Alexandra Logan Wilson, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME011939 Issued in ME

Practice address

66 Baribeau Dr
Suite 2
Brunswick, ME 04011-3230

Phone

(207) 721-9277

Fax

(207) 729-1368

NPI assigned

May 7, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13139/brand/1/csg/1/fhir/r4

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.

• Oasis Health Network, Inc.

  • Voluntary or Charitable Agency
  • Brunswick, ME
  • NPI 1790951234
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210118400000",
    "number": "1558537787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 BARIBEAU DR",
            "address_2": "SUITE 2",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040113230",
            "telephone_number": "207-721-9277",
            "fax_number": "207-729-1368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 BARIBEAU DR",
            "address_2": "SUITE 2",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040113230",
            "telephone_number": "207-721-9277",
            "fax_number": "207-729-1368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ALEXANDRA",
        "middle_name": "LOGAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "ME011939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared T Wilkinson, DPM
• William Wilkoff, MD
• William L. Rolfe, LCSW, LLC
• Renee D. Williams, LCSW
• Craig Lee Williamson, MS OT
• Jane Gallaudet Wilson, NP-C
• Kimberly Brann Wilson, LCSW
• Santana M Wilson, LATC
• William R Wink, CRNA
• Kathleen S. Winn, D.M.D.

• Family Medicine Physician in Brunswick, ME
• Providers in Brunswick, ME by specialty
• Family Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.