Richard Reid Wilson, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS9100 Issued in FL

Practice address

9250 Corkscrew Rd Ste 5
Estero, FL 33928

Phone

(239) 949-1212

Fax

(239) 791-1228

NPI assigned

Apr 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

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

• Richard R. Wilson, D.O.

  • General Practice Physician
  • Estero, FL
  • NPI 1497938963

  O20040517000266

  Same enrollment

Specialty

Family Practice

Education

Nova Southeastern College of Osteo Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trilogy Home Healthcare Home health agency, Estero, FL, CCN 108173
• Lee Memorial Home Health, Inc. Home health agency, Fort Myers, FL, CCN 107191
• Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012
• Cape Coral Hospital Hospital, Cape Coral, FL, CCN 100244

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: richard.wilson.1@20829.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Richard R. Wilson, D.O.

  • General Practice Physician
  • Estero, FL
  • NPI 1497938963
  Medicare reassignment NPD Authorized official
• Frederick C. Finelli MD

  • Surgery Physician
  • Washington, DC
  • NPI 1518137785
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bridges Home Health Inc.

  • Home Health Agency
  • Fort Myers, FL
  • NPI 1376517862
  Care Compare affiliation
• Lee Health System Inc

  • General Acute Care Hospital
  • Fort Myers, FL
  • NPI 1427806025
  Care Compare affiliation
• Lee Health System Inc

  • General Acute Care Hospital
  • Cape Coral, FL
  • NPI 1780429076
  Care Compare affiliation
• Lee Memorial Home Health Inc

  • Home Health Agency
  • Fort Myers, FL
  • NPI 1689672065
  Care Compare affiliation

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1528021417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9250 CORKSCREW RD STE 5",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339283216",
            "telephone_number": "239-949-1212",
            "fax_number": "392-791-1228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 CORKSCREW RD STE 5",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "33928",
            "telephone_number": "239-949-1212",
            "fax_number": "239-791-1228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10201 Arcos Ave",
            "address_2": "Ste 202",
            "address_purpose": "LOCATION",
            "city": "Estero",
            "state": "FL",
            "postal_code": "33928",
            "country_code": "US",
            "telephone_number": "239-949-1212",
            "fax_number": "239-949-0587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "RICHARD",
        "middle_name": "REID",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS9100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madonna Rose Wilcox, RPH
• Lori Williams, M.D.
• Jason Williamson
• Brian Wilson, MD
• Jessica Gail Wilson, MD
• Thomas Wilson, HIS
• Todd Anthony Wisocki, ATC
• Witmer Mobile Physio PLLC
• Lucas Witmer, DPT
• Joanna Wittchen

• Family Medicine Physician in Estero, FL
• Providers in Estero, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.