Frederic Barlow Wilson I, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

MD00030372 Issued in WA

Practice address

80 N Main St
Coupeville, WA 98239-9500

Phone

(360) 678-4424

Fax

(360) 678-5161

NPI assigned

Jul 10, 2006

Last updated

Mar 8, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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

• Administrators of the Tulane Educational Fund

  dba Tulane University Medical Group

  • Specialist
  • New Orleans, LA
  • NPI 1528014164
  NPD (past)
• Mid State Orthopaedic & Sports Medicine Center, LLC

  • Orthopaedic Surgery Physician
  • Alexandria, LA
  • NPI 1104890052
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488931200000",
    "number": "1164456471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 N MAIN ST",
            "city": "COUPEVILLE",
            "state": "WA",
            "postal_code": "982399500",
            "telephone_number": "360-678-4424",
            "fax_number": "360-678-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 N MAIN ST",
            "city": "COUPEVILLE",
            "state": "WA",
            "postal_code": "982399500",
            "telephone_number": "360-678-4424",
            "fax_number": "360-678-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "FREDERIC",
        "middle_name": "BARLOW",
        "name_suffix": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2017-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WA",
            "license": "MD00030372",
            "primary": true
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "WA",
            "license": "MD00030372",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "WA",
            "license": "MD00030372",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2049935",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Whidbey Women's Health
• Jessica Lea Wilde, LMHC
• Tom Wilkinson, CDP
• Justin Abraham Williams, MD
• Tyler Willis, DNP, NP
• Anthony Paul Woerner
• Wonderfully Made Midwifery LLC
• Charles Wynkoop
• Margaret Renee Yanke, ARNP, MN, AOCN
• Henry K. Yee, MD

• Orthopaedic Surgery Physician in Coupeville, WA
• Providers in Coupeville, WA by specialty
• Orthopaedic Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; 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.