Paul Wesley Wilson, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34-002939W Issued in OH

Practice address

440 S Reynolds Rd
Ste. B
Toledo, OH 43615-5934

Phone

(419) 819-0280

NPI assigned

Aug 10, 2005

Last updated

Apr 28, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 Osteopathy

State licenses

Practice roles

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.

• Dr. Paul Wilson, Inc

  • Adult Medicine Physician
  • Toledo, OH
  • NPI 1952708786
  Authorized official Same address or phone
• Integrated Rehabilitaion Center Inc

  • Health Maintenance Organization
  • Sylvania, OH
  • NPI 1548417686
  NPD (past)
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• North Coast Chiropractic Accident Injury Center

  dba Toledo Spine Care Center

  • Chiropractor
  • Sylvania, OH
  • NPI 1295884468
  NPD (past)
• Westshore Family Practice Inc

  • Family Medicine Physician
  • Cleveland, OH
  • NPI 1225196249
  NPD (past)

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240876800000",
    "number": "1659372746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8440",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436230440",
            "telephone_number": "419-885-0200",
            "fax_number": "419-885-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 S REYNOLDS RD",
            "address_2": "STE. B",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436155934",
            "telephone_number": "419-819-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "PAUL",
        "middle_name": "WESLEY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2009-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-002939W",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0432384",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jori A Wilson, SOCIAL WORKER
• Keith D Wilson, M.D.
• Kishawnda Wilson
• Mary Ellen Wilson
• Michele Wilson, MS CCC-SLP
• Peter J Wilson, M.D.
• Rahsan Wilson
• Raquel Wilson, MSW, LISW-S
• Rita Ann Wilson
• Samantha Wilson

• Family Medicine Physician in Toledo, OH
• Providers in Toledo, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; 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.