William C M Wilson, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

35049016 Issued in OH

Practice address

75 Sylvania Dr
Beavercreek, OH 45440-3237

Phone

(937) 320-5050

Fax

(937) 320-5060

NPI assigned

Feb 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Digestivecare, Inc.

  • Gastroenterology Physician
  • Beavercreek, OH
  • NPI 1306808001
  NPD
• Digestivecare, LLC

  • Ambulatory Surgical Clinic/Center
  • Beavercreek, OH
  • NPI 1184687386
  NPD

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381795200000",
    "number": "1598730517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 SYLVANIA DR",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454403237",
            "telephone_number": "937-320-5050",
            "fax_number": "937-320-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 SYLVANIA DR",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454403237",
            "telephone_number": "937-320-5050",
            "fax_number": "937-320-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "WILLIAM",
        "middle_name": "C M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2013-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35049016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0695341",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michele Willis
• Alexandra Wilson, PA-C
• Christal G Wilson, FNP-BC
• Elle Wilson, PA-C
• Rachel Elizabeth Wilson, CCC-SLP
• Sunishka M Wimalawansa, M.D., M.B.A.
• Tara Winebold, MD
• Lapearl Logan Winfrey, PH.D
• Wings of Love Services
• Beverly Ann Wirth, R.N.

• Gastroenterology Physician in Beavercreek, OH
• Providers in Beavercreek, OH by specialty
• Gastroenterology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.

Verify at the official NPI Registry.