Ronald L Wilson, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

22453 Issued in KY

Practice address

4620 Village Square Drive
Suite 101
Paducah, KY 42001-7501

Phone

(270) 442-8575

Fax

(270) 442-8783

NPI assigned

Mar 9, 2006

Last updated

Dec 1, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ronaldwilson@ppcpsc.allscriptsdirect.net
• Direct secure messaging: rwilson9316@bhkydirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Paducah Primary Care, P.S.C.

  • Internal Medicine Physician
  • Paducah, KY
  • NPI 1497892103
  Authorized official Same address or phone
• Baptist Health Medical Group Inc

  • Hospitalist Physician
  • Paducah, KY
  • NPI 1992108682

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1376511063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734839",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606734839",
            "telephone_number": "502-253-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 VILLAGE SQUARE DRIVE",
            "address_2": "SUITE 101",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420017501",
            "telephone_number": "270-442-8575",
            "fax_number": "270-442-8783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "RONALD",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "22453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rwilson9316@bhkydirect.com",
            "affiliation": "N",
            "address_1": "4620 Village Square Drive",
            "address_2": "Suite 101",
            "city": "Paducah",
            "state": "KY",
            "country_code": "US",
            "postal_code": "420017501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kalmece Tehran Wilson
• Lauradell Hogancamp Wilson, D.C.
• Melissa Wilson, APRN
• Michelle Ross Wilson, APRN
• Richard Scott Wilson, M.D.
• Shannon Wilson, PHARM.D
• Thomas Wilson
• Charles F Winkler, MD
• Lindzy N Winsett
• Michael Allen Winters, DC

• Internal Medicine Physician in Paducah, KY
• Providers in Paducah, KY by specialty
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.