DR. RONALD EUGENE WILSON (NPI# 1881802288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881802288 |
Entity Type | Individual |
Full Name | DR. RONALD EUGENE WILSON |
Credential | D.P.M. |
Practice Address |
18460 Revere St Detroit MI 48234-1726 |
Practice Telephone | 3138654400 |
Practice Fax Number | 3138654400 |
Mailing Telephone | 3138654400 |
Mailing Fax Number | 3138654400 |
Enumeration Date | 2007-05-18 |
Last Update Date | 2010-02-26 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
59-010-01377 | MI | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | BCBS PIN | 4858211610 | 01 |
MI | 131753526 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669750287 | Ronald Roland Wilson Jr. | Licensed Practical Nurse | 6735 Deer Ct, Bedford Heights, OH 44146-4868 | 2011-07-31 |
1225104995 | Ronald J Wilson | Neurological Surgery | 801 W 38th St Ste 400, Austin, TX 78705-1167 | 2006-11-27 |
1730269382 | Ronald Stanley Wilson | Dentist | 140 Mall Connector Rd, Suite 6a, Greenville, SC 29607 | 2006-10-17 |
1780607614 | Ronald D. Wilson | Chiropractor | 2003 E Wabash St, Frankfort, IN 46041-2754 | 2006-07-25 |
1841239688 | Ronald L Wilson | Internal Medicine | 2200 Macarthur Dr Ste 100, Waco, TX 76708-3160 | 2006-06-06 |
1376511063 | Ronald L Wilson | Internal Medicine | 4620 Village Square Drive, Suite 101, Paducah, KY 42001-7501 | 2006-03-09 |
1235583048 | Ronald Wilson | Counselor | 180 Sierra College Dr, Grass Valley, CA 95945-5768 | 2016-04-18 |
1972931822 | Ronald Wilson | Counselor | 240 N Tillotson Ave, Muncie, IN 47304 | 2013-10-30 |
1821340373 | Ronald Virgil Wilson Jr. | Marriage & Family Therapist | 1200 N Main St, Room 325, Santa Ana, CA 92701-3640 | 2012-10-09 |
1598041964 | Ronald Edward Wilson | Pharmacist | 2451 Hampton Rd, Henderson, NV 89052-6964 | 2011-10-28 |
Street Address |
18460 REVERE ST |
City | DETROIT |
State | MI |
Zip Code | 48234-1726 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144431669 | Hpfc Inc | Podiatrist | 18460 Revere St, Detroit, MI 48234-1726 | 2007-05-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205332483 | Bryce Xavier Bredell | Student in an Organized Health Care Education/Training Program | 6071 E Outer Dr, Detroit, MI 48234 | 2018-04-05 |
1538668595 | Constance Durden | Social Worker | 19940 Conant Suite B, Detroit, MI 48234 | 2018-02-06 |
1891217717 | Donald Williams | Case Manager/Care Coordinator | 19133 Hasse, Detroit, MI 48234 | 2017-07-12 |
1063865830 | Gloria A. Love | Psychologist | 19677 Revere, Detroit, MI 48234 | 2016-07-18 |
1972977429 | Conant Garden Dental Center Dds PC | Dentist | 2430 E Seven Mile, Suite 6, Detroit, MI 48234 | 2015-11-20 |
1861878787 | Kenyatta Philips | Chore Provider | 20119 Helen St, Detroit, MI - MICHIGAN 48234 | 2015-08-03 |
1083977144 | Edward Powell | Counselor | 19436 Packard Street, Detroit, MI 48234 | 2012-06-22 |
1487931325 | Sonia Renee George | Case Manager/Care Coordinator | 8331 Yolanda St., Detroit, MI 48234 | 2011-11-07 |
1851682215 | Detroit Rescue Mission Ministries | Substance Abuse Rehabilitation Facility | 19211 Anglin, Detroit, MI 48234 | 2011-04-20 |
1558662742 | Tenille Daniel | Home Health | 17210 Runyon, Detroit, MI 48234 | 2010-11-04 |
Find all providers in zip 48234 |
Taxonomy Code | 213ES0131X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881696953 | Lawrence B Rubin | Podiatrist | 18530 Grand River Ave, Detroit, MI 48223-2319 | 2005-06-02 |
1144431669 | Hpfc Inc | Podiatrist | 18460 Revere St, Detroit, MI 48234-1726 | 2007-05-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932666880 | Tracey A Arbour | Podiatrist | 47205 Scarlet Dr S, Novi, MI 48374-3448 | 2019-02-27 |
1487107249 | Muhammad Kang | Podiatrist | 2075 E West Maple Rd Ste B207, Commerce Township, MI 48390-3816 | 2016-07-28 |
1508229188 | Katherine Morrison | Podiatrist | 14555 Levan Rd Ste E302, Livonia, MI 48154-5042 | 2016-04-01 |
1215293550 | Kevin J. Piebenga D.p.m. P.C. | Podiatrist | 3330 Central Boulevard, Hudsonville, MI 49426-4114 | 2012-04-11 |
1356570436 | Sarah Pope | Podiatrist | 2763 New England Dr, Rochester Hills, MI 48309-2819 | 2009-07-09 |
1831348416 | Allan Kalmus Dpm PC | Podiatrist | 5250 Auto Club Dr Ste 220, Dearborn, MI 48126-2619 | 2008-09-18 |
1659559870 | Craig R. Shelton, Dpm | Podiatrist | 103 Ferris St, Ypsilanti, MI 48197-5412 | 2008-02-11 |
1427185545 | James Peter Pitlosh | Podiatrist | 803 10th Ave, Suite A, Port Huron, MI 48060-3676 | 2007-02-27 |
1629137807 | Clifford Arthur Trethewey | Podiatrist | 216 W Exchange St, Owosso, MI 48867-2818 | 2006-12-06 |
1285709212 | Laurie Beth Glanz | Podiatrist | 35 Church, Mt Clemens, MI 48043 | 2006-11-22 |
Find all providers with the same taxonomy |
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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.