Dr. Patrick Thomas Wilson
Pediatric Critical Care Doctor
3959 Broadway
New York
, New York 10032-1559
Dr. Patrick Thomas Wilson
Pediatric Critical Care Doctor
3959 Broadway
New York
, New York 10032-1559
(216) 286-6341
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About
Features
Specialties
- Pediatric Critical Care Doctor
Languages spoken
- English
Location
First Address
- Dr. Patrick Thomas Wilson
- 3605 Warrensville Ctr Rd Msc9152
- Shaker Hts, OH
- Zip : 44122
- Fax : (216) 286-6341
- Phone : (216) 286-6299
Second Address
- Dr. Patrick Thomas Wilson
- 3959 Broadway
- New York, NY
- Zip : 10032-1559
- Phone : (212) 305-8458
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0203X | Pediatric Critical Care Doctor | 258113 | NY |
National Provider Identifier
| NPI | 1114085610 |
|---|---|
| Provider Name | Dr. Patrick Thomas Wilson |
| First Address | Shaker Hts, OH 44122 |
| Second Address | New York, NY 10032-1559 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/12/2006 |
| Last Update Date | 15/02/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000221132 | UNISON (01) | OH |
| 000000526171 | ANTHEM (01) | OH |
| 1018882250001 | (05) | PA |
| 2712603 | (05) | OH |
| 364140 | WELLCARE (01) | OH |
| 7118897 | AETNA (01) | OH |
| 751030 | BUCKEYE (01) | OH |
| I64860 | (02) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.