Courtney Meredith Wilson

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

BP10088608 Issued in TX

Practice address

2130 W Holcombe Blvd FL 6
Houston, TX 77030-3306

Phone

(713) 563-2772

NPI assigned

Mar 31, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Dermatology

Education

Northeastern Ohio University College of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northern Ohio Medical Specialists,LLCGroup PAC ID 2769386192, 252 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cwilson31716@nomshealthcare.direct-ci.com
• Direct secure messaging: ckromer183738@direct.metrohealth.org

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.

• Northern Ohio Medical Specialists LLC

  • Internal Medicine Physician
  • Sandusky, OH
  • NPI 1225085855
  Medicare reassignment Care Compare group NPD
• Northern Ohio Medical Specialists, LLC

  • Durable Medical Equipment & Medical Supplies
  • Lorain, OH
  • NPI 1952281511
  NPD
• The Metrohealth System

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1700828852
  NPD
• Northern Ohio Medical Specialists, LLC

  • Radiology Clinic/Center
  • Sheffield Village, OH
  • NPI 1508811332
  NPD (past)

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1922636265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 W HOLCOMBE BLVD FL 6",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303306",
            "telephone_number": "713-563-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 W HOLCOMBE BLVD FL 6",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303306",
            "telephone_number": "713-563-2772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 W Strub Rd Ste 350",
            "address_purpose": "LOCATION",
            "city": "Sandusky",
            "state": "OH",
            "postal_code": "448705488",
            "country_code": "US",
            "telephone_number": "419-502-3376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "COURTNEY",
        "middle_name": "MEREDITH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-31",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": "BP10088608",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "OH",
            "license": "35.153183",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmwilson3@mdanderson.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2130 W Holcombe Blvd Fl 6",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770303306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Catherine Margaret Wilson, MD
• Chad Terrence Wilson, MD
• Christina Anna Louise Wilson
• Cornelius A Wilson, M.D.
• Cory Wilson, MD, PHD
• Dafeionthay Wilson
• Danielle Frances Wilson, MD
• David Wilson, M.D.
• David J Wilson, DDS
• Diana Jean Wilson

• MOHS-Micrographic Surgery Physician in Houston, TX
• Providers in Houston, TX by specialty
• MOHS-Micrographic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; 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.