 1508917659 | Angela Marie Skyberg | Physician Assistant | Bridges Medical Center, 201 9th Street W., Ada, MN 56510 | 2007-01-16 |
| 1760540413 | Brian Paul Freeland | Physician Assistant | 919 Colony Dr, Ada, OK 74820-2329 | 2006-12-05 |
| 1699869404 | Jami Coleman | Physician Assistant | 807 N Monte Vista St, Women's Health Center, Ada, OK 74820-7711 | 2006-10-03 |
| 1760594378 | Bradford Wayne Maxey | Physician Assistant | 1023 Arlington St, Ada, OK 74820-4042 | 2006-08-31 |
| 1710920178 | Tiffany Kay Wilson | Physician Assistant | 301 N Monte Vista St, Ada, OK 74820-4607 | 2006-06-14 |
| 1619954690 | Sherry Heck | Physician Assistant | 530 N Monte Vista St, Suite A, Ada, OK 74820-4675 | 2005-12-29 |
| 1164408928 | Clint Forrest | Physician Assistant | 1001 N Country Club Rd, Ada, OK 74820-2847 | 2005-12-22 |
| 1427693787 | Payton Elizabeth Mcadams | Physician Assistant | 430 N Monte Vista St, Ada, OK 74820-4610 | 2019-11-11 |
| Find all providers in ADA | ||||
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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.