Dr. Robert a Wilson, MD PA

Primary specialty

Otolaryngic Allergy PhysicianTaxonomy code 207YX0602X

Legal business name

DR. ROBERT A WILSON, MD PA

Practice address

4200 E North St
Suite 16
Greenville, SC 29615-2437

Phone

(864) 292-2800

Fax

(864) 292-2921

NPI assigned

Feb 27, 2006

Organization subpart

No

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

Authorized official

Name

Robert A Wilson, MD

Title

President

Phone

(864) 292-2800

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408406400000",
    "number": "1295701654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 E NORTH ST",
            "address_2": "SUITE 16",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296152437",
            "telephone_number": "864-292-2800",
            "fax_number": "864-292-2921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 E NORTH ST",
            "address_2": "SUITE 16",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296152437",
            "telephone_number": "864-292-2800",
            "fax_number": "864-292-2921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ROBERT A WILSON, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-27",
        "last_updated": "2014-08-19",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-292-2800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207YX0602X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Otolaryngology Physician in Greenville, SC
• Providers in Greenville, SC by specialty
• Otolaryngology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; 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.