Active NPI
Wilson Medical Center, Inc.
- Hospitalist Physician
- Wilson, NC
National Provider Identifier
1295895910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- Legal business name
- WILSON MEDICAL CENTER, INC.
- Practice address
- 1705 Tarboro St SW
Wilson, NC 27893-3428 - Phone
- (252) 399-8040
- Fax
- (252) 399-8778
- NPI assigned
- Dec 11, 2006
- Last updated
- Sep 7, 2007
- Organization subpart
- Yes
- Parent organization
- WILSON MEDICAL CENTER, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Richard E. Hudson
- Title
- President and Ceo
- Phone
- (252) 399-8139
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | NU | Primary |
Addresses
Primary practice location
1705 Tarboro St SW
Wilson, NC 27893-3428
Mailing address
1705 Tarboro St SW
Wilson, NC 27893-3428
Phone (252) 399-8040
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07634 | Other | NC | WILSON MED CTR-PHYS SERV |
| 8907634 | Medicaid | NC |
Other names 1
- Wilson Medical Center, Inc. Physician Services
National Provider Directory
National Provider Directory- Part of
- Stantonsburg Med of Wil
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1189123200000",
"number": "1295895910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1705 TARBORO ST SW",
"city": "WILSON",
"state": "NC",
"postal_code": "278933428",
"telephone_number": "252-399-8040",
"fax_number": "252-399-8778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 TARBORO ST SW",
"city": "WILSON",
"state": "NC",
"postal_code": "278933428",
"telephone_number": "252-399-8040",
"fax_number": "252-399-8778"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILSON MEDICAL CENTER, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WILSON MEDICAL CENTER, INC.",
"enumeration_date": "2006-12-11",
"last_updated": "2007-09-07",
"status": "A",
"authorized_official_last_name": "HUDSON",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "PRESIDENT AND CEO",
"authorized_official_telephone_number": "252-399-8139",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WILSON MED CTR-PHYS SERV",
"identifier": "07634",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8907634",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Wilson Medical Center, Inc. Physician Services",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Wilson, NC
- Wilson Medical Associates PA
- Wilson Medical Center (West Wilson Internal Medicine)
- Wilson Medical Center, Inc. (Wilson Neurology)
- Wilson Medical Center, Inc. (Wilson Medical Center Medical Nutrional Therapy)
- Wilson Medical Center, Inc. (Wilson Gastroenterology)
- Wilson Medical Center, Inc. (New Hope Primary Care)
- Wilson Medical Center, Inc. (Wilson Medical Center Reference Lab)
- Wilson Medical Center, Inc. (Hospice of Wilson Medical Center)
- Wilson Medical Center, Inc.
- Wilson Medical Center, Inc. (Wilson ENT & Sinus Center Audiology)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.