Nicholas James Wilson (NPI# 1962807065, PAC ID# 0749591618) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1962807065 |
| PAC ID by PECOS | 0749591618 |
| Professional Enrollment ID | I20150618001496 |
| Full Name | Nicholas James Wilson |
| Address |
19265 W Capitol Dr B Brookfield WI 53045-2740 |
| Gender | M |
| Medical School | PALMER COLLEGE CHIROPRACTIC - DAVENPORT |
| Graduation Year | 2014 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 19265 W Capitol Dr B, Brookfield, WI 53045-2740 |
| Street Address |
19265 W CAPITOL DR B |
| City | BROOKFIELD |
| State | WI |
| Zip | 53045-2740 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth A Moberg Wolff | Physical Medicine and Rehabilitation | 3815 N Brookfield, Suite 264, Brookfield, WI 53045-1964 | |
| Michael Giammarco | Chiropractic | Goodyear Chiropractic Health Center. S.c. | 17495 W Capitol Dr L, Brookfield, WI 53045-2059 |
| Jeffrey T Follansbee | Anesthesiology | 17495 W Capitol Dr, Brookfield, WI 53045-2059 | |
| Robert D Matteucci | Podiatry | Great Midwest Foot and Ankle Centers, S.c. | 17495 W Capitol Dr, Suite L, Brookfield, WI 53045-2059 |
| Phillip E Roy | Optometry | 17495 W Capitol Dr, Suite D, Brookfield, WI 53045-2059 | |
| Zachary C Johnson | Physical Therapy | Sports Physical Therapy and Rehab Specialist Sc. | 17495 W Capitol Dr, Brookfield, WI 53045-2059 |
| Lynne E Zaborske Roy | Optometry | 17495 W Capitol Dr, Brookfield, WI 53045-2059 | |
| Jacqueline L Landers | Clinical Social Worker | 19275 W Capitol Dr, Suite 200, Brookfield, WI 53045-2734 | |
| Sonya S Trueblood | Psychologist, Clinical | 19275 W Capitol Dr, Suite 200, Brookfield, WI 53045-2734 | |
| Deanne Y Jacobsen | Physical Therapy | 19265 W Capitol Dr, Suite L03, Brookfield, WI 53045-2740 | |
| Find all physicians in zip 53045 | |||
| City | BROOKFIELD |
| Zip Code | 53045 |
| Specialty | CHIROPRACTIC |
| City + Specialty | BROOKFIELD + CHIROPRACTIC |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.