Active NPI
Barry K Wilson MD Inc
- Anesthesiology Physician
- Stockton, CA
National Provider Identifier
1790107829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- BARRY K WILSON MD INC
- Practice address
- 1801 E March LN
Suite 360
Stockton, CA 95210-6629 - Phone
- (209) 951-1178
- NPI assigned
- Jan 8, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Barry K Wilson, MD
- Title
- Owner
- Phone
- (209) 951-1178
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
1801 E March LN
Suite 360
Stockton, CA 95210-6629
Mailing address
PO Box 7096
Stockton, CA 95267-0096
Phone (209) 956-7725
National Provider Directory
National Provider DirectoryLocations
2288 Auburn Blvd
Sacramento, CA 95821
Phone 916568834443
1801 E March Ln
Ste 360
Stockton, CA 95210
Phone (209) 572-2700
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- Stockton, CA
- NPI 1467452235
-
- Anesthesiology Physician
- Stockton, CA
- NPI 1922178318
-
- Anesthesiology Physician
- Stockton, CA
- NPI 1093808818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1409788800000",
"number": "1790107829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7096",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952670096",
"telephone_number": "209-956-7725",
"fax_number": "209-956-7733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 E MARCH LN",
"address_2": "SUITE 360",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952106629",
"telephone_number": "209-951-1178"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BARRY K WILSON MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-08",
"last_updated": "2014-09-04",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "BARRY",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "209-951-1178",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.