Alan John Wilson (NPI# 1386774388, PAC ID# 8426125485) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1386774388 |
| PAC ID by PECOS | 8426125485 |
| Professional Enrollment ID | I20110603000590 |
| Full Name | Alan John Wilson |
| Organization Legal Name | CCHP EMS MO LLC |
| Address |
315 S Osteopathy Ave Kirksville MO 63501-6401 |
| Phone Number | 6607851000 |
| Gender | M |
| Graduation Year | 2005 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0143562306 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 141334 | ST JOSEPH MEMORIAL HOSPITAL |
| 260022 | NORTHEAST REGIONAL MEDICAL CENTER |
| 140164 | MEMORIAL HOSPITAL OF CARBONDALE |
| 140011 | SOUTHERN ILLINOIS HOSPITAL SERVICES DBA HERRIN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 405 W Jackson St, Carbondale, IL 62901-1462 | 6185490721 | SOUTHERN ILLINOIS MEDICAL SERVICES, NFP |
| 315 S Osteopathy Ave, Kirksville, MO 63501-6401 | 6607851000 | CCHP EMS MO LLC |
| 315 S Osteopathy Ave, Northeast Regional Medical Center, Kirksville, MO 63501-6401 | 6607851000 | NES MISSOURI INC |
| 2 S Hospital Dr, Murphysboro, IL 62966-3333 | 6186843156 | SOUTHERN ILLINOIS MEDICAL SERVICES, NFP |
| Organization Legal Name | CCHP EMS MO LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anne Marie Delonais Turner | Emergency Medicine | Cchp Ems Mo LLC | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 |
| Miguel O Fernandez Barreras | Emergency Medicine | Cchp Ems Mo LLC | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 |
| Jerry D Burbee | Emergency Medicine | Cchp Ems Mo LLC | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 |
| Donald Maples Jr. | Family Medicine | Cchp Ems Mo LLC | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 |
| Street Address |
315 S OSTEOPATHY AVE |
| City | KIRKSVILLE |
| State | MO |
| Zip | 63501-6401 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anne Marie Delonais Turner | Emergency Medicine | Cchp Ems Mo LLC | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 |
| Miguel O Fernandez Barreras | Emergency Medicine | Cchp Ems Mo LLC | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 |
| Karla Dora Dobbs | Family Medicine | Nes Missouri Inc | 315 S Osteopathy Ave, Northeast Regional Medical Center, Kirksville, MO 63501-6401 |
| Jerry D Burbee | Emergency Medicine | Cchp Ems Mo LLC | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 |
| Levi A Kelly | Certified Registered Nurse Anesthetist (crna) | Kirksville Anesthesia Associates PC | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 |
| Charlotte M Cowan | Certified Registered Nurse Anesthetist (crna) | Kirksville Anesthesia Associates PC | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 |
| Jonathan D Easterwood | Anesthesiology | Kirksville Anesthesia Associates PC | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 |
| Benjamin L Schrant | Anesthesiology | Kirksville Anesthesia Associates PC | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 |
| Larry Nussbaum | Diagnostic Radiology | Columbia Radiology, Ltd | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 |
| James Lamoyne Potter | Anesthesiology | Kirksville Anesthesia Associates PC | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Bailey | Orthopedic Surgery | 1701 N Elson St, Kirksville, MO 63501-1129 | |
| Michelle L Woodward | Qualified Audiologist | Woodward Audiology, LLC | 700 W Jefferson St, Gutensohn Clinic 4th Floor, Kirksville, MO 63501-1441 |
| Mariah Nina Richard | Qualified Audiologist | Woodward Audiology, LLC | 700 W Jefferson St, Gutensohn Clinic 4th Floor, Kirksville, MO 63501-1441 |
| Daniel R Richert | Qualified Audiologist | Woodward Audiology, LLC | 700 W Jefferson St, Gutensohn Clinic 4th Floor, Kirksville, MO 63501-1441 |
| Emily J Finley | Audiologist | Woodward Audiology, LLC | 700 W Jefferson St, Gutensohn Clinic 4th Floor, Kirksville, MO 63501-1441 |
| Ronald Leland Phillips | Family Practice | At Still University of Health Sciences | 800 W Jefferson, Kirksville, MO 63501-1443 |
| Tyler O'neil Eschbach | Physician Assistant | Kirksville Clinic Corp | 800 W Jefferson St, Kirksville, MO 63501-1443 |
| Jessica Kile Caine | General Surgery | Heartland Surgical Specialists LLP | 800 W Jefferson St, Kirksville, MO 63501-1443 |
| Jonathan M Beary | Neurology | Kirksville Clinic Corp | 800 W Jefferson St, Kirksville, MO 63501-1443 |
| Philip S Mcintire | General Surgery | Heartland Surgical Specialists LLP | 800 W Jefferson St, Kirksville, MO 63501-1443 |
| Find all physicians in zip 63501 | |||
| City | KIRKSVILLE |
| Zip Code | 63501 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | KIRKSVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Alan John 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.