Kathleen Woodhouse Wilson, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME94454 Issued in FL

Practice address

24810 Burnt Pine Dr
Suite 3
Bonita Springs, FL 34134-1973

Phone

(239) 495-0439

Fax

(239) 495-2688

NPI assigned

May 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Collier Hma Physician Management LLC

  • Internal Medicine Physician
  • Naples, FL
  • NPI 1245282979
  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1316993272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24600 S TAMIAMI TRL",
            "address_2": "STE 212 BOX 308",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341347022",
            "telephone_number": "239-390-1562",
            "fax_number": "239-948-9042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24810 BURNT PINE DR",
            "address_2": "SUITE 3",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341341973",
            "telephone_number": "239-495-0439",
            "fax_number": "239-495-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KATHLEEN",
        "middle_name": "WOODHOUSE",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME94454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00668209",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Wesley Wilhite, OTRL
• William J. Kuzbyt, Psy.D., PA
• Anthony J Williamitis, MD
• Elizabeth Williams, DDS
• Richard Kent Williams, M.D.
• Wimmer Orthopedics LLC
• Derek Paul Wimmer, PA-C
• Michael Anthony Witherow Jr., PHARM.D., RPH.
• Sharon Lee L Witt, DO
• Michael John Woulas, PHD

• Internal Medicine Physician in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; 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.