Timothy J. Wilson, D.O, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2098 Issued in WV

Legal business name

TIMOTHY J. WILSON, D.O, PLLC

Practice address

1132 National Rd
Wheeling, WV 26003-5704

Phone

(304) 242-1032

NPI assigned

Jun 19, 2006

Organization subpart

No

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

Authorized official

Name

Timothy J Wilson, D.ONPI 1407892631

Title

President

Phone

(304) 242-1032

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy J Wilson, D.O

  • Internal Medicine Physician
  • Wheeling, WV
  • NPI 1407892631
  Authorized official Same address or phone

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1205871563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 NATIONAL RD",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260035704",
            "telephone_number": "304-242-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 NATIONAL RD",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260035704",
            "telephone_number": "304-242-1032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY J. WILSON, D.O, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-242-1032",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "2098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2665272",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810005848",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin Jordan Thompson, MD
• Christy Ann Thornburg
• Joann Adelaide Thornton, PHD
• Summer Leigh Tibbs, CDCA, QMHS HS
• Stephen Ray Timms, MD
• Tiffany Tingler
• Christopher Tiu, MD
• Jeremy J Tiu, MD
• TJ Ameredes, DDS, PLLC
• Paula Jean Tolland

• Internal Medicine Physician in Wheeling, WV
• Providers in Wheeling, WV by specialty
• Internal Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; 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.