Rose Mary Wilson, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

692119 Issued in TX

Practice address

5804 Coit Rd Ste 100
Plano, TX 75023-5955

Phone

(972) 424-3505

Fax

(972) 424-0903

NPI assigned

May 14, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

PodiatryAlso: Orthopedic Surgery

Education

Barry University School of Podiatric Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southwest Surgery and Wound Care PhysiciansGroup PAC ID 2668539198, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Texas Health Presbyterian Hospital Flower Mound Hospital, Flower Mound, TX, CCN 670068

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Southwest Surgery and Wound Care Physicians

  • Foot & Ankle Surgery Podiatrist
  • Plano, TX
  • NPI 1841436078
  Medicare reassignment Care Compare group NPD

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

• Flower Mound Hospital Partners, LLC

  • General Acute Care Hospital
  • Flower Mound, TX
  • NPI 1902047376
  Care Compare affiliation

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732406400000",
    "number": "1962076901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5804 COIT RD STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750235955",
            "telephone_number": "972-424-3505",
            "fax_number": "972-424-0903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5804 COIT RD STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750235955",
            "telephone_number": "972-424-3505",
            "fax_number": "972-424-0903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "502 N Valley Pkwy # 2",
            "address_purpose": "LOCATION",
            "city": "Lewisville",
            "state": "TX",
            "postal_code": "750673437",
            "country_code": "US",
            "telephone_number": "972-424-3505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6161 N State Highway 161 Ste 320",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750382220",
            "country_code": "US",
            "telephone_number": "972-424-3505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "714 N Hampton Rd",
            "address_purpose": "LOCATION",
            "city": "DeSoto",
            "state": "TX",
            "postal_code": "751154510",
            "country_code": "US",
            "telephone_number": "972-424-3505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ROSE MARY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-14",
        "last_updated": "2024-11-24",
        "certification_date": "2024-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "TX",
            "license": "692119",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "692119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Briana Miguel Wilson
• James Wade Wilson, MD
• Kevin Wilson, PA-C
• Logan Blaze Wilson, FNP-C
• Rick Wilson, M.D.
• Taleesha Wilson
• Taylor Ross Wilson
• Peter John Wiltse, D.O.
• Win With Wellness,LLC
• Windhaven Adolescent Medicine

• Foot & Ankle Surgery Podiatrist in Plano, TX
• Providers in Plano, TX by specialty
• Foot & Ankle Surgery Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.