Marty C Wilson, PA-C
Marty C Wilson, PA-C is a Physician Assistant in Springfield, Illinois. Qualified in 2013, 13 years ago. Practices with Orthopaedic Center of Il, a 30-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 13
- Licensed in
- IL
- In the registry since
- 2013
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
1301 S Koke Mill RdSpringfield, IL 62711-9252
Phone: (217) 547-9100
Fax: (217) 547-9236
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence 085004959 (IL) |
|---|
Record details
| NPI number | 1184045338 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | December 13, 2013 |
| Last updated in NPPES | April 13, 2020 |
| Certification date | April 13, 2020 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2013 (13 years in practice) |
| Group practice | Orthopaedic Center Of Il — 30 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Springfield
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Angelia K Royer, PA
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Micah Lee Servis, SA-C
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Mr. Justin William Starling
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Alyssa L Tusek, PA-C
900 N 1st St, Springfield, IL 62702-3749 · (217) 528-7541
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Nicole M. Wirtz, PA-C
800 N 1st St, Springfield, IL 62702-3719 · (217) 528-7541