Robert W. Wilson, D.O., P.a.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

0S0006131 Issued in FL

Legal business name

ROBERT W. WILSON, D.O., P.A.

Practice address

2940 Immokalee Rd
Suite #2
Naples, FL 34110-1409

Phone

(239) 598-5750

NPI assigned

Apr 16, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert Wilcox Wilson, D.O.,P.A.NPI 1427018134

Title

Owner

Phone

(239) 598-5750

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Wilcox Wilson, D.O.

  • Pediatrics Physician
  • Naples, FL
  • NPI 1427018134
  NPD (past) Authorized official
• Sobia Najm Masoud, M.D

  • Pediatrics Physician
  • Naples, FL
  • NPI 1972646495
  NPD (past)
• Shannon Rebecca Segaloff, APRN

  • Pediatrics Physician
  • Boynton Beach, FL
  • NPI 1679041891
  NPD (past)
• Rachael Wagner, RN

  • Pediatric Nurse Practitioner
  • Naples, FL
  • NPI 1093577884
  NPD (past)

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841415932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 IMMOKALEE RD",
            "address_2": "SUITE #2",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101409",
            "telephone_number": "239-598-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 IMMOKALEE RD",
            "address_2": "SUITE #2",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101409",
            "telephone_number": "239-598-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT W. WILSON, D.O., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WILCOX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-598-5750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O.,P.A."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "FL",
            "license": "0S0006131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT WEST",
            "identifier": "435695",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL HEALTHY KIDS",
            "identifier": "202096",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "80906",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Boyd Tober Inc
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• Robert Sadaty, MD PA
• Robert W Bailey MD Inc
• Vera M Robert, D.O.
• Ann J. Roberto, ARNP
• Carol Lee Roberts, M.D.
• Courtney Leigh Roberts, MD
• Donna L Roberts, ANP-BC

• Pediatric Adolescent Medicine Physician in Naples, FL
• Providers in Naples, FL by specialty
• Pediatric Adolescent Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.