Organization Active NPI

Wilson Gastroenterology PA

  • Specialist
  • Wilson, NC
National Provider Identifier
1821068099
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
16053 Issued in NC
Legal business name
WILSON GASTROENTEROLOGY PA
Practice address
2605 Forest Hills Rd SW
Wilson, NC 27893-4448
Phone
(252) 243-7977
Fax
(252) 399-0514
NPI assigned
Jan 23, 2006
Last updated
Mar 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Authorized official

Name
Mrs. Gail A Hooks
Title
Office Manager
Phone
(252) 243-7977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 16053 NC Primary

Addresses

Primary practice location

2605 Forest Hills Rd SW
Wilson, NC 27893-4448

Mailing address

PO Box 7014
Wilson, NC 27895-7014
Phone (252) 243-7977

Other identifiers 2

IdentifierTypeStateIssuer
8989085MedicaidNC
0225GOtherNCBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1821068099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7014",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278957014",
            "telephone_number": "252-243-7977",
            "fax_number": "252-399-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 FOREST HILLS RD SW",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934448",
            "telephone_number": "252-243-7977",
            "fax_number": "252-399-0514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON GASTROENTEROLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-23",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "HOOKS",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "252-243-7977",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "16053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8989085",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0225G",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.