STEVEN KARL WILSON MD NPI 1043211675

NPI Information

NPI: 1043211675
Provider Name: STEVEN KARL WILSON, MD
Classification: Urology - 208800000X
Entity Type: Individual

PECOS Registration: Yes

Address:
81719 DR CARREON BLVD
POD C
INDIO, CA
ZIP 92201
Phone: (760) 342-6657
Get Directions

Steven Karl Wilson, MD is an urology in Indio, CA. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. Steven Karl Wilson, MD NPI is 1043211675. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

81719 DR CARREON BLVD
POD C
INDIO, CA
ZIP 92201-518
Phone: (760) 342-6657
Fax: (760) 342-6658

The NPI 1043211675 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 8/4/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208800000X	Urology		C51286	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00C512861	OTHER	CALIFORNIA	PPIN
2	B02897	MEDICARE UPIN
3	55771	MEDICARE ID-TYPE UNSPECIFIED	ARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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