Michael Eugene Wilmore II, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA030502 Issued in DC

Practice address

1330 New Hampshire Ave NW Ste 121
Washington, DC 20036-6313

Phone

(202) 463-0220

Fax

(202) 463-0222

NPI assigned

Dec 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Washington Health InstituteGroup PAC ID 1456696368, 18 clinicians

Practice addresses (Care Compare)

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.

• Washington Health Institute

  • Infectious Disease Physician
  • Washington, DC
  • NPI 1699242321
  Medicare reassignment Care Compare group
• Forester Lyme Treatment Center

  • Family Medicine Physician
  • Pineville, LA
  • NPI 1184179079
  NPD (past)
• Jonathan S. Forester, MD, Apmc

  • Family Medicine Physician
  • Pineville, LA
  • NPI 1891161147
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1396806402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 NEW HAMPSHIRE AVE NW STE 121",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200366313",
            "telephone_number": "202-463-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 NEW HAMPSHIRE AVE NW STE 121",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200366313",
            "telephone_number": "202-463-0220",
            "fax_number": "202-463-0222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1140 Varnum St NE Ste 203",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200172153",
            "country_code": "US",
            "telephone_number": "202-525-5175",
            "fax_number": "202-450-6088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILMORE",
        "first_name": "MICHAEL",
        "middle_name": "EUGENE",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "A10406",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DC",
            "license": "PA030502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Thomas Wills, MD
• Yvonne Michelle Wills
• Caterina Marie Willson, AU.D.
• Barbara Wilmarth
• Malaika Wilmore
• Lakeesha Wilson-Bey
• Teri Wilson-Bridges, M.A.,CCC-A
• Lisa Wilson-Campbell, LICSW
• Dienese Wilson-Gilbert, R.N.
• Taylor Wilson-Hill, PNP

• Physician Assistant in Washington, DC
• Providers in Washington, DC by specialty
• Physician Assistant in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.