Active NPI
Lindsay Helena Wilson, MD
- Dermatology Physician
- Taylorsville, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 7771633-1205
- 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, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 0
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 17 |
| Removal of skin lesions | 759 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 165 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Dermatology Division University of Utah Medical Center | Dermatology | Current | Accepting new patients |
| Ihc Health Services Inc | Current | Accepting new patients | |
| U-U Pediatric Dermatology | Past | Accepting new patients | |
| Matis Dermatology, PC | Dermatology | Past | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
dba U-U Dermatology Division School of Medicine
- Dermatology Physician
- Salt Lake City, UT
- NPI 1922096114
-
dba Taylorsville Clinic
- Family Medicine Physician
- Taylorsville, UT
- NPI 1043340359
-
dba St George Adolescent Partial Hospitalization
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Dermatology Physician
- Salt Lake City, UT
- NPI 1790016434
-
- Pediatric Dermatology Physician
- Salt Lake City, UT
- NPI 1235339193
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Intermountain Health Intermountain Medical Center
- General Acute Care Hospital
- Murray, UT
- NPI 1043220650
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; 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.