RICHARD IAN WILSON (NPI# 1962723817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962723817 |
| Entity Type | Individual |
| Full Name | RICHARD IAN WILSON |
| Credential | M.D. |
| Practice Address |
100 Medical Dr Elizabeth City NC 27909-3361 |
| Practice Telephone | 2523842600 |
| Practice Fax Number | 2523352731 |
| Mailing Telephone | 2523842600 |
| Mailing Fax Number | 2523352731 |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2020-08-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2016-01141 | NC | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | MD465876 | PA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 301 S 7th Ave Ste 220, West Reading, PA 196111450 | 4846288198 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407158116 | Richard Chase Wilson | Internal Medicine | 1255 Clearview Circle, Allentown, PA 18103 | 2010-12-01 |
| 1902118409 | Richard Wilson | Counselor | 1421 Luisa St Ste C, Santa Fe, NM 87505-4073 | 2010-07-13 |
| 1316173768 | Richard Steven Wilson | Chiropractor | 2 Stony Hill Rd Ste 101, Bethel, CT 06801-1045 | 2009-05-29 |
| 1033358924 | Richard Robert Wilson | General Practice | 1276 Nursery Hill Ln, Arden Hills, MN 55112-5783 | 2009-02-17 |
| 1760633929 | Richard Allen Wilson | Dentist | 3828 W Davis St, Suite 310, Conroe, TX 77304-1815 | 2008-10-07 |
| 1649491937 | Richard S Wilson | Dentist | 6025 Harbour Park Dr, Midlothian, VA 23112-2160 | 2007-05-02 |
| 1104042761 | Richard Lyman Wilson | Dentist | 123 Weeminuche Ave, Ignacio, CO 81137 | 2007-04-18 |
| 1932228061 | Richard A Wilson | Dentist | 6007 Dempster St, Morton Grove, IL 60053-2943 | 2007-03-28 |
| 1568504447 | Richard Dale Wilson | Family Medicine | 306 Oakridge Rd, Cary, NC 27511-4542 | 2007-02-13 |
| 1225126691 | Richard Marsh Wilson | Psychologist | 554 Washington St, Suite 4, Wellesley, MA 02482-6408 | 2006-10-11 |
| Street Address |
100 MEDICAL DR |
| City | ELIZABETH CITY |
| State | NC |
| Zip Code | 27909-3361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245705326 | Anitra Hughes | Registered Nurse | 100 Medical Dr, Elizabeth City, NC 27909-3361 | 2018-10-04 |
| 1881146470 | Tyler Pittman | Family Medicine | 100 Medical Dr, Elizabeth City, NC 27909-3361 | 2016-10-29 |
| 1073813317 | Albemarle Physician Services - Sentara, Inc | Durable Medical Equipment & Medical Supplies | 100 Medical Dr, Elizabeth City, NC 27909-3361 | 2010-11-02 |
| 1386849800 | Albemarle Medical Specialist,llc | Specialist | 100 Medical Dr, Elizabeth City, NC 27909-3361 | 2007-06-15 |
| 1235333584 | Manuli Internal Medicine, Pllc | Internal Medicine | 100 Medical Dr, Elizabeth City, NC 27909-3361 | 2007-06-12 |
| 1144368911 | Thomas Francis Harihan IIi | Physician Assistant | 100 Medical Dr, Elizabeth City, NC 27909-3361 | 2007-02-02 |
| 1013064187 | Julie Elizabeth Schanno | Nurse Practitioner | 100 Medical Dr, Elizabeth City, NC 27909-3361 | 2007-01-04 |
| 1073560272 | Stacey Beneck | Physician Assistant | 100 Medical Dr, Elizabeth City, NC 27909-3361 | 2006-05-31 |
| 1598719163 | Leslie S Deligio | Nurse Practitioner | 100 Medical Dr, Elizabeth City, NC 27909-3361 | 2006-05-19 |
| 1316999576 | Vilayphonh Eure | Physician Assistant | 100 Medical Dr, Elizabeth City, NC 27909-3361 | 2006-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482177 | Leslie Treherne-fayton Dds Pllc | Dentist | 3875 Conlon Way Ste A, Elizabeth City, NC 27909 | 2020-03-13 |
| 1053829077 | Kaitlyn Daniels | Counselor | 1825 West City Drive, Suites A&b, Elizabeth City, NC 27909 | 2018-01-11 |
| 1487183778 | Traniqua Mccullen | Social Worker | 314 Orchard Drive, Elizabeth City, NC 27909 | 2017-06-08 |
| 1760938401 | Lauren Noele Schaefer | Physical Therapist | 615 S Hughes Boulevard, Unit B, Elizabeth City, NC 27909 | 2016-09-01 |
| 1588023279 | Regina Mccoy | Nurse Practitioner | 1507 N Road St Ste 3, Elizabeth City, NC 27909 | 2016-02-23 |
| 1750753760 | Mark C. ''chris'' Patterson | Physician Assistant | Coast Guard Base Elizabeth City, 1664 Weeksville Road, Building 128, Elizabeth City, NC 27909 | 2015-10-29 |
| 1770963365 | Harlan Bradley Hurdle | Pharmacist | 104 Breezewood Drive, Elizabeth City, NC 27909 | 2015-06-09 |
| 1558779298 | Wilkiam Wilson | Counselor | 1290 Halstead Blvd, Elizabeth City, NC 27909 | 2014-07-25 |
| 1871919886 | Courtney Bunch | Specialist/Technologist | 1680 Cedar Point Circle, Elizabeth City, NC 27909 | 2014-03-14 |
| 1790100832 | The Power of U | Community/Behavioral Health | 1023 Us17s Suite 1, Elizabeth City, NC 27909 | 2014-02-26 |
| Find all providers in zip 27909 | ||||
| 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 |
|---|---|---|---|---|
| 1487936514 | Gateway Community Health Centers, Inc. | Family Medicine | 201 E Ehringhaus St, Elizabeth City, NC 27909-4941 | 2011-09-14 |
| 1396989109 | Nina Dewi Lucas | Family Medicine | 905 Halstead Blvd Ste 29, Elizabeth City, NC 27909-6816 | 2009-04-23 |
| 1487757035 | Brandon Moseley Peters | Family Medicine | 206 S Road St, Elizabeth City, NC 27909-4755 | 2006-09-07 |
| 1134154511 | Carroll Bracey Robertson IIi | Family Medicine | 902b Roanoke Ave, Elizabeth City, NC 27909-5565 | 2006-07-12 |
| 1245267558 | Steve Michael Garman | Family Medicine | 111 Medical Dr Ste B, Elizabeth City, NC 27909-3465 | 2006-06-26 |
| 1811978158 | Sidney Michael Sutton Sr. | Family Medicine | 1141 N Road St Ste G, Elizabeth City, NC 27909-3354 | 2005-11-11 |
| 1326039454 | John Daniel Elliott | Family Medicine | 1134 N. Road St., Building #7, Elizabeth City, NC 27909 | 2005-10-28 |
| 1962497230 | Daniel S Terryberry | Family Medicine | 1141 N Road St, Suite G, Elizabeth City, NC 27909-3354 | 2005-09-13 |
| 1881146470 | Tyler Pittman | Family Medicine | 100 Medical Dr, Elizabeth City, NC 27909-3361 | 2016-10-29 |
| 1346661493 | Sound Physicians of North Carolina, Pllc | Family Medicine | 1144 N Road St, Elizabeth City, NC 27909-3473 | 2013-12-16 |
| Find all providers in ELIZABETH CITY | ||||
| City | ELIZABETH CITY |
| Zip Code | 27909 |
Please comment or provide details below to improve the information on RICHARD IAN 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.