Richard R. Wilson, D.O.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

OS9100 Issued in FL

Legal business name

RICHARD R. WILSON, D.O.

Doing business as

Bonita Springs Family Practice Center

Practice address

10201 Arcos Ave Suite 202
Estero, FL 33928

Phone

(239) 949-1212

Fax

(239) 949-0587

NPI assigned

Dec 7, 2007

Last updated

Nov 20, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Richard R Wilson, DONPI 1528021417

Title

Doctor/Owner

Phone

(239) 949-1212

Specialties & licenses 1

Addresses

Other names 1

• BONITA SPRINGS FAMILY PRACTICE CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• Richard Reid Wilson, D.O.

  • Family Medicine Physician
  • Estero, FL
  • NPI 1528021417

  O20040517000266

  Same enrollment

Tax ID family

Bonita Springs Family Practice Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Richard R Wilson, D.O.

  • Family Medicine Physician
  • Estero, FL
  • NPI 1528149424
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard Reid Wilson, D.O.

  • Family Medicine Physician
  • Estero, FL
  • NPI 1528021417
  Medicare reassignment NPD Authorized official
• Quinnon Ralph Purvis, M.D.

  • Family Medicine Physician
  • Fort Gordon, GA
  • NPI 1710046990
  NPD (past)

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384905600000",
    "number": "1497938963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 ARCOS AVE SUITE 202",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "33928",
            "telephone_number": "239-949-1212",
            "fax_number": "239-949-0587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 ARCOS AVE SUITE 202",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "33928",
            "telephone_number": "239-949-1212",
            "fax_number": "239-949-0587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD R. WILSON, D.O.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2013-11-20",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "239-949-1212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "OS9100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BONITA SPRINGS FAMILY PRACTICE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Restorative Health and Healing Center LLC
• Ashton M Rety, DO
• Fred Rice
• Jennifer L. Rice, PA-C
• Richard R Wilson, D.O.
• Joan Gargiula Richards, OT
• Meredith None Richmond, M.D.
• Ferdinand Louis Rios, MD
• Jason Rizzo, M.D.
• Alex Roberts, PH.D.

• General Practice Physician in Estero, FL
• Providers in Estero, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; 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.