Nathan Wilson (NPI# 1164523643, PAC ID# 5395847941) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1164523643 |
| PAC ID by PECOS | 5395847941 |
| Professional Enrollment ID | I20110615000529 |
| Full Name | Nathan Wilson |
| Organization Legal Name | WILSON POLITO INC. |
| Address |
739 Bryden Ave A Lewiston ID 83501-4909 |
| Phone Number | 2087435830 |
| Gender | M |
| Credential | OD |
| Medical School | UNIVERSITY OF CALIFORNIA - SCHOOL OF OPTOMETRY |
| Graduation Year | 2006 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 9931386174 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 739 Bryden Ave A, Lewiston, ID 83501-4909 | 2087435830 | WILSON POLITO INC. |
| 1844 W Pullman Rd, Moscow, ID 83843-4014 | 2088831800 | WILSON POLITO INC. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | WILSON POLITO INC. |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacie Leann Zollman | Optometry | Wilson Polito Inc. | 739 Bryden Ave A, Lewiston, ID 83501-4909 |
| Julia Polito | Optometry | Wilson Polito Inc. | 739 Bryden Ave A, Lewiston, ID 83501-4909 |
| Nathan Lindsey Noakes | Optometry | Wilson Polito Inc. | 739 Bryden Ave A, Lewiston, ID 83501-4909 |
| Street Address |
739 BRYDEN AVE A |
| City | LEWISTON |
| State | ID |
| Zip | 83501-4909 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacie Leann Zollman | Optometry | Wilson Polito Inc. | 739 Bryden Ave A, Lewiston, ID 83501-4909 |
| Julia Polito | Optometry | Wilson Polito Inc. | 739 Bryden Ave A, Lewiston, ID 83501-4909 |
| Nathan Lindsey Noakes | Optometry | Wilson Polito Inc. | 739 Bryden Ave A, Lewiston, ID 83501-4909 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lori L Holder | Clinical Social Worker | 504 Main St, Suite 472, Lewiston, ID 83501-1806 | |
| Thomas R Boyer | Chiropractic | 717 D St, Lewiston, ID 83501-1826 | |
| Rebecca A Bohnenkamp | Clinical Social Worker | 523 /2 Main St, Suite 7, Lewiston, ID 83501-1870 | |
| Kristy Anne Kuehfuss | Psychologist, Clinical | 633 Main St, Suite B2, Lewiston, ID 83501-1882 | |
| Clinton R Morgan | Hematology/oncology | St Joseph Hospital LLC | 1250 Idaho St, Lewiston, ID 83501-1965 |
| Alice Myra Forsythe | Medical Oncology | St Joseph Hospital LLC | 1250 Idaho St, Lewiston, ID 83501-1965 |
| John Siebel | Hematology/oncology | St Joseph Hospital LLC | 1250 Idaho St, Lewiston, ID 83501-1965 |
| Michele R Dickison | Nurse Practitioner | St Joseph Hospital LLC | 1250 Idaho St, Lewiston, ID 83501-1965 |
| Debra L Street | Clinical Social Worker | 0309 2nd St, Lewiston, ID 83501-2163 | |
| Mark F Yama | Psychologist, Clinical | 428 6th Ave, Lewiston, ID 83501-2355 | |
| Find all physicians in zip 83501 | |||
| City | LEWISTON |
| Zip Code | 83501 |
| Specialty | OPTOMETRY |
| City + Specialty | LEWISTON + OPTOMETRY |
Please comment or provide details below to improve the information on Nathan 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.