TRACEY S WILSON


Address: 619 19th St S, Birmingham, AL 35249-1900
Phone: 2059344011

TRACEY S WILSON (NPI# 1902856735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902856735
Entity Type Individual
Full Name TRACEY S WILSON
Other Name TRACEY CHARLETTE SMALL
Credential M.D.
Practice Address 619 19th St S
Birmingham
AL 35249-1900
Mailing Address Po Box 55310
Birmingham
AL 35255-5310
Practice Telephone 2059344011
Mailing Telephone 2057319701
Enumeration Date 2006-05-11
Last Update Date 2011-10-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology 28867 AL Allopathic & Osteopathic Physicians
N 208800000X Urology 213612 MA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AL BCBS 051590864 01
MS 04372584 05
MA 0171735 05
AL BCBS 051590863 01
AL BCBS 051590866 01
AL RAILROAD MEDICARE P00829074 01
AL 102799 05
AL 102797 05
MA 9719911 05
AL 102798 05

Other Providers TRACEY WILSON

NPI Name Taxonomy Address Enumeration
1538671359 Tracey Wilson Nursing Home Administrator 639 S Gregory St, San Diego, CA 92113-2617 2017-11-02
1720507759 Tracey Linn Wilson Case Manager/Care Coordinator 300 Shelton Street, Chadron, NE 69337 2017-09-11
1750999728 Tracey Wilson Counselor 404 Independence Blvd, Sicklerville, NJ 08081-1094 2020-07-16
1013576669 Tracey Wilson Behavioral Analyst 12010 Linwood St, Detroit, MI 48206-1108 2019-06-07
1932693728 Tracey Kersten Wilson Nurse Anesthetist, Certified Registered 1514 Jefferson Hwy, New Orleans, LA 70121-2429 2018-06-15
1205149358 Tracey B Wilson Pharmacist 675 Woodbury Glassboro Rd, Sewell, NJ 08080-3733 2010-07-19
1487828885 Tracey Wilson Nurse Practitioner 29 S Greene St, Baltimore, MD 21201-1504 2008-04-16

Office Location

Street Address 619 19TH ST S
City BIRMINGHAM
State AL
Zip Code 35249-1900

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205838505 Peggy Calhoun Wilson Pharmacist 619 19th St S, Birmingham, AL 35249-1900 2005-06-01
1922607548 Breck Fowler Hamilton Registered Nurse 619 19th St S, Birmingham, AL 35249-1900 2020-10-24
1477152650 Brandi Bailey Nurse Practitioner 619 19th St S, Birmingham, AL 35233-1900 2020-10-20
1003415456 Shannon Marie Harrison Registered Nurse 619 19th St S, Birmingham, AL 35233-1900 2020-10-17
1720685886 Aeriel Flippo Swinsick Nurse Practitioner 619 19th St S, Birmingham, AL 35249-1900 2020-10-02
1477160604 Lundy Starke Williams Nurse Practitioner 619 19th St S, Birmingham, AL 35249-1900 2020-10-01
1003422320 Leah York Registered Nurse 619 19th St S, Birmingham, AL 35249-1900 2020-09-22
1972123420 William Chase Cooper Registered Nurse 619 19th St S, Birmingham, AL 35233-1900 2020-04-24
1699394494 Eme Unanaowo Registered Nurse 619 19th St S, Spain Wallace Bldg, Birmingham, AL 35233-1900 2020-04-11
1285253369 Robert Chase Ruffo Student in an Organized Health Care Education/Training Program 619 19th St S, Birmingham, AL 35249-1900 2020-04-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770070682 Jordan Bauer Student in an Organized Health Care Education/Training Program 625 19 Street South, Birmingham, AL 35249 2018-04-16
1356847917 Kathryn Leonards Sinquefield Student in an Organized Health Care Education/Training Program 625 19 Th Street South, Birmingham, AL 35249 2018-04-03
1285167288 Lauren Marie Theiss Student in an Organized Health Care Education/Training Program 625 19th Street S, Birmingham, AL 35249 2017-04-06
1992159040 Christopher Lee Anderson Student in an Organized Health Care Education/Training Program 625 19th St South, Birmingham, AL 35249 2016-04-14
1154715365 Danielle Demontigny Avila Internal Medicine 625 19th St. South, Birmingham, AL 35249 2015-03-25
1417398033 Rehan Ajmal Sarmad Internal Medicine 625 19th Street South Birmingham, Birmingham, AL 35249 2013-07-11
1760828560 Diana Murro Lin Pathology 619 19th St S # Hsb130, Birmingham, AL 35249 2013-05-20
1982048476 University of Alabama At Birmingham General Acute Care Hospital 1700 6th Ave South, Uab, Birmingham, AL 35249 2013-04-26
1255693149 William M Perez Obstetrics & Gynecology 176f 10360d 619 19th Street South, Birmingham, AL 35249 2012-06-15
1942504642 Melanie R. Sparks Nurse Practitioner 1700 6th Ave. South, Wic Suite 2342, Birmingham, AL 35249 2011-01-10
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Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538587076 Adam Seth Baumgarten Urology 2000 6th Ave S Fl 5, Birmingham, AL 35233-2110 2014-04-02
1053657452 David Mitchell Comfort Urology 2716 Hanover Circle, Unit 801, Birmingham, AL 35205 2012-12-13
1487930749 Sheridan William Shirley Urology 4072 Crossings Lane, Birmingham, AL 35242-4474 2011-10-31
1942595350 Kyle David Wood Urology Uab Urology Clinic, 2000 6th Avenue South, Birmingham, AL 35233 2011-06-14
1902038383 Medplexmd Urology 2729 3rd Ave S, Birmingham, AL 35233-2705 2009-08-18
1992943237 William Aull Leitner Urology 59 Cross Creek Dr W, Birmingham, AL 35213-2324 2009-01-24
1427121680 Jeffrey H Cohn Urology 2801 Overhill Rd, Birmingham, AL 35223-1928 2006-11-16
1801829833 Simon Mirelman Urology, PC Urology 513 Broakwood Blvd, Suite 500, Birmingham, AL 35209 2006-07-10
1558310920 Richard C Sarle Urology 1585 Henrietta St, Birmingham, MI 48009-4164 2006-05-10
1902896103 Jose A Gonzalez Urology 1915 E 14 Mile Rd, Birmingham, MI 48009-7244 2005-10-27
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Competitor

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City BIRMINGHAM
Zip Code 35249

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Dataset Information

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.

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