Linda Wright Wilson, M.D.

Individual provider Active NPI Hematology & Oncology Physician · Paia, HI

NPI 1104873546 · NPPES record last updated May 16, 2011

Key facts

NPI
1104873546
Entity type
Individual (NPI type 1)
Primary specialty
Hematology & Oncology Physician 207RH0003X
License
13693 (HI)
Practice address
475B Laulea PL
Paia, HI 96779-9705
Phone
(310) 765-4088
Fax
(310) 694-3853
NPI assigned
May 30, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Cancer Institute LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: linda@cancermd.direct.varian.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 13693 HI Yes

Addresses

Primary practice location

475B Laulea PL
Paia, HI 96779-9705

Mailing address

475B Laulea PL
Paia, HI 96779-9705
Phone (310) 765-4088

Other names

  • Dr. Linda Wright Wilson Former name

Other providers in Paia, HI

All providers in Paia, HI · Hematology & Oncology Physician in Hawaii

Sources for this page

Verify at the official NPI Registry.