Ear Medical Group a PC

Primary specialty

Otology & Neurotology PhysicianTaxonomy code 207YX0901X

License

MD 06745 Issued in OR

Legal business name

EAR MEDICAL GROUP A PC

Doing business as

Wilson Ear Clinic

Practice address

911 NW 18TH Ave
Portland, OR 97209-2324

Phone

(503) 227-3666

Fax

(503) 227-2234

NPI assigned

Jul 26, 2007

Last updated

Mar 4, 2009By 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. David F Wilson, M.D.

Title

Owner

Phone

(503) 227-3666

Specialties & licenses 2

Addresses

Other names 1

• Wilson Ear Clinic Doing business as

Locations

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236124800000",
    "number": "1841480746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 NW 18TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092324",
            "telephone_number": "503-227-3666",
            "fax_number": "503-227-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 NW 18TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092324",
            "telephone_number": "503-227-3666",
            "fax_number": "503-227-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR MEDICAL GROUP A PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2009-03-04",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-227-3666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "OR",
            "license": "MD07645",
            "primary": false
        },
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "OR",
            "license": "MD 06745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilson Ear Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tara Lyn Eagle, D.O.
• Geneva Ann Eagon, PA
• Adam Jerome Eakin
• Anthony Charles Eames, PAC
• Sruthi Eapen
• Sudheer Earanky, DO
• Dianne C Eardley, MD
• Amy S Earhart, MD
• Harley J Earl III, CADC I
• Joy Earl

• Otology & Neurotology Physician in Portland, OR
• Providers in Portland, OR by specialty
• Otology & Neurotology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; 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.