NPIMap

Organization Active NPI

Wilson Medical Center, Inc.

Doing business as Pulmonary Associates of Wilson

  • Pulmonary Disease Physician
  • Wilson, NC
National Provider Identifier
1639592116
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
WILSON MEDICAL CENTER, INC.
Doing business as
Pulmonary Associates of Wilson
Practice address
1700 Tarboro St W
Suite 200
Wilson, NC 27893-3481
Phone
(252) 399-8040
Fax
(252) 399-8778
NPI assigned
Feb 4, 2014
Last updated
Feb 4, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
WILSON MEDICAL CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

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

Authorized official

Name
Mr. Richard E Hudson
Title
President and Ceo
Phone
(252) 399-8139

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU
Pulmonary Disease Physician 207RP1001X NU Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X NU

Addresses

Primary practice location

1700 Tarboro St W
Suite 200
Wilson, NC 27893-3481

Mailing address

1700 Tarboro St W
Suite 200
Wilson, NC 27893-3481
Phone (252) 399-8040

Other names 1

  • Pulmonary Associates of Wilson Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Stantonsburg Med of Wil10 organizations share this tax ID, including this one
Part of
Stantonsburg Med of Wil

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1700 Tarboro St W
Ste 200
Wilson, NC 27893
Phone (252) 399-5310

NPI Registry JSON

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

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391472000000",
    "number": "1639592116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 TARBORO ST W",
            "address_2": "SUITE 200",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933481",
            "telephone_number": "252-399-8040",
            "fax_number": "252-399-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 TARBORO ST W",
            "address_2": "SUITE 200",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933481",
            "telephone_number": "252-399-8040",
            "fax_number": "252-399-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON MEDICAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILSON MEDICAL CENTER, INC.",
        "enumeration_date": "2014-02-04",
        "last_updated": "2014-02-04",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "252-399-8139",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pulmonary Associates of Wilson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; 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.