Individual provider Active NPI

Lindsay Helena Wilson, MD

  • Dermatology Physician
  • Taylorsville, UT
National Provider Identifier
1396068342
Registry record updated May 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
7771633-1205 Issued in UT
Practice address
3845 West 4700 South
Intermountain Healthcare Taylorsville Clinic
Taylorsville, UT 84129
Phone
(801) 840-2000
Fax
(801) 840-2179
NPI assigned
Mar 4, 2010
Last updated
May 28, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 7771633-1205 UT Primary

Addresses

Primary practice location

3845 West 4700 South
Intermountain Healthcare Taylorsville Clinic
Taylorsville, UT 84129

Mailing address

3845 West 4700 South
Ihc Taylorsville Clinic
Taylorsville, UT 84129
Phone (801) 840-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131011001352 UT Practitioner - Dermatology 8224262910 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Utah School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

3845 W 4700
Taylorsville, UT 84129-3454
Phone (801) 840-2100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision17
Removal of skin lesions759
Removal or shaving of skin growth1-10
Skin biopsy165

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Jun 1, 2014 Accepting new patients
Ihc Health Services Inc CurrentSince Jun 1, 2014 Accepting new patients
Dermatology Division University of Utah Medical Center Dermatology CurrentSince Aug 13, 2013 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
U-U Pediatric Dermatology PastSince May 24, 2020 Accepting new patients
Matis Dermatology, PC Dermatology PastSince Oct 20, 1999 Accepting new patients

Locations

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

3845 W 4700 S
West Valley City, UT 84129
Phone (801) 840-2020

5373 W Lake Park Blvd
West Valley City, UT 84120
Phone (801) 902-7940

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00339

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1267660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401235200000",
    "number": "1396068342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3845 WEST 4700 SOUTH",
            "address_2": "IHC TAYLORSVILLE CLINIC",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "84129",
            "telephone_number": "801-840-2000",
            "fax_number": "801-840-2179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3845 WEST 4700 SOUTH",
            "address_2": "INTERMOUNTAIN HEALTHCARE TAYLORSVILLE CLINIC",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "84129",
            "telephone_number": "801-840-2000",
            "fax_number": "801-840-2179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "LINDSAY",
        "middle_name": "HELENA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-04",
        "last_updated": "2014-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "UT",
            "license": "7771633-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylorsville, UT

Sources for this page

Verify at the official NPI Registry.