NPIMap

Individual provider Active NPI

Hal B Wilson, M.D.

  • Family Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1851397624
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
AZ22876 Issued in AZ
Practice address
11000 N Scottsdale Rd
Suite 225
Scottsdale, AZ 85254-6130
Phone
(602) 508-8055
Fax
(602) 508-8325
NPI assigned
Jun 24, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X AZ22876 AZ
Family Medicine Physician 207Q00000X AZ22876 AZ Primary

Addresses

Primary practice location

11000 N Scottsdale Rd
Suite 225
Scottsdale, AZ 85254-6130

Mailing address

11000 N Scottsdale Rd
Suite 225
Scottsdale, AZ 85254-6130
Phone (602) 508-8055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040427000004 AZ Practitioner - Emergency MedicinePractitioner - Family Practice 4183611833 Reassigns benefits to 2 organizations
Practice locations: Scottsdale, AZ

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Missouri, Columbia School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tec Emergency Physicians of Arizona, LLCGroup PAC ID 6204256084, 155 clinicians

Practice addresses (Care Compare)

11000 N Scootsdale Rd
Scottsdale, AZ 85254-5235
Phone (602) 508-8055

14267 W Bell Rd
Surprise, AZ 85374-2466
Phone (888) 732-3317

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
AZ22876AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Navajo Health Foundation-Sage Memorial Hospital, Inc. CurrentSince Jun 6, 2020 Accepting new patients
Navajo Health Foundation-Sage Memorial Hospital Inc CurrentSince Jun 6, 2020 Accepting new patients
Tec Emergency Physicians of Arizona, LLC CurrentSince Sep 16, 2020 Accepting new patients
Maxwell Medical Group Family Medicine PastSince Jan 1, 1990 Accepting new patients
Emergency Physicians Professional Association LTD Emergency Medicine Past Accepting new patients
Mesa General Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Chase Dennis Emergency Medical Group Inc Emergency Medicine Past Accepting new patients
Tempe Emergency Physicians, LTD Emergency Medicine Past Accepting new patients
Valley Emergency Physicians Inc Emergency Medicine Past Accepting new patients

Locations

5171 W Olive Ave
Glendale, AZ 85302
Phone (480) 732-7540

7171 S 51st Ave
Laveen, AZ 85339
Phone (623) 584-5100

4328 E Chandler Blvd
Phoenix, AZ 85048
Phone (480) 454-3630

1419 W Hunt Hwy
San Tan Vly, AZ 85143
Phone (480) 245-4300

14267 W Bell Rd
Surprise, AZ 85374
Phone (623) 546-5230

5125 S Rural Rd
Tempe, AZ 85282
Phone (480) 306-8780

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 21

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415059200000",
    "number": "1851397624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11000 N SCOTTSDALE RD",
            "address_2": "SUITE 225",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546130",
            "telephone_number": "602-508-8055",
            "fax_number": "602-508-8325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11000 N SCOTTSDALE RD",
            "address_2": "SUITE 225",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546130",
            "telephone_number": "602-508-8055",
            "fax_number": "602-508-8325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "HAL",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2014-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "AZ22876",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "AZ22876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.