Kevin David Wilson (NPI# 1104890128, PAC ID# 4587679436) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1104890128 |
| PAC ID by PECOS | 4587679436 |
| Professional Enrollment ID | I20060214000112 |
| Full Name | Kevin David Wilson |
| Organization Legal Name | BEACON ORTHOPAEDICS AND SPORTS MEDICINE LTD |
| Address |
2835 Miami Village Dr Miamisburg OH 45342-4587 |
| Phone Number | 5133543700 |
| Gender | M |
| Credential | PT |
| Graduation Year | 2003 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 0345136412 |
| Number of Group Practice Members | 80 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2835 Miami Village Dr, Miamisburg, OH 45342-4587 | 5133543700 | BEACON ORTHOPAEDICS AND SPORTS MEDICINE LTD |
| Organization Legal Name | BEACON ORTHOPAEDICS AND SPORTS MEDICINE LTD |
| Physicians | 94 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sam B Koo | Hand Surgery | Beacon Orthopaedics and Sports Medicine Ltd | 1360 E State Rd, Suite 46, Batesville, IN 47006-9269 |
| Haleem Chaudhary | Orthopedic Surgery | Beacon Orthopaedics and Sports Medicine Ltd | 6480 Harrison Ave, Cincinnati, OH 45247-7821 |
| Michael T Rohmiller | Orthopedic Surgery | Beacon Orthopaedics and Sports Medicine Ltd | 500 E Business Way, Cincinnati, OH 45241-2374 |
| David H Sower | Sports Medicine | Beacon Orthopaedics and Sports Medicine Ltd | 600 Rodeo Dr, Erlanger, KY 41018-1279 |
| Jamie L Miller | Physician Assistant | Beacon Orthopaedics and Sports Medicine Ltd | 6480 Harrison Ave, Cincinnati, OH 45247-7821 |
| Joel D Bella | Physical Therapy | Beacon Orthopaedics and Sports Medicine Ltd | 6480 Harrison Ave, Cincinnati, OH 45247-7821 |
| Christine Michelle Sweeney | Physical Therapy | Beacon Orthopaedics and Sports Medicine Ltd | 500 E Business Way, Cincinnati, OH 45241-2374 |
| Erika M Ripperger | Physician Assistant | Beacon Orthopaedics and Sports Medicine Ltd | 6480 Harrison Ave, Cincinnati, OH 45247-7821 |
| Henry A Stiene | Internal Medicine | Beacon Orthopaedics and Sports Medicine Ltd | 6480 Harrison Ave, Cincinnati, OH 45247-7821 |
| Michael D Bennett | Physician Assistant | Beacon Orthopaedics and Sports Medicine Ltd | 500 E Business Way, Cincinnati, OH 45241-2374 |
| Street Address |
2835 MIAMI VILLAGE DR |
| City | MIAMISBURG |
| State | OH |
| Zip | 45342-4587 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew P Burleson | Orthopedic Surgery | Beacon Orthopaedics and Sports Medicine Ltd | 2835 Miami Village Dr, Miamisburg, OH 45342-4587 |
| Charlotte J Thurnauer | Physical Therapy | Beacon Orthopaedics and Sports Medicine Ltd | 2835 Miami Village Dr, Miamisburg, OH 45342-4587 |
| Barbara J Dunlavy | Physical Therapy | Beacon Orthopaedics and Sports Medicine Ltd | 2835 Miami Village Dr, Miamisburg, OH 45342-4587 |
| Gina N Dobell | Physical Therapy | Beacon Orthopaedics and Sports Medicine Ltd | 2835 Miami Village Dr, Miamisburg, OH 45342-4587 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Percy Frasier | Obstetrics/gynecology | Dayton Osteopathic Hospital | 1989 Miamisburg Centerville Rd, Suite 204, Dayton, OH 45342 |
| Kelly Lynn Welsh | Certified Clinical Nurse Specialist (cns) | Dayton Osteopathic Hospital | 1989 Miamisburg Centerville Rd, Suite 204, Dayton, OH 45342 |
| Gary A Mueller | Pediatric Medicine | Dayton Childrens Specialty Physicians Inc | 3333 W Tech Blvd, Miamisburg, OH 45342-0817 |
| Mukund Dole | Hematology/oncology | Dayton Childrens Specialty Physicians Inc | 3333 W Tech Blvd, Miamisburg, OH 45342-0817 |
| Christopher T Brown | Pediatric Medicine | Dayton Childrens Specialty Physicians Inc | 3333 W Tech Blvd, Miamisburg, OH 45342-0817 |
| Christopher J Bugnitz | Pediatric Medicine | Dayton Childrens Specialty Physicians Inc | 3333 W Tech Blvd, Miamisburg, OH 45342-0817 |
| Susan Pena Almazan | Endocrinology | Dayton Childrens Specialty Physicians Inc | 3333 W Tech Blvd, Miamisburg, OH 45342-0817 |
| Jeffrey S Christian | General Surgery | Dayton Childrens Specialty Physicians Inc | 3333 W Tech Blvd, Miamisburg, OH 45342-0817 |
| Stephen Wolf | Pulmonary Disease | Dayton Childrens Specialty Physicians Inc | 3333 W Tech Blvd, Miamisburg, OH 45342-0817 |
| Edward J Walz Jr. | Anesthesiology | Dayton Childrens Specialty Physicians Inc | 3333 W Tech Blvd, Miamisburg, OH 45342-0817 |
| Find all physicians in zip 45342 | |||
| City | MIAMISBURG |
| Zip Code | 45342 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | MIAMISBURG + PHYSICAL THERAPY |
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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.