JARED K WILSON (NPI# 1902876667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902876667 |
| Entity Type | Individual |
| Full Name | JARED K WILSON |
| Credential | M.D. |
| Practice Address |
112 Liberty Sq Liberty KY 42539-3392 |
| Practice Telephone | 6067875044 |
| Practice Fax Number | 6067875029 |
| Mailing Telephone | 6067875044 |
| Mailing Fax Number | 6067875029 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2015-11-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 32177 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64321771 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922350321 | Jared Lane Wilson | Chiropractor | 8611 N Division St Ste A, Spokane, WA 99208-5946 | 2012-10-09 |
| 1104059104 | Jared Wilson | Chiropractor | 498 Harlow Rd Ste 3, Springfield, OR 97477-1339 | 2009-08-25 |
| 1699868927 | Jared Paul Wilson | Physician Assistant | 7070 E Drive North, Battle Creek, MI 49014-8562 | 2006-09-30 |
| 1922532977 | Jared Wilson | Internal Medicine | 1501 N Campbell Ave, Room 6336, Tucson, AZ 85724-5040 | 2017-04-17 |
| 1639461304 | Jared Michael Wilson | Anesthesiology | 77 Nealy Ave, Langley Afb Hospital - Anesthesiology Dept, Langley Afb, VA 23665-2040 | 2011-05-12 |
| 1598998353 | Jared A Wilson | Physician Assistant | 1662 Higdon Ferry Road, Ste 300, Hot Springs, AR 71913 | 2009-08-27 |
| 1275748089 | Jared Kent Wilson | Specialist/Technologist | 777 Hospital Way, Building A, Suite 201, Pocatello, ID 83201-5175 | 2007-05-14 |
| Street Address |
112 LIBERTY SQ |
| City | LIBERTY |
| State | KY |
| Zip Code | 42539-3392 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679720114 | Casey County Hospital District | Clinic/Center | 112 Liberty Sq, Liberty, KY 42539-3392 | 2008-08-27 |
| 1477689172 | Hilary Ann Shuffett | Physician Assistant | 112 Liberty Sq, Liberty, KY 42539-3392 | 2007-02-26 |
| 1033217559 | Medical Point of Care Pllc | Family Medicine | 112 Liberty Sq, Liberty, KY 42539 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710547211 | Adult Day Health, Inc. | Clinic/Center | 39 Hwy 49, Liberty, KY 42539 | 2019-06-17 |
| 1144521303 | David Antonio Medina | Chiropractor | 69 Hustonville St., Liberty, KY 42539 | 2010-11-04 |
| 1356677694 | Masata, Inc. | Community/Behavioral Health | 549 Middleburg St., Liberty, KY 42539 | 2009-10-21 |
| 1174798078 | Dr. Michele Beeler, D.m.d., Pllc | Dentist | 650 Whipp Avenue, Liberty, KY 42539 | 2008-04-23 |
| 1134314230 | Cundiff Family Chiropractic, Psc | Chiropractor | 256 N. Wallace Wilkinson Blvd., Liberty, KY 42539 | 2007-09-11 |
| 1770782633 | Lake Cumberland District Health | Public Health or Welfare | 2834 S. Us 127, Liberty, KY 42539 | 2007-07-12 |
| 1568596286 | Back and Body Chiropractic Center Inc. | Chiropractor | 69 Hustonville Street, Liberty, KY 42539 | 2007-03-15 |
| 1497890545 | Lake Cumberland District Health Department | Public Health or Welfare | 199 Adams Street, Liberty, KY 42539 | 2007-02-20 |
| 1891836581 | Stanford Family Medicine & Obstetrics Psc | Legal Medicine | 19 Abes Plaza, Old Hustonville Rd, Liberty, KY 42539 | 2007-02-08 |
| 1740331537 | Sheila Ann Ping | Speech-Language Pathologist | 7235 Thomas Ridge Road, Liberty, KY 42539 | 2007-01-16 |
| Find all providers in zip 42539 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316595838 | Health Center of Southeast Texas | Family Medicine | 1002 Bowie St, Liberty, TX 77575-4659 | 2019-08-28 |
| 1740668326 | Elizabeth Critelli Nevshemal | Family Medicine | 1025 Aspen Dr, Liberty, MO 64068-7411 | 2015-05-14 |
| 1669818480 | Field Memorial Community Hospital | Family Medicine | 1410 Main St. East, Liberty, MS 39645-0514 | 2013-05-20 |
| 1801144977 | Phillip Eugene King | Family Medicine | 418 Lakeside Dr, Liberty, MO 64068-3440 | 2012-08-21 |
| 1124279872 | Palmetto Health | Family Medicine | 300 W. Front St, Liberty, SC 29657-1012 | 2008-09-30 |
| 1265690309 | Brandon Kyle Smith | Family Medicine | 1201 N Travis St, Liberty, TX 77575-3539 | 2008-05-27 |
| 1669654539 | The Family Doctors Office PC | Family Medicine | Westowne 3, Suite 303, Liberty, MO 64068 | 2007-12-03 |
| 1528285079 | Don Shannon Callens | Family Medicine | 720 Travis, Liberty, TX 77575-4828 | 2007-04-19 |
| 1649358649 | Karam Family Practice | Family Medicine | 10046 Old Liberty Rd, Liberty, NC 27298-8071 | 2006-11-01 |
| 1023190527 | Sheri L Dark | Family Medicine | 1409 N Travis St, Liberty, TX 77575-3137 | 2006-10-20 |
| Find all providers in LIBERTY | ||||
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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.