Samuel George Wilson (NPI# 1912948019, PAC ID# 6103958319) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1912948019 |
| PAC ID by PECOS | 6103958319 |
| Professional Enrollment ID | I20100722000772 |
| Full Name | Samuel George Wilson |
| Address |
12021 Jacaranda Ave Suite 101 Hesperia CA 92345-4978 |
| Gender | M |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | EMERGENCY MEDICINE |
| Secondary Specialties | FAMILY MEDICINE, GENERAL PRACTICE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050298 | BARSTOW COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 820 E Mountain View St, Barstow, CA 92311-3004 | 7602561761 | CHASE DENNIS EMERGENCY MEDICAL GROUP INC |
| 12021 Jacaranda Ave, Suite 101, Hesperia, CA 92345-4978 |
| Street Address |
12021 JACARANDA AVE SUITE 101 |
| City | HESPERIA |
| State | CA |
| Zip | 92345-4978 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arlene F Braham | Preventative Medicine | 12021 Jacaranda Ave, Suite 100, Hesperia, CA 92345-4978 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brenda J Reid | Chiropractic | 16727 Bear Valley Rd, Suite 260, Hesperia, CA 92345-1406 | |
| Eric J Storm | Chiropractic | Eric J Storm and Brenda J Reid | 16727 Bear Valley Rd, Suite 260, Hesperia, CA 92345-1406 |
| Rosina B Frize | Physician Assistant | Dr.mikel Walk In Clinic Inc | 15791 Bear Valley Rd, Hesperia, CA 92345-1746 |
| David Shin | Optometry | 15923 Bear Valley Rd, B100, Hesperia, CA 92345-1762 | |
| Joe Louis Juarez Jr. | Chiropractic | 15679 Bear Valley Rd, Suite B, Hesperia, CA 92345-1791 | |
| Irma Ann Juarez-drew | Chiropractic | 15679 Bear Valley Rd, Suite B, Hesperia, CA 92345-1791 | |
| Khin M Naing | Internal Medicine | Desert Family Practice Associates | 11919 Hesperia Rd A, Hesperia, CA 92345-2158 |
| Gurpal Phaguda | Family Medicine | 15462 Main St, Hesperia, CA 92345-3318 | |
| Eric R Hansen | Family Medicine | 14575 Main St, Hesperia, CA 92345-3322 | |
| Michael A Parrish | Physical Therapy | 15235 Main St, Hesperia, CA 92345-3326 | |
| Find all physicians in zip 92345 | |||
| City | HESPERIA |
| Zip Code | 92345 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | HESPERIA + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Samuel George 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.