Thomas I Wilson (NPI# 1497844559, PAC ID# 4981644879) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1497844559 |
| PAC ID by PECOS | 4981644879 |
| Professional Enrollment ID | I20090313000374 |
| Full Name | Thomas I Wilson |
| Organization Legal Name | CHAVEZ EMERGENCY PHYSICIANS MEDICAL GROUP INC |
| Address |
1065 Bucks Lake Rd Quincy CA 95971-9507 |
| Phone Number | 5302837110 |
| Gender | M |
| Graduation Year | 1977 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 3870897580 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050444 | MERCY MEDICAL CENTER |
| 051326 | PLUMAS DISTRICT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 333 Mercy Ave, Merced, CA 95340-8319 | 2095645140 | SAN JOAQUIN EMERGENCY MEDICAL ASSOCIATES |
| 1065 Bucks Lake Rd, Quincy, CA 95971-9507 | 5302837110 | CHAVEZ EMERGENCY PHYSICIANS MEDICAL GROUP INC |
| 911 E Tuolumne Rd, Turlock, CA 95382-1543 | 2096684101 | RONALD JOHANSON, THOMAS WILSON, JAMES MACLAREN PTRS |
| Organization Legal Name | CHAVEZ EMERGENCY PHYSICIANS MEDICAL GROUP INC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Naman Shah | Emergency Medicine | Chavez Emergency Physicians Medical Group Inc | 1065 Bucks Lake Rd, Quincy, CA 95971-9507 |
| Jill Ann Hanna | Emergency Medicine | Chavez Emergency Physicians Medical Group Inc | 1065 Bucks Lake Rd, Quincy, CA 95971-9507 |
| Sarah Ann Lamanuzzi | Emergency Medicine | Chavez Emergency Physicians Medical Group Inc | 1065 Bucks Lake Rd, Quincy, CA 95971-9507 |
| Zina Semenovskaya | Emergency Medicine | Chavez Emergency Physicians Medical Group Inc | 1065 Bucks Lake Rd, Quincy, CA 95971-9507 |
| Samuel Medrano | Emergency Medicine | Chavez Emergency Physicians Medical Group Inc | 1065 Bucks Lake Rd, Quincy, CA 95971-9507 |
| Michael J Marchesseault | Emergency Medicine | Chavez Emergency Physicians Medical Group Inc | 1065 Bucks Lake Rd, Quincy, CA 95971-9507 |
| Mark Satterfield | Emergency Medicine | Chavez Emergency Physicians Medical Group Inc | 1065 Bucks Lake Rd, Quincy, CA 95971-9507 |
| Gabriel R Mayland | Family Medicine | Chavez Emergency Physicians Medical Group Inc | 1065 Bucks Lake Rd, Quincy, CA 95971-9507 |
| Street Address |
1065 BUCKS LAKE RD |
| City | QUINCY |
| State | CA |
| Zip | 95971-9507 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Naman Shah | Emergency Medicine | Chavez Emergency Physicians Medical Group Inc | 1065 Bucks Lake Rd, Quincy, CA 95971-9507 |
| Jill Ann Hanna | Emergency Medicine | Chavez Emergency Physicians Medical Group Inc | 1065 Bucks Lake Rd, Quincy, CA 95971-9507 |
| Sarah Ann Lamanuzzi | Emergency Medicine | Chavez Emergency Physicians Medical Group Inc | 1065 Bucks Lake Rd, Quincy, CA 95971-9507 |
| Zina Semenovskaya | Emergency Medicine | Chavez Emergency Physicians Medical Group Inc | 1065 Bucks Lake Rd, Quincy, CA 95971-9507 |
| Elizabeth Paige Lewis | Family Medicine | Plumas District Hospital | 1065 Bucks Lake Rd, Quincy, CA 95971-9507 |
| Jason John Rogers | Physician Assistant | Plumas District Hospital | 1065 Bucks Lake Rd, Quincy, CA 95971-9507 |
| Samuel Medrano | Emergency Medicine | Chavez Emergency Physicians Medical Group Inc | 1065 Bucks Lake Rd, Quincy, CA 95971-9507 |
| Michael J Marchesseault | Emergency Medicine | Chavez Emergency Physicians Medical Group Inc | 1065 Bucks Lake Rd, Quincy, CA 95971-9507 |
| Alexandra Y Hunt | Family Medicine | Plumas District Hospital | 1065 Bucks Lake Rd, Quincy, CA 95971-9507 |
| Jeffrey Gene Kepple | Family Medicine | Plumas District Hospital | 1065 Bucks Lake Rd, Quincy, CA 95971-9507 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Reynaldo Pesina | Physical Therapy | 2077 E Main St, Quincy, CA 95971-5658 | |
| David P Schaffer | Clinical Social Worker | 5661 Chandler Rd, Quincy, CA 95971-9147 | |
| Chris W Anderson | Chiropractic | 372 Main St, Quincy, CA 95971-9375 | |
| Steen W Jensen | General Surgery | Plumas District Hospital | 1065 Bucks Lake Rd, Quincy, CA 95971-9507 |
| Mark Satterfield | Emergency Medicine | Chavez Emergency Physicians Medical Group Inc | 1065 Bucks Lake Rd, Quincy, CA 95971-9507 |
| Ross E Morgan | Family Medicine | Plumas District Hospital | 1065 Bucks Lake Rd, Quincy, CA 95971-9507 |
| Erin Marie Barnes | Family Medicine | Plumas District Hospital | 1065 Bucks Lake Rd, Quincy, CA 95971-9507 |
| Gabriel R Mayland | Family Medicine | Chavez Emergency Physicians Medical Group Inc | 1065 Bucks Lake Rd, Quincy, CA 95971-9507 |
| Joseph Francis Schad | Family Medicine | Plumas District Hospital | 1065 Bucks Lake Rd, Quincy, CA 95971-9507 |
| Robert G Leckie | Diagnostic Radiology | Northstar Radiology - California | 1065 Bucks Lake Rd, Quincy, CA 95971-9507 |
| Find all physicians in zip 95971 | |||
| City | QUINCY |
| Zip Code | 95971 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | QUINCY + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Thomas I 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.