Laurie Suzanne Wilson, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

29207 Issued in WV

Practice address

1540 Spring Valley Dr
Huntington, WV 25704-9399

Phone

(304) 429-6755

Fax

(304) 429-0262

NPI assigned

Dec 16, 2008

Sex

Female

Sole proprietor

Yes

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

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1229385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1598901829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3488 STINSONVILLE RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312041655",
            "telephone_number": "678-588-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 SPRING VALLEY DR",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257049399",
            "telephone_number": "304-429-6755",
            "fax_number": "304-429-0262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3488 Stinsonville Rd",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312041655",
            "country_code": "US",
            "telephone_number": "678-588-1253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "LAURIE",
        "middle_name": "SUZANNE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-16",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "29207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Wilson, FNPC
• Jessica D Wilson, DO
• Justin Andrew Wilson
• Kimilee Yvonne Wilson, PSY.D.
• Lauren Wilson, MS RDN LD
• Mark Wilson
• Matthew C Wilson, MD
• Megan Wilson, NP
• Nicole D Wilson, LPC, LSW
• Penny Wilson

• Internal Medicine Physician in Huntington, WV
• Providers in Huntington, WV by specialty
• Internal Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; 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.

Verify at the official NPI Registry.