Active NPI
Victor Thomas Wilson, M.D.
- Pediatrics Physician
- Norman, OK
National Provider Identifier
1255335527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 17516
- Practice address
- 700 Wall St
Norman, OK 73069-6360 - Phone
- (405) 360-7337
- Fax
- (866) 259-0044
- NPI assigned
- Jun 2, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 17516 | OK | Primary |
Addresses
Primary practice location
700 Wall St
Norman, OK 73069-6360
Mailing address
PO Box 721678
Norman, OK 73070-8284
Phone (405) 360-7337
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Victor T. Wilson MD PC | Pediatrics | Past | Accepting new patients |
| Norman Regional Hospital Authority | Past | Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients |
Interoperability endpoints
- victor_wilson@victor-t-wilson-md-pc.amazing-direct.com
Organizations & group practices 3
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.
-
dba Norman Regional
- General Acute Care Hospital
- Norman, OK
- NPI 1700882578
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1255335527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 721678",
"city": "NORMAN",
"state": "OK",
"postal_code": "730708284",
"telephone_number": "405-360-7337",
"fax_number": "866-259-0044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 WALL ST",
"city": "NORMAN",
"state": "OK",
"postal_code": "730696360",
"telephone_number": "405-360-7337",
"fax_number": "866-259-0044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "VICTOR",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-02",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OK",
"license": "17516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.