Active NPI
Donald V. Wilson, MD
- Otolaryngology Physician
- Keene, NH
National Provider Identifier
1730113309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 6539
- Practice address
- Dartmouth Hitchcock Clinic/Keene
590 Court St
Keene, NH 03431 - Phone
- (603) 354-5454
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 6539 | NH | Primary |
Addresses
Primary practice location
Dartmouth Hitchcock Clinic/Keene
590 Court St
Keene, NH 03431
Mailing address
Dartmouth Hitchcock Clinic/Keene
590 Court St
Keene, NH 03431
Phone (603) 354-5454
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 81043691 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6539 | NH | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Hitchcock Memorial Hospital | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1023092053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335744000000",
"number": "1730113309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DARTMOUTH HITCHCOCK CLINIC/KEENE",
"address_2": "590 COURT ST",
"city": "KEENE",
"state": "NH",
"postal_code": "03431",
"telephone_number": "603-354-5454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DARTMOUTH HITCHCOCK CLINIC/KEENE",
"address_2": "590 COURT ST",
"city": "KEENE",
"state": "NH",
"postal_code": "03431",
"telephone_number": "603-354-5454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "DONALD",
"middle_name": "V.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2012-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NH",
"license": "6539",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "81043691",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Keene, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.