Organization Active NPI

Wilson Gynecology & Fitness PA

  • Specialist
  • Dover, DE
National Provider Identifier
1003902479
Registry record updated May 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
C10004065 Issued in DE
Legal business name
WILSON GYNECOLOGY & FITNESS PA
Practice address
21 Saulsbury Rd
Dover, DE 19904-3444
Phone
(302) 734-9200
Fax
(302) 730-8615
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Calvin Wilson II, MD
Title
President
Phone
(302) 734-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X C10004065 DE Primary

Addresses

Primary practice location

21 Saulsbury Rd
Dover, DE 19904-3444

Mailing address

21 Saulsbury Rd
Dover, DE 19904-3444
Phone (302) 734-9200

National Provider Directory

National Provider Directory

Locations

21 Saulsbury Rd
Dover, DE 19904
Phone (302) 734-9200

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274918400000",
    "number": "1003902479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 SAULSBURY RD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043444",
            "telephone_number": "302-734-9200",
            "fax_number": "302-730-8615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 SAULSBURY RD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043444",
            "telephone_number": "302-734-9200",
            "fax_number": "302-730-8615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON GYNECOLOGY & FITNESS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2010-05-27",
        "status": "A",
        "authorized_official_last_name": "WILSON II",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-734-9200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "DE",
            "license": "C10004065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.