Jeffrey S Wilson, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

36002880W Issued in OH

Practice address

381 Cline Ave
Mansfield, OH 44907

Phone

(419) 756-6612

Fax

(419) 756-8418

NPI assigned

Jul 19, 2006

Last updated

Aug 17, 2021By the provider in NPPES

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

Enrolled in OH

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gentle Footcare LLCGroup PAC ID 0345152955, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Avita Ontario Hospital, Ontario, OH, CCN 360365
• Licking Memorial Hospital Hospital, Newark, OH, CCN 360218
• Knox Community Hospital Hospital, Mount Vernon, OH, CCN 360040

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jwilsondpm@ofas.medentdirect.com

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.

• Gentle Footcare LLC

  • Foot & Ankle Surgery Podiatrist
  • Columbus, OH
  • NPI 1710999792
  Medicare reassignment Care Compare group Authorized official
• Gentle Footcare LLC

  • Durable Medical Equipment & Medical Supplies
  • Kenton, OH
  • NPI 1942684014

  Podiatrist

  NPD Authorized official
• Gentle Footcare LLC

  • Durable Medical Equipment & Medical Supplies
  • Worthington, OH
  • NPI 1992406490
  NPD Authorized official
• Gentle Footcare LLC

  • Durable Medical Equipment & Medical Supplies
  • Mansfield, OH
  • NPI 1639256936
  Authorized official Same address or phone
• Gentle Foot Care of Western Ohio

  • Durable Medical Equipment & Medical Supplies
  • Detroit, MI
  • NPI 1568798908
  Authorized official Same address or phone
• GFC of Southeastern Michigan, PC

  • Foot & Ankle Surgery Podiatrist
  • Detroit, MI
  • NPI 1316191679
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Avita Ontario Hospital

  • General Acute Care Hospital
  • Ontario, OH
  • NPI 1790131050
  Care Compare affiliation
• Knox Community Hospital

  • General Acute Care Hospital
  • Mount Vernon, OH
  • NPI 1295761963
  Care Compare affiliation
• Licking Memorial Hospital

  • General Acute Care Hospital
  • Newark, OH
  • NPI 1568446755
  Care Compare affiliation

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1972522068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27940",
            "address_2": "3255 E LIVINGSTON AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43227",
            "telephone_number": "614-239-0399",
            "fax_number": "614-239-6374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 CLINE AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "44907",
            "telephone_number": "419-756-6612",
            "fax_number": "419-756-8418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3255 E. Livingston Avenue",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432271967",
            "country_code": "US",
            "telephone_number": "614-239-9444",
            "fax_number": "614-239-1080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "245 Stocksdale Drive",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "OH",
            "postal_code": "430401563",
            "country_code": "US",
            "telephone_number": "614-239-9444",
            "fax_number": "614-239-1080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1272 W Main Street",
            "address_2": "Building 1",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "OH",
            "postal_code": "430552053",
            "country_code": "US",
            "telephone_number": "614-239-9444",
            "fax_number": "614-239-1080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 East Franklin Street",
            "address_purpose": "LOCATION",
            "city": "Kenton",
            "state": "OH",
            "postal_code": "433262170",
            "country_code": "US",
            "telephone_number": "614-239-9444",
            "fax_number": "614-239-1080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3713 S High Street",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432074011",
            "country_code": "US",
            "telephone_number": "614-239-9444",
            "fax_number": "614-239-1080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3722 US Highway 68 South",
            "address_purpose": "LOCATION",
            "city": "Bellefontaine",
            "state": "OH",
            "postal_code": "433119450",
            "country_code": "US",
            "telephone_number": "614-239-9444",
            "fax_number": "614-239-1080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "396 Portland Way North",
            "address_purpose": "LOCATION",
            "city": "Galion",
            "state": "OH",
            "postal_code": "448331115",
            "country_code": "US",
            "telephone_number": "194-683-6684",
            "fax_number": "419-462-5037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1641 Venture Drive",
            "address_2": "Ste A",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "OH",
            "postal_code": "430507001",
            "country_code": "US",
            "telephone_number": "740-393-3338",
            "fax_number": "740-393-1138",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3663 Ridge Mill Drive",
            "address_2": "Ste 104",
            "address_purpose": "LOCATION",
            "city": "Hilliard",
            "state": "OH",
            "postal_code": "430267799",
            "country_code": "US",
            "telephone_number": "614-529-7800",
            "fax_number": "614-529-7800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JEFFREY",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36002880W",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0135222",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arthur Hunter Wilson, M.D.
• Bonnie Lee Wilson, LPN
• Darein Lee Wilson, STNA
• Frances Mary Wilson, RD
• Jacoby Wilson
• Jonathan Adam Wilson, DDS
• Lauren A. Wilson
• Nicole Marie Wilson, NP
• Nyan Win, MD
• Omari Khaleeq Windom

• Podiatrist in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.