Douglas R. Wilson, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

DOUGLAS R. WILSON, MD

Practice address

3902 25TH St
Columbus, IN 47203-3007

Phone

(812) 375-9390

NPI assigned

Aug 25, 2006

Organization subpart

No

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

Authorized official

Name

Douglas R Wilson, MD

Title

Owner

Phone

(812) 375-9390

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Douglas R Wilson, MD

  • Ophthalmology Physician
  • Columbus, IN
  • NPI 1518074301

  O20100930054895

  Same enrollment

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236556800000",
    "number": "1447367222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68952",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462680952",
            "telephone_number": "317-802-3126",
            "fax_number": "317-870-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3902 25TH ST",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472033007",
            "telephone_number": "812-375-9390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS R. WILSON, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2009-03-09",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-375-9390",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200890470",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madalyn Doublett, D.O
• Sarah Lynn Dougan, NP
• Aundree Dougherty
• Rachel Ellen Dougherty, MD
• Jamie Danielle Doughty, NP
• Stephen Kirk Douglas, NP
• Doup Psychology Group LLC
• Megan Chamberlain Doup, SLP
• Heather J Dowell
• Tiffany Marie Downing, CNM

• Ophthalmology Physician in Columbus, IN
• Providers in Columbus, IN by specialty
• Ophthalmology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; 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.