Leah Ann Wilson, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA01016 Issued in TX

Practice address

929 Hilltop Dr
Weatherford, TX 76086-5845

Phone

(817) 599-7576

Fax

(817) 596-7901

NPI assigned

Jun 26, 2008

Last updated

Sep 7, 2016By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Palo Pinto County Hospital District

  dba Palo Pinto General Hospital Pulmonology

  • Cardiovascular Disease Physician
  • Mineral Wells, TX
  • NPI 1366400582
  NPD
• Palo Pinto County Hospital District

  dba Palo Pinto General Hospital

  • Anesthesiology Physician
  • Mineral Wells, TX
  • NPI 1841258076
  NPD
• Healthtexas Provider Network

  • Family Medicine Physician
  • Plano, TX
  • NPI 1003811639
  NPD (past)
• Lonestar Provider Network

  dba Dallas Medical Specialists

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1194765586
  NPD (past)

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1669634150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 HILLTOP DR",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865845",
            "telephone_number": "817-599-7576",
            "fax_number": "817-596-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 HILLTOP DR",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865845",
            "telephone_number": "817-599-7576",
            "fax_number": "817-596-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "LEAH",
        "middle_name": "ANN",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA01016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196028801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX",
            "identifier": "8Y8467",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Addison Wilkins
• Caren R Williams, PHD, MED, LPC
• Michael Williams
• Jill Wilson
• Kari Renee Wilson, PA-C
• Winnie-Stowell Hospital District (Holland Lake Rehabilitation and Wellness Center)
• Anne Greer Winquist, HIS
• Mary Beth Winton, N.P.
• Madison R Witt, SLP
• Tina Denise Wofford, SAC

• Physician Assistant in Weatherford, TX
• Providers in Weatherford, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.