Active NPI
Pamela Doylene Wilson, M.D.
- Anesthesiology Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- J8842
- Practice address
- 6100 Richmond Ave Ste 125
Houston, TX 77057-6240 - Phone
- (713) 429-5919
- Fax
- (888) 572-8004
- NPI assigned
- Oct 13, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | J8842 | TX | |
| Interventional Pain Medicine Physician | 208VP0014X | J8842 | TX | |
| Anesthesiology Physician | 207L00000X | J8842 | TX | Primary |
Addresses
Primary practice location
6100 Richmond Ave Ste 125
Houston, TX 77057-6240
Mailing address
5535 Memorial Drive
Suite F-104
Houston, TX 77007-8021
Phone (713) 429-5919
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8AH490 | Other | TX | BLUE CROSS BLUE SHIELD TEXAS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J8842 | TX | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Champion Anesthesia Consultants, PLLC | Anesthesiology | Current | Accepting new patients |
| Compass Anesthesia Providers PLLC | Anesthesiology | Current | Accepting new patients |
| Dynamic Anesthesia Providers PLLC | Anesthesiology | Current | Accepting new patients |
| Premier Anesthesia of Corpus | Anesthesiology | Past | Accepting new patients |
| Luis Felipe Flores, M.D., PLLC | Past | Accepting new patients |
Locations
1626 W Baker Rd
Baytown, TX 77521
Phone (281) 628-7300
4201 Garth Rd
Ste 212
Baytown, TX 77521
Phone (281) 420-9355
676 FM 517 Rd W
Dickinson, TX 77539
Phone (713) 335-9571
1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559
4349 Martin Luther King Blvd
Rm 100
Houston, TX 77204
Phone (713) 743-7011
2001 Hermann Dr
Houston, TX 77004
Phone (713) 285-5500
6011 W Sam Houston Pkwy S
Houston, TX 77072
Phone (713) 383-9651
4615 Southwest Fwy
Ste 850
Houston, TX 77027
Phone (281) 475-4428
970 Campbell Rd
Houston, TX 77024
Phone (713) 461-3547
2743 Smith Ranch Rd
Ste 404
Pearland, TX 77584
Phone (317) 345-5267
26710 Interstate 45
Ste B
Spring, TX 77386
Phone (281) 419-1117
1211 Highway 6
Sugar Land, TX 77478
Phone (281) 238-3900
Interoperability endpoints
- pamela.wilson.1@13131.direct.athenahealth.com
- pamela.wilson.5@13131.direct.athenahealth.com
- pamela.wilson@854392765874180.direct.elationemr.com
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Southlake, TX
- NPI 1649676024
-
- Anesthesiology Physician
- Webster, TX
- NPI 1669829750
-
dba Houston Healthcare Associates
- Anesthesiology Physician
- Houston, TX
- NPI 1346752326
-
- Surgery Physician
- Kingsville, TX
- NPI 1174644983
-
- Anesthesiology Physician
- Corpus Christi, TX
- NPI 1093727539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538006400000",
"number": "1528056553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5535 MEMORIAL DRIVE",
"address_2": "SUITE F-104",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770078021",
"telephone_number": "713-429-5919",
"fax_number": "888-572-8004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6100 RICHMOND AVE STE 125",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770576240",
"telephone_number": "713-429-5919",
"fax_number": "888-572-8004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "PAMELA",
"middle_name": "DOYLENE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-13",
"last_updated": "2018-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "J8842",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "TX",
"license": "J8842",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "J8842",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD TEXAS",
"identifier": "8AH490",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.