Active NPI
Wilson Surgical Associates PA
- Surgery Physician
- Wilson, NC
National Provider Identifier
1528112802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- WILSON SURGICAL ASSOCIATES PA
- Practice address
- 130 Glendale Drive West
Wilson, NC 27893-2770 - Phone
- (252) 399-7557
- Fax
- (252) 399-1324
- NPI assigned
- Jan 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. William Thomas Boyd Jr.
- Title
- Practice Manager/Vice President
- Phone
- (252) 399-7557
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
130 Glendale Drive West
Wilson, NC 27893-2770
Mailing address
130 Glendale Drive West
Wilson, NC 27893-2770
Phone (252) 399-7557
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5917371 | Medicaid | NC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Wilson, NC
- NPI 1073704144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1369785600000",
"number": "1528112802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 GLENDALE DRIVE WEST",
"city": "WILSON",
"state": "NC",
"postal_code": "278932770",
"telephone_number": "252-399-7557",
"fax_number": "252-399-1324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 GLENDALE DRIVE WEST",
"city": "WILSON",
"state": "NC",
"postal_code": "278932770",
"telephone_number": "252-399-7557",
"fax_number": "252-399-1324"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILSON SURGICAL ASSOCIATES PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-23",
"last_updated": "2013-05-29",
"status": "A",
"authorized_official_last_name": "BOYD",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "PRACTICE MANAGER/VICE PRESIDENT",
"authorized_official_telephone_number": "252-399-7557",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5917371",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilson, NC
- Wilson Pediatric Dentistry
- Wilson Podiatry Associates, PA
- Wilson Professional Services Treatment Center
- Wilson Psychiatric Associates, P.L.L.C.
- Wilson Radiation Oncology Associates, PA
- Wilson Urology PA
- Wilson Wellness Center, Inc.
- Katherine Denise Wilson, MS, CCC-SLP
- Laura Wilson, DPT
- Matthew William Wilson, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.