Organization Active NPI

Victor T. Wilson MD PC

  • Pediatrics Physician
  • Norman, OK
National Provider Identifier
1477633121
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
17516 Issued in OK
Legal business name
VICTOR T. WILSON MD PC
Practice address
700 Wall St
Norman, OK 73069-6360
Phone
(405) 360-7337
Fax
(866) 259-0044
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

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

Authorized official

Name
Dr. Victor T. Wilson, M.D.NPI 1255335527
Title
President
Phone
(405) 360-7337

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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 17516 OK Primary

Addresses

Primary practice location

700 Wall St
Norman, OK 73069-6360

Mailing address

PO Box 721678
Norman, OK 73070-8284
Phone (405) 360-7337

Other identifiers 1

IdentifierTypeStateIssuer
100189500DMedicaidOK

Other names 1

  • Caring Pediatrics Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D1022918Victor T Wilson MD PC700 Wall St, Norman, OK 73069Certificate of waiverMar 3, 2028

National Provider Directory

National Provider Directory

Locations

900 N Porter Ave
Ste 207
Norman, OK 73071
Phone (405) 360-7337

700 Wall St
Norman, OK 73069
Phone (405) 360-7337

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295481600000",
    "number": "1477633121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 721678",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730708284",
            "telephone_number": "405-360-7337",
            "fax_number": "866-259-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 WALL ST",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696360",
            "telephone_number": "405-360-7337",
            "fax_number": "866-259-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR T. WILSON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2011-01-20",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-360-7337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "17516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100189500D",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caring Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.