Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Travis B Wilson, PA

Individual provider Physician Assistant · NPI 1053408591

Travis B Wilson, PA is a Physician Assistant in Springfield, Ohio. Qualified in 2006, 20 years ago. Practices with Wake Forest Emergency Providers, a 489-clinician group and accepts Medicare assignment. Licensed in Ohio and South Carolina.

Years since qualifying
20
Licensed in
OH, SC
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

140 W Main St Ste 100
Springfield, OH 45502-1312
Phone: (937) 398-1066
Fax: (937) 398-1076
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2723 (OH)
Physician Assistant Taxonomy 363A00000X · Licence 1140 (SC)

Record details

NPI number1053408591
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 6, 2006
Last updated in NPPESMarch 7, 2023
Mailing address140 W Main St, Suite 100, Springfield, OH 45502-1312

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Wake Forest Emergency Providers — 489 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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