Michael C. Wilson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

03286 Issued in OH

Practice address

15728 Lorain Ave
Cleveland, OH 44111-5542

Phone

(216) 252-6224

Fax

(216) 252-6234

NPI assigned

Dec 29, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222300800000",
    "number": "1811974074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15728 LORAIN AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441115542",
            "telephone_number": "440-777-6017",
            "fax_number": "440-777-6940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15728 LORAIN AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441115542",
            "telephone_number": "216-252-6224",
            "fax_number": "216-252-6234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MICHAEL",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2008-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "03286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2803265",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Latoya S Wilson
• Lesley Dawn Wilson, APRN-CNP
• Lindsey Bashaw Wilson, M.D.
• Mallory Wilson
• Marissa Marshe Wilson
• Michael Dean Wilson, MD
• Michelle Morfin Wilson, C.N.P.
• Miesha Wilson
• Mira Wilson
• Myesha S Wilson

• Chiropractor in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.