William a Wilson MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

VA0101037977 Issued in VA

Legal business name

WILLIAM A WILSON MD PC

Practice address

9261 Old Keene Mill Rd
Burke, VA 22015

Phone

(703) 451-9095

Fax

(703) 455-2239

NPI assigned

Dec 20, 2007

Organization subpart

No

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

Authorized official

Name

William Allen WilsonNPI 1902939267

Title

President Physician

Phone

(703) 451-9095

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Allen Wilson, MD

  • Internal Medicine Physician
  • Burke, VA
  • NPI 1902939267

  DC

  Medicare reassignment NPD Authorized official
• Sally A McFarland, MD

  • Internal Medicine Physician
  • Fairfax, VA
  • NPI 1033220454
  NPD (past)
• Donna A Randolph, MD

  • Internal Medicine Physician
  • Fairfax, VA
  • NPI 1063520088
  NPD (past)

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1376727792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9261 OLD KEENE MILL RD",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "22015",
            "telephone_number": "703-451-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9261 OLD KEENE MILL RD",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "22015",
            "telephone_number": "703-451-9095",
            "fax_number": "703-455-2239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM A WILSON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT PHYSICIAN",
        "authorized_official_telephone_number": "703-451-9095"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "32011",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "VA0101037977",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "43184",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Wesley
• Deniz Alkin Westbrook, NP
• Kristyn Wharton, ATC
• Jennifer Shane Whitaker
• Eric Paul White, PHARMACIST
• William B. Zuckerman, PHD, PC
• Kayla Williams
• William Allen Wilson, MD
• Amanda Wojtowicz, RDN
• Daniel J Wolde, MD

• Internal Medicine Physician in Burke, VA
• Providers in Burke, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.