Individual provider Active NPI

Michael K Wilson, DPM

  • Foot & Ankle Surgery Podiatrist
  • Oklahoma City, OK
National Provider Identifier
1982606331
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
151 Issued in OK
Practice address
1126 SW 89TH St
Oklahoma City, OK 73139-9104
Phone
(405) 692-7114
Fax
(405) 692-2425
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 151 OK Primary

Addresses

Primary practice location

1126 SW 89TH St
Oklahoma City, OK 73139-9104

Mailing address

1126 SW 89TH St
Oklahoma City, OK 73139-9104
Phone (405) 692-7114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050111000335 OK Practitioner - Podiatry 3577542232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lance E Hardison DPM PCGroup PAC ID 4688653348, 2 clinicians

Practice addresses (Care Compare)

1126 S W
Suite 89
Oklahoma City, OK 73139-9104

1126 SW 89TH St
Oklahoma City, OK 73139-9104
Phone (405) 692-7114

13301 N Meridian Ave
Suite 701
Oklahoma City, OK 73120-8357
Phone (405) 751-6152

Hospital & facility affiliations

  • Oklahoma Center for Orthopaedic & Multi-SP Hospital, Oklahoma City, OK, CCN 370212
  • Jackson County Memorial Hospital Authority Hospital, Altus, OK, CCN 370022

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue54
Removal of skin lesions39
Removal of nail tissue390
Removal or shaving of skin growth28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
151OKMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lance E Hardison DPM PC Foot & Ankle Surgery CurrentSince Aug 6, 1980 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

1126 SW 89th St
Oklahoma City, OK 73139
Phone (405) 692-7114

1044 SW 44th St
Ste 102
Oklahoma City, OK 73109
Phone (405) 631-9657

Interoperability endpoints

  • Direct secure messaging: mwilson@direct.uspi.com

Organizations & group practices 3

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1982606331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 SW 89TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731399104",
            "telephone_number": "405-692-7114",
            "fax_number": "405-692-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 SW 89TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731399104",
            "telephone_number": "405-692-7114",
            "fax_number": "405-692-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MICHAEL",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OK",
            "license": "151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.