Active NPI
Wesley Garth Wilson, M.D.
- Plastic Surgery Physician
- Scottsdale, AZ
National Provider Identifier
1215307368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 21680
- Practice address
- 20201 N Scottsdale Healthcare Dr
Suite120
Scottsdale, AZ 85255-4134 - Phone
- (480) 513-9111
- NPI assigned
- Oct 1, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 21680 | AZ | Primary |
Addresses
Primary practice location
20201 N Scottsdale Healthcare Dr
Suite120
Scottsdale, AZ 85255-4134
Mailing address
10540 E Cortez Dr
Scottsdale, AZ 85259-2939
Phone (480) 216-6887
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21680 | AZ | MD | Plastic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443657600000",
"number": "1215307368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10540 E CORTEZ DR",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852592939",
"telephone_number": "480-216-6887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20201 N SCOTTSDALE HEALTHCARE DR",
"address_2": "SUITE120",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852554134",
"telephone_number": "480-513-9111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "WESLEY",
"middle_name": "GARTH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-01",
"last_updated": "2015-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "AZ",
"license": "21680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.