Individual provider Active NPI

Aaron L Wilson, DO

  • Family Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1952408957
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.008755 Issued in OH
Practice address
7440 Woodland Dr Dept 100
Indianapolis, IN 46278-1720
Phone
(317) 580-6309
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34.008755 OH Primary

Addresses

Primary practice location

7440 Woodland Dr Dept 100
Indianapolis, IN 46278-1720

Mailing address

17830 Fredericktown Amity Rd
Fredericktown, OH 43019-8602
Phone (317) 580-6309

Other identifiers 1

IdentifierTypeStateIssuer
0089080MedicaidOH

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130917000458 OH Practitioner - Family Practice 7810176351 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Health Network of Ohio, LLC Family Medicine Current Accepting new patients
American Health Network of Ohio, LLC Family Medicine Current Accepting new patients
American Health Network of Ohio, LLC Family Medicine CurrentSince Sep 1, 2013 Accepting new patients
American Health Network of Ohio, LLC CurrentSince Sep 1, 2013 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

2500 Corporate Exchange Dr
Ste 100
Columbus, OH 43231
Phone (614) 794-4500

3180 E Broad St
Columbus, OH 43209
Phone (614) 231-2729

550 W Central Ave
Delaware, OH 43015
Phone (740) 363-1904

122 Columbus Rd
Fredericktown, OH 43019
Phone (740) 694-1261

3825 Trueman Ct
Hilliard, OH 43026
Phone (614) 451-8797

Interoperability endpoints

  • Direct secure messaging: awilson211238@direct.optum.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1952408957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17830 FREDERICKTOWN AMITY RD",
            "city": "FREDERICKTOWN",
            "state": "OH",
            "postal_code": "430198602",
            "telephone_number": "317-580-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7440 WOODLAND DR DEPT 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781720",
            "telephone_number": "317-580-6309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "AARON",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.008755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0089080",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.