James R Wilson MD PA

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

ME0014846 Issued in FL

Legal business name

JAMES R WILSON MD PA

Practice address

3017 Landover Boulevard
Spring Hill, FL 34608-7260

Phone

(352) 683-8120

Fax

(352) 683-4588

NPI assigned

Dec 19, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James Robert Wilson, MD

Title

Owner

Phone

(352) 683-8120

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376606533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3017 LANDOVER BOULEVARD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "34608",
            "telephone_number": "352-683-8120",
            "fax_number": "352-683-4588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3017 LANDOVER BOULEVARD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346087260",
            "telephone_number": "352-683-8120",
            "fax_number": "352-683-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES R WILSON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-683-8120",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME0014846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nephrology Physician in Spring Hill, FL
• Providers in Spring Hill, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.