Wilson Internal Medicine PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

9600733 Issued in NC

Legal business name

WILSON INTERNAL MEDICINE PA

Practice address

2402 Camden St SW Ste B500
Wilson, NC 27893-8608

Phone

(252) 291-8600

Fax

(252) 291-6914

NPI assigned

Apr 23, 2007

Last updated

Mar 11, 2015By 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

Dr. Medhat F Sidaros, MDNPI 1275508830

Title

President

Phone

(252) 291-8600

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Medhat Fahmey Sidaros, MD

  • Internal Medicine Physician
  • Wilson, NC
  • NPI 1275508830
  Authorized official Same address or phone

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1386862688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3544",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278953544",
            "telephone_number": "252-291-8600",
            "fax_number": "252-291-6914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 CAMDEN ST SW STE B500",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278938608",
            "telephone_number": "252-291-8600",
            "fax_number": "252-291-6914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON INTERNAL MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2015-03-11",
        "status": "A",
        "authorized_official_last_name": "SIDAROS",
        "authorized_official_first_name": "MEDHAT",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-291-8600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9600733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900812",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wilson Greene Mental Health
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• Wilson Imaging Center, LLC
• Wilson Immediate Care, PA
• Wilson Medical Associates PA
• Wilson Medical Center (West Wilson Internal Medicine)
• Wilson Medical Center, Inc. (Wilson Neurology)
• Wilson Medical Center, Inc. (Wilson Medical Center Medical Nutrional Therapy)
• Wilson Medical Center, Inc. (Wilson Gastroenterology)

• Internal Medicine Physician in Wilson, NC
• Providers in Wilson, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.