Isaiah Wilson, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

30211 Issued in OK

Practice address

1120 S Utica Ave
Suite 3074
Tulsa, OK 74104-4012

Phone

(918) 579-7100

Fax

(918) 579-7110

NPI assigned

Mar 27, 2008

Sex

Male

Sole proprietor

No

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.

• Ahs Oklahoma Physician Group LLC

  • Family Medicine Physician
  • Tulsa, OK
  • NPI 1235182775

  OK

  Medicare reassignment Care Compare group NPD
• Isaiah Wilson MD PLLC

  • Physical Medicine & Rehabilitation Physician
  • Broken Arrow, OK
  • NPI 1427665561

  OK, Physical Medicine & Rehabilitation

  Medicare reassignment NPD Authorized official
• Ahs Oklahoma Physician Group, LLC

  • Rural Health Clinic/Center
  • Cushing, OK
  • NPI 1922683051
  Care Compare group NPD
• Post Acute Medical Rehabilitation Hospital of Tulsa, LLC

  • Rehabilitation Hospital
  • Tulsa, OK
  • NPI 1730635301
  NPD (past)
• Primary Care Associates PC

  • Family Medicine Physician
  • Bartlesville, OK
  • NPI 1275528630
  NPD (past)
• St. John Encompass Health Rehabilitation Hospital, LLC

  • Rehabilitation Hospital
  • Broken Arrow, OK
  • NPI 1073995056
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ahs Hillcrest Medical Center LLC

  • Rehabilitation Hospital Unit
  • Tulsa, OK
  • NPI 1679652192

  Inpatient rehabilitation facility

  Care Compare affiliation
• Ahs Hillcrest Medical Center, LLC

  • General Acute Care Hospital
  • Tulsa, OK
  • NPI 1629057229

  Hospital

  Care Compare affiliation
• Post Acute Medical Rehabilitation Hospital of Tulsa, LLC

  • Rehabilitation Hospital
  • Tulsa, OK
  • NPI 1730635301

  Inpatient rehabilitation facility

  Care Compare affiliation

Specialty

Physical Medicine and Rehabilitation

Education

Michigan State University College of Human Medicine, 2008

Medicare assignment

May accept Medicare assignment

Group practices

Ahs Oklahoma Physician Group LLC 314 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hillcrest Medical Center Hospital, Tulsa, OK, CCN 370001
• Pam Rehabilitation Hospital of Tulsa Inpatient rehabilitation facility, Tulsa, OK, CCN 373035
• Hillcrest Kaiser Rehabilitation Center Inpatient rehabilitation facility, Tulsa, OK, CCN 37T001

Medicare fee-for-service enrollment

Enrolled in OK

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: iwilson106860@ahs.direct-ci.com
• FHIR API: https://api.platform.athenahealth.com/3862/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/21171/brand/1/csg/1/fhir/r4
• FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 23, 2020.

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1376715664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 S UTICA AVE",
            "address_2": "SUITE 3074",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044012",
            "telephone_number": "918-579-7100",
            "fax_number": "918-579-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 S UTICA AVE",
            "address_2": "SUITE 3074",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044012",
            "telephone_number": "918-579-7100",
            "fax_number": "918-579-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ISAIAH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-27",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OK",
            "license": "30211",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "4301095138",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Lee Wilson, LMSW; MSW U/S
• Fredrick Wilson
• Gregory L Wilson, D.O.
• Hannah Wilson, SLPA
• Irvin William Wilson II
• Jasmyn Wilson
• Jason D Wilson
• Jaymie Wilson, APRN-CNP
• Jeffery Allan Wilson
• Jennifer Wilson, DO

• All providers in Tulsa, OK
• Physical Medicine & Rehabilitation Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.