Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Vanessa Jane Wilson

Individual provider Medical Physician Assistant · NPI 1538757984

Vanessa Jane Wilson is a Physician Assistant in Stamford, Connecticut. Qualified in 2020, 6 years ago. Practices with Mordo Suchov MD Inc, a 14-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2020
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Practice location Address checks out

4 Hospital Plz
Stamford, CT 06902-3602
Phone: (203) 371-7999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1538757984
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 31, 2020
Last updated in NPPESDecember 31, 2020
Certification dateDecember 31, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Mordo Suchov Md Inc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Providence Saint Joseph Medical Ctr Hospital · Burbank, CA

Colleagues at Mordo Suchov MD Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 14 clinicians in the practice; 12 are shown here.

Other providers in Stamford