Individual provider Active NPI

David Wilson, M.D.

  • Emergency Medicine Physician
  • Houston, TX
National Provider Identifier
1992722581
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
L4810 Issued in TX
Practice address
1635 North Loop W
Houston, TX 77008-1532
Phone
(713) 867-2000
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X L4810 TX Primary

Addresses

Primary practice location

1635 North Loop W
Houston, TX 77008-1532

Mailing address

PO Box 842368
Dallas, TX 75284-2368
Phone (866) 916-5259

Other identifiers 2

IdentifierTypeStateIssuer
154702803MedicaidTX
154702802MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100104000628 FL Practitioner - Emergency Medicine 4981635000 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L4810TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sheridan Emergency Physician Services Inc Emergency Medicine Current Accepting new patients
Inphynet Contracting Services LLC Emergency Medicine CurrentSince Sep 1, 2016 Accepting new patients
Sheridan Emergency Physician Services, Inc Emergency Medicine CurrentSince Feb 1, 2016 Accepting new patients
Small Hospital Innovations LLC Emergency Medicine CurrentSince Jul 1, 2014 Accepting new patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Halifax Healthcare Systems Inc Emergency Medicine CurrentSince Jan 17, 2014 Accepting new patients
Sheridan Emergency Physician Services Inc Emergency Medicine CurrentSince Feb 1, 2016 Accepting new patients
Florida Emergency Physicians Kang and Associates MD LLC Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Florida Em-I Medical Services, PA Emergency Medicine Past Accepting new patients
Memorial Northwest Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
Memorial Southwest Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
Emergency Physician Solutions of South Florida, LLC Emergency Medicine PastSince Mar 1, 2020 Accepting new patients
Memorial Southeast Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
Marshland Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Florida Em-I Medical Services PA Emergency Medicine Past Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine Past Accepting new patients
Space City Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

1909 E Highway 50
Clermont, FL 34711
Phone (352) 717-3800

524 W Sagamore Ave
Clewiston, FL 33440
Phone (800) 494-3984

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073

700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000

2361 N Semoran Blvd
Orlando, FL 32807
Phone (407) 359-6010

4056 Millenia Blvd
Orlando, FL 32839
Phone (407) 393-9800

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

8300 Red Bug Lake Rd
Oviedo, FL 32765
Phone (407) 359-6007

8201 W Broward Blvd
Plantation, FL 33324
Phone (954) 476-3900

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

1401 W Seminole Blvd
Sanford, FL 32771
Phone (317) 805-2316

5731 Bee Ridge Rd
Sarasota, FL 34233
Phone (888) 221-2216

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203379200000",
    "number": "1992722581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 842368",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752842368",
            "telephone_number": "866-916-5259",
            "fax_number": "231-922-7403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 NORTH LOOP W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081532",
            "telephone_number": "713-867-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2008-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "L4810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154702803",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154702802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.