Active NPI
Ronald Thomas Wilson, M.D.
- Public Health & General Preventive Medicine Physician
- Denton, TX
National Provider Identifier
1528096815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- F6173
- Practice address
- 2548 Lillian Miller Pkwy
Suite 110
Denton, TX 76210-7212 - Phone
- (940) 383-5963
- Fax
- (940) 382-3330
- NPI assigned
- Jun 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | F6173 | TX | Primary |
Addresses
Primary practice location
2548 Lillian Miller Pkwy
Suite 110
Denton, TX 76210-7212
Mailing address
2548 Lillian Miller Pkwy
Suite 110
Denton, TX 76210-7212
Phone (940) 383-5963
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140902000503 | TX | Order and Referring Only - Family Practice | 6901832369 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469664000000",
"number": "1528096815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2548 LILLIAN MILLER PKWY",
"address_2": "SUITE 110",
"city": "DENTON",
"state": "TX",
"postal_code": "762107212",
"telephone_number": "940-383-5963",
"fax_number": "940-382-3330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2548 LILLIAN MILLER PKWY",
"address_2": "SUITE 110",
"city": "DENTON",
"state": "TX",
"postal_code": "762107212",
"telephone_number": "940-383-5963",
"fax_number": "940-382-3330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "RONALD",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2016-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "TX",
"license": "F6173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; 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.