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Ethan B. Wilson

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NPI Number Detailed Information

Provider Information:

Name: Ethan B. Wilson
Gender: M
Provider License Number If Given: 11896

NPI Information:

NPI: 1447364104
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 8/19/2006

Last Update Date: 11/12/2007

Reputation Report:

Provider Business Mailing Address:

Address: PO BOX 48068
Jacksonville, FL 32247
Phone Number: 8668987148
Fax Number:

Provider Business Practice Location Address:

Address: 3600 NW SAMARITAN DR
Corvallis, OR 97330
Phone Number: 5417685021
Fax Number:

Provider Taxonomy:

Primary: 207P00000X
Secondary (if any):
State: OR

Top Doctors in OR

 

About Ethan B. Wilson

Ethan B. Wilson ( ETHAN B. WILSON ) is An Emergency Medicine Physician in Corvallis, OR. The NPI Number for Ethan B. Wilson is 1447364104.
The current location address for Ethan B. Wilson is 3600 NW SAMARITAN DR Corvallis, OR 97330 and the contact number is 8668987148 and fax number is . The mailing address for Ethan B. Wilson is PO BOX 48068 Jacksonville, FL 32247- 5417685021 (mailing address contact number - 8668987148).
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Provider Business Location on Map

FAQs:

What is the NPI Number for Ethan B. Wilson ?


Answer: The NPI Number for Ethan B. Wilson is 1447364104

Where is Ethan B. Wilson located?


Answer: Ethan B. Wilson is located at 3600 NW SAMARITAN DR Corvallis, OR 97330.

What is the specialty for Ethan B. Wilson ?


Answer: The Specialty of Ethan B. Wilson is An Emergency Medicine Physician.

Are there any online reviews for Ethan B. Wilson ?


Answer: Yes! Check It Now.

Are there any other health care providers in Corvallis, OR?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Ethan B. Wilson

Number of HCPCS 13
Number of Medicare Beneficiaries 22
Number of Services 36
Total Submitted Charge Amount 8117.58
Total Medicare Allowed Amount 3551.98
Total Medicare Payment Amount 2966.72
Total Medicare Standardized Payment Amount 2450.78
Drug Suppress Indicator *
Number of HCPCS Associated With Drug Services
Number of Medicare Beneficiaries With Drug Services
Number of Drug Services
Total Drug Submitted Charge Amount
Total Drug Medicare Allowed Amount
Total Drug Medicare Payment Amount
Total Drug Medicare Standardized Payment Amount
Medical Suppress Indicator #
Number of HCPCS Associated With Medical Services
Number of Medicare Beneficiaries With Medical
Number of Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age of Beneficiaries 74
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression
Percent (%) of Beneficiaries Identified With Diabetes
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.55
Percent (%) of Beneficiaries Identified With Hypertension
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0
Percent (%) of Beneficiaries Identified With Stroke 0
Average HCC Risk Score of Beneficiaries 0.928

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