Robert Harrison Wilson (NPI# 1407858186, PAC ID# 3870585789) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
Nation Provider ID (NPI) | 1407858186 |
PAC ID by PECOS | 3870585789 |
Professional Enrollment ID | I20110119000801 |
Full Name | Robert Harrison Wilson |
Organization Legal Name | ROBERT HARRISON WILSON MD |
Address |
4401 Bridgeport W Way University Place WA 98466-4201 |
Phone Number | 2535644157 |
Gender | M |
Medical School | UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE |
Graduation Year | 1974 |
Primary Specialty | FAMILY PRACTICE |
Group Practice PAC ID | 7810989720 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
500129 | TACOMA GENERAL ALLENMORE HOSPITAL |
500108 | ST JOSEPH MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
4401 Bridgeport W Way, University Place, WA 98466-4201 | 2535644157 | ROBERT HARRISON WILSON MD |
Organization Legal Name | ROBERT HARRISON WILSON MD |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Mary A Dolan | Nurse Practitioner | Robert Harrison Wilson Md | 4401 Bridgeport W Way, University Place, WA 98466-4201 |
Street Address |
4401 BRIDGEPORT W WAY |
City | UNIVERSITY PLACE |
State | WA |
Zip | 98466-4201 |
Name | Specialty | Organization | Address |
---|---|---|---|
Mary A Dolan | Nurse Practitioner | Robert Harrison Wilson Md | 4401 Bridgeport W Way, University Place, WA 98466-4201 |
Name | Specialty | Organization | Address |
---|---|---|---|
Patrick G Garlock | Physical Therapy | 3120 Soundview Dr W, University Place, WA 98466-1612 | |
David S Hays | Optometry | Vision Care Associates Pllc | 8204 27th W St, University Place, WA 98466-2719 |
Kim P Eckroth | Optometry | Vision Care Associates Pllc | 8204 27th W St, University Place, WA 98466-2719 |
Keagan Tice | Physical Therapy | Multicare Health System | 7727 40th St W, Suite A, University Place, WA 98466-3146 |
Brooks F Kenderdine | Physical Therapy | Multicare Health System | 7727 40th St W, Suite A, University Place, WA 98466-3146 |
Katherine Jane Beaber | Physical Therapy | Multicare Health System | 7727 40th St W, Suite A, University Place, WA 98466-3146 |
David J Dramm | Physical Therapy | Multicare Health System | 7727 40th St W, Suite A, University Place, WA 98466-3146 |
Kathryn Myers | Physical Therapy | Multicare Health System | 7727 40th St W, Suite A, University Place, WA 98466-3146 |
Wesley Geer | Physical Therapy | Multicare Health System | 7727 40th St W, Suite A, University Place, WA 98466-3146 |
Kayla M Keniston | Physical Therapy | Multicare Health System | 7727 40th St W, Suite A, University Place, WA 98466-3146 |
Find all physicians in zip 98466 |
City | UNIVERSITY PLACE |
Zip Code | 98466 |
Specialty | FAMILY PRACTICE |
City + Specialty | UNIVERSITY PLACE + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Robert Harrison 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.