Organization Active NPI

Richard a Wilson Jr MD PC

  • Medical Specialty Clinic/Center
  • Washington, DC
National Provider Identifier
1720399710
Registry record updated Jun 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
MD11903 Issued in DC
Legal business name
RICHARD A WILSON JR MD PC
Practice address
106 Irving St NW
Suite 315
Washington, DC 20010-2927
Phone
(202) 723-8000
Fax
(202) 882-7333
NPI assigned
Jun 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2010

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

Authorized official

Name
Dr. Richard Alphonso Wilson Jr., MD
Title
President
Phone
(202) 723-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X MD11903 DC Primary

Addresses

Primary practice location

106 Irving St NW
Suite 315
Washington, DC 20010-2927

Mailing address

106 Irving St NW
Suite 315
Washington, DC 20010-2927
Phone (202) 723-8000

Other identifiers 1

IdentifierTypeStateIssuer
010017400MedicaidDC

National Provider Directory

National Provider Directory

Locations

106 Irving St NW
Ste 315
Washington, DC 20010
Phone (202) 723-8000

NPI Registry JSON

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277337600000",
    "number": "1720399710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 IRVING ST NW",
            "address_2": "SUITE 315",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102927",
            "telephone_number": "202-723-8000",
            "fax_number": "202-882-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 IRVING ST NW",
            "address_2": "SUITE 315",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102927",
            "telephone_number": "202-723-8000",
            "fax_number": "202-882-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD A WILSON JR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-24",
        "last_updated": "2010-06-24",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ALPHONSO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-723-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "DC",
            "license": "MD11903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010017400",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; 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.