David Earl Wilson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MDR4908 Issued in MO

Practice address

9401 N Oak Trfy Ste 100
Kansas City, MO 64155-3393

Phone

(816) 436-1700

Fax

(816) 436-3133

NPI assigned

Jan 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gashland Clinic Physicians Inc

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1962481457
  NPD
• Mid America Gastro Intestinal Consultants P C

  • Gastroenterology Physician
  • Kansas City, MO
  • NPI 1710091228
  NPD (past)

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1073583563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9401 N OAK TRFY STE 100",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641553393",
            "telephone_number": "816-436-1700",
            "fax_number": "816-436-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 N OAK TRFY STE 100",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641553393",
            "telephone_number": "816-436-1700",
            "fax_number": "816-436-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "DAVID",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "MDR4908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KC INDIVIDUAL #",
            "identifier": "04489010",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110042554",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bridgid Hast Wilson, MD
• Claire Wilson, LMSW
• Dana M Wilson, AGACNP-BC
• Danny Wilson, STAFF CHAPLAIN
• Daren C Wilson, MD
• David Matthew Wilson, RN
• Dylan Wilson, ATC, LAT
• Francelia Wilson
• Grace Elizabeth Wilson, DDS
• Holly Ann Wilson

• Family Medicine Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.