Robert Edward Wilson Jr., MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

44317 Issued in KY

Practice address

1250 Ben Ali Dr
Danville, KY 40422-8937

Phone

(859) 236-0903

Fax

(859) 236-7382

NPI assigned

Nov 11, 2008

Last updated

Sep 16, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Otolaryngology

Education

West Virginia University School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ephraim McDowell Health Resource IncGroup PAC ID 7517876956, 161 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ephraim McDowell Regional Medical Center Hospital, Danville, KY, CCN 180048
• The James B. Haggin Memorial Hospital Hospital, Harrodsburg, KY, CCN 181302

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: robertwilson@kysjhspe.allscriptsdirect.net

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

• Ephraim McDowell Health Resource, Inc.

  dba Danville Family Physicians

  • Family Medicine Physician
  • Danville, KY
  • NPI 1487708533
  Medicare reassignment Care Compare group NPD
• Ear Nose and Throat Specialists PLLC

  • Otolaryngology Physician
  • Georgetown, KY
  • NPI 1154331387
  Medicare reassignment NPD
• Saint Joseph Health System Inc

  dba Saint Joseph ENT Center

  • Otolaryngology Physician
  • London, KY
  • NPI 1134553902
  Medicare reassignment NPD
• Ephraim McDowell Health Resource, Inc

  dba Ephraim McDowell Specialty Services

  • Endocrinology, Diabetes & Metabolism Physician
  • Danville, KY
  • NPI 1174484463
  NPD
• Ephraim McDowell Health Resource, Inc

  dba Ephraim McDowell Ear, Nose & Throat

  • Otolaryngology Physician
  • Danville, KY
  • NPI 1750815379
  NPD
• Neurosurgical Associates PSC

  • Neurological Surgery Physician
  • Lexington, KY
  • NPI 1235110925
  NPD
• Saint Joseph Health System, Inc.

  dba Saint Joseph Primary Care Associates Corbin - RHC

  • Rural Health Clinic/Center
  • Corbin, KY
  • NPI 1285301234
  NPD
• The Center for Better Hearing, LLC

  • Assistive Technology Supplier Audiologist
  • Georgetown, KY
  • NPI 1366885774
  NPD (past)

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

• Ephraim McDowell Regional Medical Center Incorporated

  dba Kids Can Do

  • Rehabilitation Hospital Unit
  • Danville, KY
  • NPI 1639360472
  Care Compare affiliation
• Ephraim McDowell Regional Medical Center Incorporated

  • General Acute Care Hospital
  • Danville, KY
  • NPI 1821135963
  Care Compare affiliation
• The James B. Haggin Memorial Hospital Inc

  • Critical Access Hospital
  • Harrodsburg, KY
  • NPI 1902862824
  Care Compare affiliation

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1861646374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 990",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404230990",
            "telephone_number": "859-239-2318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 BEN ALI DR",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404228937",
            "telephone_number": "859-236-0903",
            "fax_number": "859-236-7382"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2411 Ring Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "KY",
            "postal_code": "427015930",
            "country_code": "US",
            "telephone_number": "270-982-5550",
            "fax_number": "270-982-5549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ROBERT",
        "middle_name": "EDWARD",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-11",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "KY",
            "license": "44317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100161520",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melborne A. Williams, M.D.
• Hayley Willis, DC
• Brenda Lee Wilson, RPH
• Edward Wilson, MD
• Nicole Wilson, APRN, FNP-C
• Carl Edmond Wisecaver, CRNA
• Bryan Wood, MD
• Marcy R Workman, PA
• Nicholas Shawn Wren, PHARMD
• Colyn Wright

• Otolaryngology Physician in Danville, KY
• Providers in Danville, KY by specialty
• Otolaryngology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.