William G Wilson, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MD00025702 Issued in WA

Practice address

6322 Roosevelt Way NE
Seattle, WA 98115-6625

Phone

(206) 201-0544

NPI assigned

Sep 14, 2006

Sex

Male

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582848000000",
    "number": "1801991971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1689",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980201689",
            "telephone_number": "206-399-6157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6322 ROOSEVELT WAY NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981156625",
            "telephone_number": "206-201-0544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2811 Tieton Drive",
            "address_purpose": "LOCATION",
            "city": "Yakima",
            "state": "WA",
            "postal_code": "98902",
            "country_code": "US",
            "telephone_number": "509-575-8100",
            "fax_number": "509-575-8745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "WILLIAM",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD00025702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8201162",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie M Wilson, LMP
• Suzan Rood Wilson, LMFT
• Suzanne K. Wilson, CNM, ARNP
• Thomas John Wilson, M.D.
• Todd Wilson, MSW
• William J Wilson, M.D.
• William Kelly Wilson
• William Ray Wilson, MHP
• Opel Ladale Wiltshire, PTA
• Amy D Wilvert, PA

• Emergency Medicine Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Emergency Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2020; 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.