Organization Active NPI

Wilson Medical Center, Inc.

  • Otolaryngology Physician
  • Wilson, NC
National Provider Identifier
1508097478
Registry record updated Aug 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
WILSON MEDICAL CENTER, INC.
Practice address
1700 Tarboro St W
Suite 100
Wilson, NC 27893-3481
Phone
(252) 399-5300
Fax
(252) 399-5301
NPI assigned
Jul 27, 2009
Organization subpart
Yes
Parent organization
WILMED HEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 11, 2009

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

Authorized official

Name
Mr. Richard E Hudson
Title
President and Ceo
Phone
(252) 399-8139

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

1700 Tarboro St W
Suite 100
Wilson, NC 27893-3481

Mailing address

1700 Tarboro St W
Suite 100
Wilson, NC 27893-3481
Phone (252) 399-5300

Other names 1

  • Wilson ENT & Sinus Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249948800000",
    "number": "1508097478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 TARBORO ST W",
            "address_2": "SUITE 100",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933481",
            "telephone_number": "252-399-5300",
            "fax_number": "252-399-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 TARBORO ST W",
            "address_2": "SUITE 100",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933481",
            "telephone_number": "252-399-5300",
            "fax_number": "252-399-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON MEDICAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILMED HEALTHCARE",
        "enumeration_date": "2009-07-27",
        "last_updated": "2009-08-11",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "252-399-8139",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilson ENT & Sinus Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.