Tihesha L Wilson, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

D0067673 Issued in MD

Practice address

3641 S Miami Ave
Suite 331
Miami, FL 33133-4205

Phone

(305) 285-5040

Fax

(305) 285-5039

NPI assigned

Jan 17, 2006

Last updated

Jun 17, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Laparoscopic Surgery Associates of Georgia

  • Surgery Physician
  • Stockbridge, GA
  • NPI 1477532786
  NPD (past) Authorized official
• Aventura Healthcare Specialists, LLC

  • Hematology & Oncology Physician
  • Aventura, FL
  • NPI 1528203114
  NPD (past)
• Mercy Hospital Inc

  dba Mercy Hospital Medical Group

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1275772469
  NPD (past)
• Peachtree Surgical & Bariatrics

  • Specialist
  • Atlanta, GA
  • NPI 1386785780
  NPD (past)
• Surgical & Bariatric Associates of Atlanta Medical Center, LLC

  • Surgery Physician
  • Atlanta, GA
  • NPI 1275816472
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308268800000",
    "number": "1013997162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3641 S MIAMI AVE",
            "address_2": "SUITE 331",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334205",
            "telephone_number": "305-285-5040",
            "fax_number": "305-285-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3641 S MIAMI AVE",
            "address_2": "SUITE 331",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334205",
            "telephone_number": "305-285-5040",
            "fax_number": "305-285-5039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "TIHESHA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-17",
        "last_updated": "2011-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "054703",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D0067673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "767420679A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLE CHOICE",
            "identifier": "58860013",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4153308",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "1942236",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST MARYLAND",
            "identifier": "K313BR94043801",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "7224577",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholene Wilson
• Presley Wilson
• Qi Wilson
• Samyra Wilson
• Shane Wilson, MS, LMHC
• Woodrow Wilson, PH.D.
• Mabel Wilt, MSN, APRN, FNP-C
• Hector Wiltz Jr, M.D
• Wiltz Medical Group Inc
• Carlos Wiltz, P.A.

• Surgery Physician in Miami, FL
• Providers in Miami, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.