Individual provider Active NPI

Pamela Doylene Wilson, M.D.

  • Anesthesiology Physician
  • Houston, TX
National Provider Identifier
1528056553
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
J8842 Issued in TX
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

Updated by the provider on Sep 27, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8AH490OtherTXBLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050301000769 TX Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 3072566181 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
J8842TXMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Champion Anesthesia Consultants, PLLC Anesthesiology CurrentSince Aug 1, 2023 Accepting new patients
Compass Anesthesia Providers PLLC Anesthesiology CurrentSince Apr 20, 2021 Accepting new patients
Dynamic Anesthesia Providers PLLC Anesthesiology CurrentSince Oct 18, 2024 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

  • Direct secure messaging: pamela.wilson.1@13131.direct.athenahealth.com
  • Direct secure messaging: pamela.wilson.5@13131.direct.athenahealth.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.