Organization Active NPI

Wayne B Wilson MD PA

  • Obstetrics Physician
  • McAllen, TX
National Provider Identifier
1760878979
Registry record updated Apr 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
Legal business name
WAYNE B WILSON MD PA
Practice address
222 E Ridge Rd
Suite 216
McAllen, TX 78503-1251
Phone
(956) 686-6588
Fax
(956) 682-0759
NPI assigned
Apr 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2015

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

Authorized official

Name
Wayne B Wilson, MD
Title
Owner
Phone
(956) 686-6588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VX0000X Primary

Addresses

Primary practice location

222 E Ridge Rd
Suite 216
McAllen, TX 78503-1251

Mailing address

222 E Ridge Rd
Suite 216
McAllen, TX 78503-1251
Phone (956) 686-6588

Other identifiers 1

IdentifierTypeStateIssuer
129596601MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428969600000",
    "number": "1760878979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 E RIDGE RD",
            "address_2": "SUITE 216",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031251",
            "telephone_number": "956-686-6588",
            "fax_number": "956-682-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E RIDGE RD",
            "address_2": "SUITE 216",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031251",
            "telephone_number": "956-686-6588",
            "fax_number": "956-682-0759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE B WILSON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-14",
        "last_updated": "2015-04-14",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-686-6588",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129596601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; 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.