Kathleen Wilson MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

KATHLEEN WILSON MD PA

Practice address

24810 Burnt Pine Dr
Suite 3
Bonita Springs, FL 34134-1973

Phone

(239) 495-0439

Fax

(239) 495-2688

NPI assigned

Sep 13, 2010

Last updated

Dec 20, 2010By 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. Kathleen W Wilson, MDNPI 1316993272

Title

Owner

Phone

(239) 537-0276

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Kathleen Woodhouse Wilson, M.D

  • Internal Medicine Physician
  • Bonita Springs, FL
  • NPI 1316993272
  Authorized official Same address or phone

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292803200000",
    "number": "1518274455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24600 S TAMIAMI TRL",
            "address_2": "SUITE 212 BOX# 308",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341347022",
            "telephone_number": "239-495-0439",
            "fax_number": "239-495-2688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24810 BURNT PINE DR",
            "address_2": "SUITE 3",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341341973",
            "telephone_number": "239-495-0439",
            "fax_number": "239-495-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN WILSON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-13",
        "last_updated": "2010-12-20",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-537-0276",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ram Prasad Kafle, M.D.
• Laura Ann Kaiser, D.M.D.
• Shancy Varghese Kanacheril, PHARMD
• Agop Karamanian, MD
• Karen Lorena LLC
• Paige McEwen Kayihan, MSW, LICSW
• Pamela Kearney, CCCSLP
• Keenan Chiropractic PA
• Michael Jay Keenan, D.C.
• Matthew Keller

• Internal Medicine Physician in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; 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.