Steven W Wilson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110840558 Issued in VA

Practice address

1900 Electric Rd
Salem, VA 24153-7474

Phone

(540) 776-4970

NPI assigned

Jun 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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 and National Provider Directory roles.

• Braeburn Emergency Physicians LLC

  • Emergency Medicine Physician
  • Salem, VA
  • NPI 1467888263
  NPD (past)
• Quincy Medical Center

  dba Hospitalist Physicians at Quincy Medical Center

  • Surgical Physician Assistant
  • Quincy, MA
  • NPI 1962446021
  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207872000000",
    "number": "1265476816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 GILL ST",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018011728",
            "telephone_number": "781-937-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 ELECTRIC RD",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537474",
            "telephone_number": "540-776-4970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "STEVEN",
        "middle_name": "W",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2008-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110840558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Shane Williams, PAC
• Nyesha Williamson, BEHAVIOR TECHNICIAN
• Exa Willis, PHARMD
• Peter Lewis Wills, PHARM.D.
• Robert Michael Wilson, PAC
• Pink Wimbish, D.P.M.
• Mackenzie Brea Wimmer, RN
• Shelley Jeanne Wimmer, MSW, LCSW
• Leigh G Wingo, FNP-C
• Kelly Makay Wininger, PT

• Physician Assistant in Salem, VA
• Providers in Salem, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; 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.