Lindsay Anne Wilson, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

5100 Issued in OK

Practice address

1011 14TH Ave NW
Ardmore, OK 73401

Phone

(580) 220-6132

Fax

(580) 220-6772

NPI assigned

Jul 8, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OK, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Mercy Hospital Healdton, Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Healdton, OK
  • NPI 1376790147

  Corporate Director

  CMS ownership
• Mercy Hospital Healdton, Inc.

  • Rural Health Clinic/Center
  • Healdton, OK
  • NPI 1437467388

  Corporate Director

  CMS ownership
• Mercy Hospital Healdton, Inc.

  • Critical Access Hospital
  • Healdton, OK
  • NPI 1578710406

  Corporate Director

  CMS ownership

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.

• Emergency Services of Oklahoma PC

  • Emergency Medicine Physician
  • Norman, OK
  • NPI 1215249891

  Emergency Medicine, OK

  Medicare reassignment NPD
• Mercy Clinic Oklahoma Communities

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1386874550

  OK

  Medicare reassignment NPD
• Mercy Hospital Healdton, Inc

  • Critical Access Hospital
  • Healdton, OK
  • NPI 1568615656

  OK

  Medicare reassignment NPD
• Mercy Hospital Healdton, Inc.

  • Critical Access Hospital
  • Healdton, OK
  • NPI 1578710406

  OK

  Medicare reassignment NPD
• Mercy Hospital Healdton, Inc.

  • Rural Health Clinic/Center
  • Healdton, OK
  • NPI 1437467388
  NPD
• Oklahoma Emergency Physician Partners PLLC

  • Emergency Medicine Physician
  • Durant, OK
  • NPI 1891039764

  Emergency Medicine

  NPD
• Marshall County HMPN, LLC

  • Family Medicine Physician
  • Madill, OK
  • NPI 1780955898
  NPD (past)
• Mercy Hospital Ardmore, Inc.

  • General Acute Care Hospital
  • Ardmore, OK
  • NPI 1386741635
  NPD (past)

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534896000000",
    "number": "1306133541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 14TH AVE NW",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011828",
            "telephone_number": "580-220-6132",
            "fax_number": "580-220-6772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 14TH AVE NW",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "73401",
            "telephone_number": "580-220-6132",
            "fax_number": "580-220-6772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "LINDSAY",
        "middle_name": "ANNE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-08",
        "last_updated": "2018-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "P7806",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "5100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alli Willis
• Jason Willis, MD
• Tatum Willis
• Ashley Wilson
• Bethany Wilson
• Lyndsie Machele Wilson
• Polly Wilson
• Leeann Winder
• Samantha Woda
• Dayna Lee Womack

• All providers in Ardmore, OK
• Emergency Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.