Madeline S. Wilson
Internal Medicine

Address: 55 Lock Street, New Haven, CT 06520-8237
Phone: 2034320076

Madeline S. Wilson (NPI# 1871574152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1871574152
Entity Type Individual
Full Name Madeline S. Wilson
Credential MD
Gender Female
Practice Address 55 Lock Street
New Haven
CT 06520-8237
Practice Telephone 2034320076
Practice Fax Number 2034327289
Mailing Address Po Box 208237
55 Lock Street
New Haven
CT 06520-8237
Mailing Telephone 2034320076
Mailing Fax Number 2034327289
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2005-11-14
Last Update Date 2011-03-08

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207R00000X Internal Medicine Allopathic & Osteopathic Physicians 030942 CT

Other Provider Identifier

State Identifier Issuer Type Code
CT 001309427 MEDICAID

Other Providers MADELINE WILSON

NPI Name Taxonomy Address Enumeration
1609362961 Madeline Wilson Nurse Practitioner 800 Rose St, Lexington, KY 40536-7001 2018-07-10
1982080354 Madeline Wilson Counselor 189 S State St, Suite 222, Clearfield, UT 84015-1061 2015-08-07

Physician Overview

NPI 1871574152
PAC ID by PECOS 1557421088
Professional Enrollment ID I20081113000541
Full Name Madeline S Wilson
Organization Legal Name YALE UNIVERSITY
Phone Number 2034320076
Gender F
Medical School HARVARD MEDICAL SCHOOL
Graduation Year 1988
Primary Specialty INTERNAL MEDICINE
Group Practice PAC ID 9436061736
Number of Group Practice Members 1667
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
070022 YALE-NEW HAVEN HOSPITAL

Office Location

Street Address 55 LOCK STREET
City NEW HAVEN
State CT
Zip Code 06520-8237

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760472237 Suguru Imaeda Dermatology 55 Lock Street, New Haven, CT 06520-8237 2005-10-26
1821519844 Bryan Cretella Pharmacist 55 Lock Street, New Haven, CT 06511 2017-06-29
1033360680 Robert David Messina Radiology 55 Lock Street, New Haven, CT 06511 2008-10-01
1548422561 Brigid Kelley Killelea Surgery 55 Lock Street, New Haven, CT 06511 2008-07-01
1104093624 Felix Knauf Internal Medicine 55 Lock Street, New Haven, CT 06520-8237 2008-05-14
1649454976 Duarte G. Machado Psychiatry & Neurology 55 Lock Street, New Haven, CT 06511 2007-12-21
1134302128 Vishal Gupta Emergency Medicine 55 Lock Street, New Haven, CT 06511 2007-12-12
1811183981 Amanda N Brei-moeller Nurse Practitioner 55 Lock Street, New Haven, CT 06511 2007-09-21
1710178835 Sepideh Sahar Aram Psychiatry & Neurology 55 Lock Street, Yale Health, New Haven, CT 06511 2007-08-05
1093926784 Vanessa Louise Jefferson Internal Medicine 55 Lock Street, New Haven, CT 06520-8237 2007-05-24
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366894198 Jing Zhang Physician Assistant 20 York St Fl 3, West Pavillion Cticu Pa/np Office, New Haven, CT 06520 2016-07-05
1013399666 Cosman Camilo Mandujano Student in an Organized Health Care Education/Training Program 330 Cedar Street Ynhh, Department of Surgery, New Haven, CT 06520 2015-06-19
1619388667 Daniel Torres Student in an Organized Health Care Education/Training Program 300 Cedar St., Tac 541, Yusm- Po Box 208031, New Haven, CT 06520 2014-05-13
1457619751 Andrew Philip Notarianni Anesthesiology 333 Cedar St., Tompkins 3, Yusm Department of Anesthesiology, New Haven, CT 06520 2012-04-25
1619254992 Deniz Balci Student in an Organized Health Care Education/Training Program Ankara Universitesi Ibni Sina Hastanesi, Genel Cerrahi Ad. Sihhiye, Ankara, ANKARA 06520 2011-11-15
1427333244 Alexander Goehler Radiology 333 Cedar Steet, Yale New Haven Hospital, New Haven, CT 06520 2011-10-12
1295027936 Benjamin Jospeh Vaccaro Internal Medicine 330 Cedar St., Boardman 110, Yale New Haven Hospital, New Haven, CT 06520 2011-05-13
1841529575 Maison Chen Radiology 333 Cedar St, Te2, Yale Dx Radiology, New Haven, CT 06520 2009-12-08
1598992745 Ammar Nooruddin Yamani Anesthesiology 333 Cedar Street Tmp 3, New Haven, CT 06520 2009-06-15
1851566228 Arianne Jeaneve Boylan Neurological Surgery Yale Department of Neurosurgery, 333 Cedar Street, New Haven, CT 06520 2008-04-28
Find all providers in zip 06520

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497104822 Anna S Eisenstein Internal Medicine 20 York Street Ynhh, Dermatolgy, New Haven, CT 06510-3220 2016-06-07
1124476296 Katherine Given Ligtenberg Internal Medicine 333 Cedar St # St501, New Haven, CT 06510-3206 2016-05-31
1306220132 Saira Nasar Internal Medicine 1 Long Wharf Dr Ste 500, New Haven, CT 06511 2015-07-10
1700265527 Alani Leona Gregory Internal Medicine 1450 Chapel St Fl 2, Ynhh PCc, St Raphael Campus, New Haven, CT 06511 2015-05-26
1578958005 Benjamin David Gallagher Internal Medicine 789 Howard Ave Bsmt, New Haven, CT 06519 2015-04-01
1386056620 Christopher Morton Internal Medicine 333 Cedar St # St105, Department of Internal Medicine, New Haven, CT 06510-3206 2014-05-21
1619387818 Amy Steinmetz Korwin Internal Medicine Yale New Haven Hospital, Dept of Pulm/cc/sleep Medicine, 20 York Street, New Haven, CT 06510-3220 2014-04-28
1841636321 Jeffrey Alan Brown Internal Medicine Yale New Haven Hospital - Dept of Int. Radiology, 20 York Street, New Haven, CT 06510-3220 2013-05-10
1871938886 Sabrina L. Browning Internal Medicine 333 Cedar St Rm Www 211, New Haven, CT 06510-3206 2013-05-03
1114269305 Ahmad Farooq Internal Medicine 159 Willow St, Apt 2, New Haven, CT 06511-2642 2013-03-26
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Competitor

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City NEW HAVEN
Zip Code 06520

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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