Douglas R Wilson (NPI# 1285693572, PAC ID# 1254382021) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1285693572 |
| PAC ID by PECOS | 1254382021 |
| Professional Enrollment ID | I20050209000489 |
| Full Name | Douglas R Wilson |
| Organization Legal Name | ST JOSEPH HERITAGE HEALTHCARE |
| Address |
1000 Trancas St Napa CA 94558-2906 |
| Phone Number | 7072524411 |
| Gender | M |
| Credential | MD |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | HOSPICE/PALLIATIVE CARE |
| Group Practice PAC ID | 8921993205 |
| Number of Group Practice Members | 1049 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050009 | QUEEN OF THE VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1000 Trancas St, Napa, CA 94558-2906 | 7072524411 | ST JOSEPH HERITAGE HEALTHCARE |
| 1000 Trancas St, Suite 1, Napa, CA 94558-2906 | 7072537161 | ST JOSEPH HERITAGE HEALTHCARE |
| 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 7075463210 | ST JOSEPH HERITAGE HEALTHCARE |
| Organization Legal Name | ST JOSEPH HERITAGE HEALTHCARE |
| Physicians | 1022 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tarah N Nelson | Nurse Practitioner | St Joseph Heritage Healthcare | 2460 Buhne St, Eureka, CA 95501-3207 |
| Kristen Shay Rasnick | Nurse Practitioner | St Joseph Heritage Healthcare | 6580 Hembree Ln, Suite 270, Windsor, CA 95492-6885 |
| Basit Rahim | Neurology | St Joseph Heritage Healthcare | 26800 Crown Valley Pkwy, Suite 385, Mission Viejo, CA 92691-7320 |
| Elizabeth Wachtel O'brien | Certified Nurse Midwife (cnm) | St Joseph Heritage Healthcare | 3307 Renner Dr, Fortuna, CA 95540-3119 |
| Michael James Glamore | Urology | St Joseph Heritage Healthcare | 1701 4th St, Suite 200, Santa Rosa, CA 95404-3661 |
| Teresa E Shields-szabo | Family Medicine | St Joseph Heritage Healthcare | 26795 Portola Pkwy, Foothill Ranch, CA 92610-1713 |
| Austin James Perkins | Physician Assistant | St Joseph Heritage Healthcare | 100 E Valencia Mesa Dr, Suite 105, Fullerton, CA 92835-3816 |
| Sherin Ann Chakkalakel | Nurse Practitioner | St Joseph Heritage Healthcare | 905 E Washington St, St Joseph Heritage Healthcare, Petaluma, CA 94952-3389 |
| Jamie Lea Meyer | Nurse Practitioner | St Joseph Heritage Healthcare | 2332 23rd St, Eureka, CA 95501-3231 |
| Laura Elizabeth Hall | Nurse Practitioner | St Joseph Heritage Healthcare | 2280 Harrison Ave, Suite K, Eureka, CA 95501-3200 |
| Street Address |
1000 TRANCAS ST |
| City | NAPA |
| State | CA |
| Zip | 94558-2906 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael V Wagner | Obstetrics/gynecology | St Joseph Heritage Healthcare | 1000 Trancas St, Napa, CA 94558-2906 |
| Seric Cusick | Emergency Medicine | Napa Valley Emergency Medical Group | 1000 Trancas St, Napa, CA 94558-2906 |
| Seaneen Collette Whaley | Nurse Practitioner | Napa Valley Emergency Medical Group | 1000 Trancas St, Napa, CA 94558-2906 |
| Amir Razavi | Internal Medicine | St Joseph Heritage Healthcare | 1000 Trancas St, Napa, CA 94558-2906 |
| Daniel A Jardini | Family Medicine | St Joseph Heritage Healthcare | 1000 Trancas St, Napa, CA 94558-2906 |
| Heather E Hagerman | Anesthesiology | Anesthesia and Analgesia Medical Group, Inc. | 1000 Trancas St, Napa, CA 94558-2906 |
| Bernard J Brown | Diagnostic Radiology | Radiology Medical Group of Napa | 1000 Trancas St, Napa, CA 94558-2906 |
| Eugene Butler Jr. | Nurse Practitioner | St Joseph Heritage Healthcare | 1000 Trancas St, Napa, CA 94558-2906 |
| Michael N Corradetti | Radiation Oncology | Radiology Medical Group of Napa | 1000 Trancas St, Napa, CA 94558-2906 |
| Ana E Douglas | Nurse Practitioner | St Joseph Heritage Healthcare | 1000 Trancas St, Napa, CA 94558-2906 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Deband Pratt | Family Medicine | 935 Trancas Ave, 2b, Napa, CA 94558 | |
| Roxann M Bettencourt | Chiropractic | 4217 Solano Ave, Napa, CA 94558-1611 | |
| Leland R Raymond | General Surgery | Spectrumcare Rehabilitation Medical | 3417 Valle Verde Dr, Napa, CA 94558-2414 |
| Roger Bruce Scarborough | Obstetrics/gynecology | St Joseph Heritage Healthcare | 1100 Trancas St, Suite 201, Napa, CA 94558-2904 |
| George Z Friedman | Family Medicine | St Joseph Heritage Healthcare | 1100 Trancas St, Suite 201, Napa, CA 94558-2904 |
| Daniel R Hersh | Obstetrics/gynecology | St Joseph Heritage Healthcare | 1100 Trancas St, Suite 201, Napa, CA 94558-2904 |
| Jennifer Cruz Alicbusan | Nurse Practitioner | St Joseph Heritage Healthcare | 1100 Trancas St, Suite 201, Napa, CA 94558-2904 |
| James P Srebro | Cardiovascular Disease (cardiology) | St Joseph Heritage Healthcare | 1100 Trancas St, Suite 201, Napa, CA 94558-2904 |
| Diana S Devera | Internal Medicine | St Joseph Heritage Healthcare | 1100 Trancas St, Suite 201, Napa, CA 94558-2904 |
| Susana G Gonzalez | Obstetrics/gynecology | St Joseph Heritage Healthcare | 1100 Trancas St, Suite 201, Napa, CA 94558-2904 |
| Find all physicians in zip 94558 | |||
| City | NAPA |
| Zip Code | 94558 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | NAPA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Douglas R Wilson.
| 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.