Active NPI
Allen D Wilson, MD
- Pediatric Cardiology Physician
- Cross Plains, WI
National Provider Identifier
1487622973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- 22578
- Practice address
- 7966 Maurer Rd
Cross Plains, WI 53528-8801 - Phone
- (608) 798-0061
- NPI assigned
- Mar 9, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | 22578 | WI | Primary |
Addresses
Primary practice location
7966 Maurer Rd
Cross Plains, WI 53528-8801
Mailing address
7966 Maurer Rd
Cross Plains, WI 53528-8801
Phone (608) 798-0061
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22578 | WI | MD | Pediatric Cardiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470873600000",
"number": "1487622973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7966 MAURER RD",
"city": "CROSS PLAINS",
"state": "WI",
"postal_code": "535288801",
"telephone_number": "608-798-0061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7966 MAURER RD",
"city": "CROSS PLAINS",
"state": "WI",
"postal_code": "535288801",
"telephone_number": "608-798-0061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "ALLEN",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-09",
"last_updated": "2016-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "WI",
"license": "22578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cross Plains, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.