James Wilson MD PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

207773 Issued in NY

Legal business name

JAMES WILSON MD PLLC

Practice address

2500 Pond VW
Suite 204
Castleton, NY 12033-9750

Phone

(518) 512-4166

Fax

(518) 512-4170

NPI assigned

Apr 23, 2012

Organization subpart

No

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

Authorized official

Name

Dr. James Henry Wilson, MD

Title

MD/Owner

Phone

(518) 512-4166

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1194082552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 POND VW",
            "address_2": "SUITE 204",
            "city": "CASTLETON",
            "state": "NY",
            "postal_code": "120339750",
            "telephone_number": "518-512-4166",
            "fax_number": "518-512-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 POND VW",
            "address_2": "SUITE 204",
            "city": "CASTLETON",
            "state": "NY",
            "postal_code": "120339750",
            "telephone_number": "518-512-4166",
            "fax_number": "518-512-4170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES WILSON MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-23",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "518-512-4166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "207773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01820915",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "207773",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Albert Njoroge Huho, MB, CHB
• Megan Hunt
• Syed Rassal Hussain, DMD, MS
• Sara Iacovelli
• Integrative Medical Care PC
• Maryann James, LPN
• Elizabeth Teresa Jensen, NP
• Hariram R. Kabra, DDS
• Richard Henry Stephen Karpinski, M.D.
• Karen Marie Kennette, MD

• Family Medicine Physician in Castleton, NY
• Providers in Castleton, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.