Active NPI
Daniel W Wilson M D PLLC
- Hospice and Palliative Medicine (Family Medicine) Physician
- Wheeling, WV
National Provider Identifier
1437370970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- Legal business name
- DANIEL W WILSON M D PLLC
- Practice address
- 7 E Cove Ave
Suite B
Wheeling, WV 26003-5024 - Phone
- (304) 242-4601
- NPI assigned
- May 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel W Wilson, MD
- Title
- Owner
- Phone
- (304) 242-4601
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | Primary |
Addresses
Primary practice location
7 E Cove Ave
Suite B
Wheeling, WV 26003-5024
Mailing address
7 E Cove Ave
Suite B
Wheeling, WV 26003-5024
Phone (304) 242-4601
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016687290 | Other | WV | MOUNTAIN STATE BLUE CROSS |
| DA5379 | Other | WV | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
7 E Cove Ave
Ste B
Wheeling, WV 26003
Phone (304) 242-4601
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Wheeling, WV
- NPI 1700977592
-
- Family Nurse Practitioner
- Morgantown, WV
- NPI 1770749913
-
- Family Nurse Practitioner
- Wheeling, WV
- NPI 1861808024
-
- Nurse Practitioner
- Wheeling, WV
- NPI 1679826192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1327968000000",
"number": "1437370970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 E COVE AVE",
"address_2": "SUITE B",
"city": "WHEELING",
"state": "WV",
"postal_code": "260035024",
"telephone_number": "304-242-4601",
"fax_number": "304-242-3765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 E COVE AVE",
"address_2": "SUITE B",
"city": "WHEELING",
"state": "WV",
"postal_code": "260035024",
"telephone_number": "304-242-4601"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DANIEL W WILSON M D PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-01",
"last_updated": "2012-01-31",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "304-242-4601",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207QH0002X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOUNTAIN STATE BLUE CROSS",
"identifier": "016687290",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DA5379",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wheeling, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; 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.