Gary M Wilson (NPI# 1962844522, PAC ID# 4486898905) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1962844522 |
| PAC ID by PECOS | 4486898905 |
| Professional Enrollment ID | I20130923000484 |
| Full Name | Gary M Wilson |
| Organization Legal Name | DOCTORS HEALTH GROUP, INC |
| Address |
1312 1st St Suite B Kennett MO 63857-2526 |
| Phone Number | 5735592780 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7315844586 |
| Number of Group Practice Members | 58 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040020 | ST BERNARDS MEDICAL CENTER |
| 040039 | ARKANSAS METHODIST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1001 W Parker Rd, First Care Parker Road, Jonesboro, AR 72404-9582 | 8709728181 | DOCTORS HEALTH GROUP, INC |
| 1312 1st St, Suite B, Kennett, MO 63857-2526 | 5735592780 | DOCTORS HEALTH GROUP, INC |
| 4000 Linwood Dr A, Paragould, AR 72450-7224 | 8702398503 | DOCTORS HEALTH GROUP, INC |
| Organization Legal Name | DOCTORS HEALTH GROUP, INC |
| Physicians | 46 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samantha D Dill | Nurse Practitioner | Doctors Health Group, Inc | 415 E Matthews, First Care Matthews, Jonesboro, AR 72401-3142 |
| Venita Lynne Ninemire | Nurse Practitioner | Doctors Health Group, Inc | 1995 Hwy 62 412, Highland, AR 72542-9262 |
| Natalie A Engelken | Nurse Practitioner | Doctors Health Group, Inc | 425 W Jackson St, Piggott Family Med, Piggott, AR 72454-1538 |
| Lisa Jo Booker | Nurse Practitioner | Doctors Health Group, Inc | 700 W Keiser, St. Bernards First Care Osceola, Osceola, AR 72370 |
| Meredith Harrison Brewer | Physician Assistant | Doctors Health Group, Inc | 800 S Church St, Suite 203, Jonesboro, AR 72401-4106 |
| Timothy D Mcnamara | Family Medicine | Doctors Health Group, Inc | 1001 W Parker Rd, First Care Parker Road, Jonesboro, AR 72404-9582 |
| Carl J Abraham Jr. | Infectious Disease | Doctors Health Group, Inc | 3637 B E Johnson Ave, St. Bernards First Care Hilltop, Jonesboro, AR 72401-1808 |
| James A Whitlock | Emergency Medicine | Doctors Health Group, Inc | 1312 1st St, Suite B, Kennett, MO 63857-2526 |
| Lance E Monroe | Family Medicine | Doctors Health Group, Inc | 4000 Linwood Dr A, Paragould, AR 72450-7224 |
| Terry J. Kosinski | Family Medicine | Doctors Health Group, Inc | 333 Red Wolf Blvd, First Care Acute, Jonesboro, AR 72403-9739 |
| Street Address |
1312 1ST ST SUITE B |
| City | KENNETT |
| State | MO |
| Zip | 63857-2526 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James A Whitlock | Emergency Medicine | Doctors Health Group, Inc | 1312 1st St, Suite B, Kennett, MO 63857-2526 |
| Casey M Finley | Physician Assistant | Doctors Health Group, Inc | 1312 1st St, Suite B, Kennett, MO 63857-2526 |
| Michael A Gossett | Nurse Practitioner | Doctors Health Group, Inc | 1312 1st St, Suite B, Kennett, MO 63857-2526 |
| Margo Jackson-lockyer | Emergency Medicine | Doctors Health Group, Inc | 1312 1st St, Suite B, Kennett, MO 63857-2526 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Teresa L Brasher | Clinical Social Worker | Family Counseling Center Inc | 925 Hwy Vv, Kennett, MO 63857-0071 |
| Susan G Helms | Clinical Social Worker | Family Counseling Center Inc | Bldg 925 Hwy Vv, Kennett, MO 63857-0071 |
| Brenda J Gray | Clinical Social Worker | Family Counseling Center Inc | 925 Hwy Vv, Kennett, MO 63857-0071 |
| Clea M Fairaizl | Clinical Social Worker | Family Counseling Center Inc | 925 Hwy Vv, Kennett, MO 63857-0071 |
| Larina J Ditto | Clinical Social Worker | Family Counseling Center Inc | 925 Hwy Vv, Kennett, MO 63857-0071 |
| Carlos A. Salgueiro | Psychiatry | Family Counseling Center Inc | 925 Hwy Vv, Kennett, MO 63857-0071 |
| Stephanie A Flynn | Clinical Social Worker | Family Counseling Center Inc | 925 Hwy Vv, Kennett, MO 63857-0071 |
| Susan Brooks Hanks | Clinical Social Worker | Family Counseling Center Inc | 925 Hwy Vv, Kennett, MO 63857-0071 |
| Karl E. Shanstrom | Family Medicine | Family Counseling Center Inc | 925 Hwy Vv, Kennett, MO 63857-0071 |
| Ravdeep S Khanuja | Psychiatry | Family Counseling Center Inc | 925 Hwy Vv, Kennett, MO 63857-0071 |
| Find all physicians in zip 63857 | |||
| City | KENNETT |
| Zip Code | 63857 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | KENNETT + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Gary M 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.