DR. JOHN FRASER WILSON M.D. NPI 1538162151

NPI Information

NPI: 1538162151
Provider Name: DR. JOHN FRASER WILSON, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
8679 CONNECTICUT ST
STE A
MERRILLVILLE, IN
ZIP 46410
Phone: (219) 769-9022
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DR. John Fraser Wilson, M.D. is a specialist in Merrillville, IN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. John Fraser Wilson, M.D. NPI is 1538162151. 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:

8679 CONNECTICUT ST
STE A
MERRILLVILLE, IN
ZIP 46410-383
Phone: (219) 769-9022
Fax: (219) 769-1918

The enumeration date for this NPI number is 5/27/2005 and was last updated on 10/28/2014.

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	174400000X	Specialist		01049994A	INDIANA	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
1	F45954	MEDICARE UPIN	INDIANA
2	200202740	MEDICAID	INDIANA
3	496710I	MEDICARE ID-TYPE UNSPECIFIED	INDIANA

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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