Active NPI
Chester Wilson Jr., MD
- Radiation Oncology Physician
- Wyoming, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 4301508350
- Practice address
- 5950 Metro Way SW
Wyoming, MI 49519-9514 - Phone
- (616) 252-8180
- NPI assigned
- Dec 9, 2005
- Last updated
- Oct 25, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 01064288A | IN | |
| Radiation Oncology Physician | 2085R0001X | 4301508350 | MI | Primary |
Addresses
Primary practice location
5950 Metro Way SW
Wyoming, MI 49519-9514
Mailing address
3621 S State St
Ann Arbor, MI 48108-1633
Phone (734) 647-5299
Other practice location 1
1668 S US Highway 421
Westville, IN 46391-9523
Phone (800) 860-8100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548245712 | Medicaid | MI | |
| 200882630 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- University of California, San Francisco School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5950 Metro Way SW
Metro Health Cancer Center
Wyoming, MI 49519-9514
Phone (616) 252-8180
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01064288A | IN | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantage Health Saint Mary's Medical Group | Current | Accepting new patients | |
| West Michigan Radiation Oncology | Radiation Oncology | Current | Accepting new patients |
| Advantage Health/Saint Mary's Medical Group | Current | Accepting new patients | |
| Johnson Family Center for Cancer Care | Current | Accepting new patients | |
| Advantage Health Saint Mary's Medical Group | Current | Accepting new patients | |
| Mercy Health Partners | Past | Accepting new patients | |
| Valley Radiotherapy Associates Medical Group Inc | Past | Accepting new patients | |
| Santa Clarita Radiotherapy Medical Group | Radiation Oncology | Past | Accepting new patients |
| Radiation Oncology Assoc of North Jersey PA | Radiation Oncology | Past | Accepting new patients |
Locations
3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229
10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850
250 Cherry St SE
Grand Rapids, MI 49503
Phone (616) 685-5600
1440 E Sherman Blvd
Muskegon, MI 49444
Phone (231) 672-2008
1440 E Sherman Blvd
Ste 300
Muskegon, MI 49444
Phone (231) 672-2008
5950 Metro Way SW
Wyoming, MI 49519
Phone (616) 252-8100
Interoperability endpoints
- cwilson1158639@direct.trinity-health.org
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Radiation Oncology Physician
- Wyoming, MI
- NPI 1104074723
-
dba Trinity Health Medical Group
- Multi-Specialty Clinic/Center
- Grand Rapids, MI
- NPI 1376862151
-
- Radiation Oncology Clinic/Center
- Muskegon, MI
- NPI 1639368293
-
dba Trinity Health Medical Group Orthopedics Grand Rapids
- Orthopaedic Surgery Physician
- Byron Center, MI
- NPI 1003515008
-
dba Trinity Health Medical Group
- Multi-Specialty Clinic/Center
- Grand Rapids, MI
- NPI 1952340911
-
dba Trinity Health Medical Group
- Certified Registered Nurse Anesthetist
- Shelby, MI
- NPI 1154910172
-
- Radiation Oncology Physician
- Morristown, NJ
- NPI 1972558344
-
- Radiation Oncology Physician
- Santa Clarita, CA
- NPI 1497782692
-
- Specialist
- Manhattan Beach, CA
- NPI 1437102092
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Metro Health Hospital
- General Acute Care Hospital
- Wyoming, MI
- NPI 1619923919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698192000000",
"number": "1548245772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3621 S STATE ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481081633",
"telephone_number": "734-647-5299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5950 METRO WAY SW",
"city": "WYOMING",
"state": "MI",
"postal_code": "495199514",
"telephone_number": "616-252-8180"
}
],
"practiceLocations": [
{
"address_1": "1668 S US Highway 421",
"address_purpose": "LOCATION",
"city": "Westville",
"state": "IN",
"postal_code": "463919523",
"country_code": "US",
"telephone_number": "800-860-8100",
"fax_number": "219-785-3401",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILSON",
"first_name": "CHESTER",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-09",
"last_updated": "2023-10-25",
"certification_date": "2023-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "IN",
"license": "01064288A",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "MI",
"license": "4301508350",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1548245712",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200882630",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wyoming, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.