William Andrew Wilson Medical Doctor, PLLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

263147 Issued in NY

Legal business name

WILLIAM ANDREW WILSON MEDICAL DOCTOR, PLLC

Practice address

6511 Spring Brook Ave
Rhinebeck, NY 12572-3709

Phone

(845) 871-3888

Fax

(845) 790-3105

NPI assigned

Apr 4, 2016

Organization subpart

No

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

Authorized official

Name

Dr. William Andrew Wilson, MD

Title

Owner

Phone

(845) 871-4248

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459728000000",
    "number": "1073976262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 FORDHAM RD",
            "city": "VALATIE",
            "state": "NY",
            "postal_code": "121845312",
            "telephone_number": "845-871-4248",
            "fax_number": "845-883-5323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6511 SPRING BROOK AVE",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125723709",
            "telephone_number": "845-871-3888",
            "fax_number": "845-790-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM ANDREW WILSON MEDICAL DOCTOR, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-04",
        "last_updated": "2016-04-04",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-871-4248",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "263147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1982861217",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wellspring Rhinebeck
• Madison Wenzel
• Heather B White, OTR/L
• Ronald David Whitmont, M.D.
• Matthew Wikstrom, PT, DPT
• Amy Louise Williams, MACCC-SLP
• Elisa Lynn Williams, LPN
• William Andrew Wilson, M.D.
• Avery Elizabeth Wiltse, NP
• James A Wing, MD

• Emergency Medicine Physician in Rhinebeck, NY
• Providers in Rhinebeck, NY by specialty
• Emergency Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; 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.