Wilsonmedicalassociatesllc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

34-002236 Issued in OH

Legal business name

WILSONMEDICALASSOCIATESLLC

Practice address

1661 State Route 522
Unit #2
Wheelersburg, OH 45694-8120

Phone

(740) 574-2220

Fax

(740) 574-2215

NPI assigned

Feb 24, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Everett Jan Wilson, D.O.

Title

Physician

Phone

(740) 574-2220

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266969600000",
    "number": "1033431507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 STATE ROUTE 522",
            "address_2": "UNIT #2",
            "city": "WHEELERSBURG",
            "state": "OH",
            "postal_code": "456948120",
            "telephone_number": "740-574-2220",
            "fax_number": "740-574-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 STATE ROUTE 522",
            "address_2": "UNIT #2",
            "city": "WHEELERSBURG",
            "state": "OH",
            "postal_code": "456948120",
            "telephone_number": "740-574-2220",
            "fax_number": "740-574-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSONMEDICALASSOCIATESLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-24",
        "last_updated": "2010-02-24",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "EVERETT",
        "authorized_official_middle_name": "JAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "740-574-2220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OH",
            "license": "34-002236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherry Williams
• Shona M Williams
• Stephanie Dawn Williams
• Larry Wilson
• Mary Jo Wilson, L.P.N.
• Pami J Winters
• Shawna Marie Wise
• Arrick James Wiseman, RN
• Sarah Leeann Wolfe
• Brady A Womack

• Primary Care Clinic/Center in Wheelersburg, OH
• Providers in Wheelersburg, OH by specialty
• Primary Care Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.