Active NPI
Wilson Gastroenterology PA
- Specialist
- Wilson, NC
National Provider Identifier
1821068099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 16053
- 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, 2008
- 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
- Mrs. Gail A Hooks
- Title
- Office Manager
- Phone
- (252) 243-7977
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8989085 | Medicaid | NC | |
| 0225G | Other | NC | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryNPI 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
- Wilson Digestive Diseases Center PA (Wilson Digestive Diseases Endoscopy Center)
- Wilson Emergency Physician Partners PLLC
- Wilson Eye Associates Optometrists, PA
- Wilson Family Medicine, PA
- Wilson Family Practice Center Inc
- Wilson Greene Mental Health
- Wilson Heart P a
- Wilson House LLC (Wilson House)
- Wilson Imaging Center, LLC
- Wilson Immediate Care, PA
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.