Active NPI
Michael Patrick Wilson, M.D., PHD
- Emergency Medicine Physician
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 0101284591
- Practice address
- 4301 W Markham St # 783
Little Rock, AR 72205-7101 - Phone
- (501) 686-8000
- NPI assigned
- Jul 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A101485 | CA | |
| Emergency Medicine Physician | 207P00000X | E-10160 | AR | |
| Emergency Medicine Physician | 207P00000X | 0101284591 | VA | Primary |
Addresses
Primary practice location
4301 W Markham St # 783
Little Rock, AR 72205-7101
Mailing address
213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Phone (540) 224-5353
Other practice location 1
1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone (540) 981-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346449048 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, AR, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A101485 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carilion Medical Center | Emergency Medicine | Current | Accepting new patients |
| Regents of the University of California | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Emergency Medicine | Current | Accepting new patients |
| Regents of the University of California | Emergency Medicine | Current | Accepting new patients |
| Regents of the Unviersity of California | Emergency Medicine | Current | Accepting new patients |
| Regents of the University of California | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| Carilion Giles Community Hospital | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| Regents of the University of California - Ucsd Medical Group | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| Carilion Medical Center | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| Regents of the University of California | Emergency Medicine | Current | Accepting new patients |
| Carilion Rockbridge Community Hospital | Current | Accepting new patients | |
| Carilion Giles Community Hospital | Current | Accepting new patients | |
| Carilion Medical Center | Past | Accepting new patients |
Locations
4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278
4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278
9300 Campus Point Dr
La Jolla, CA 92037
Phone (619) 957-7000
4647 Zion Ave
San Diego, CA 92120
Phone (619) 528-3038
200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754
2900 Lamb Cir
Ste 310
Christiansburg, VA 24073
1 Health Cir
Lexington, VA 24450
Phone (540) 458-3300
159 Hartley Way
Pearisburg, VA 24134
Phone (540) 921-6000
213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353
1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222
180 Floyd Ave
Rocky Mount, VA 24151
Phone (540) 483-5277
388 Ben Bolt Ave
Tazewell, VA 24651
Phone (276) 988-2506
Interoperability endpoints
- mwilson191006@direct.carilionclinic.org
Organizations & group practices 23
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.
-
- Internal Medicine Physician
- Little Rock, AR
- NPI 1588654016
Emergency Medicine
-
- Critical Access Hospital
- Pearisburg, VA
- NPI 1194718304
-
- Emergency Medicine Physician
- Roanoke, VA
- NPI 1649423815
-
- Multi-Specialty Clinic/Center
- Lexington, VA
- NPI 1174636021
-
- Family Medicine Physician
- San Diego, CA
- NPI 1578672184
Emergency Medicine
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1780870899
-
- Family Medicine Physician
- El Dorado, AR
- NPI 1023795051
-
- Durable Medical Equipment & Medical Supplies
- Galax, VA
- NPI 1639980493
-
- Durable Medical Equipment & Medical Supplies
- Hardy, VA
- NPI 1073324810
-
- Obstetrics & Gynecology Physician
- San Diego, CA
- NPI 1174626618
-
- Plastic Surgery Physician
- San Diego, CA
- NPI 1326141862
-
- Anesthesiology Physician
- San Diego, CA
- NPI 1356444897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742342400000",
"number": "1346449048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 S JEFFERSON ST STE 1006",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240111713",
"telephone_number": "540-224-5353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 W MARKHAM ST # 783",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722057101",
"telephone_number": "501-686-8000"
}
],
"practiceLocations": [
{
"address_1": "1906 Belleview Ave SE",
"address_purpose": "LOCATION",
"city": "Roanoke",
"state": "VA",
"postal_code": "240141838",
"country_code": "US",
"telephone_number": "540-981-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILSON",
"first_name": "MICHAEL",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "M.D., PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-12",
"last_updated": "2025-03-19",
"certification_date": "2025-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A101485",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AR",
"license": "E-10160",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0101284591",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1346449048",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.