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CARL THAYNE WILSON MD NPI 1073608659


NPI Information

NPI: 1073608659
Provider Name: CARL THAYNE WILSON, MD
Classification: Anesthesiology - 207L00000X
Entity Type: Individual
Organization: MCKENZIE COUNTY HEALTHCARE SYSTEMS INC

PECOS Registration: Yes

Address:
1034 NORTH 500 WEST
UTAH VALLEY REGIONAL MEDICAL CENTER
PROVO, UT
ZIP 84604
Phone: (801) 507-5248
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Carl Thayne Wilson, MD is an anesthesiology in Provo, UT with 40 years of experience. The provider is an anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. Carl Thayne Wilson, MD NPI is 1073608659. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1984

The provider's business location address is:

1034 NORTH 500 WEST
UTAH VALLEY REGIONAL MEDICAL CENTER
PROVO, UT
ZIP 84604
Phone: (801) 507-5248
Fax: (801) 733-5618

The NPI 1073608659 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ultrasonic guidance imaging supervision and interpretation for insertion of needle (HCPCS:76942)

The enumeration date for this NPI number is 10/3/2006 and was last updated on 10/15/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207L00000XAnesthesiology88-179937-1205UTAHYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12090168OTHERUTAHUNITED HEALTHCARE
28597445OTHERUTAHWORKERS COMP
3870545614WI1OTHERUTAHEDUCATORS MUTUAL
4050041174MEDICARE ID-TYPE UNSPECIFIEDUTAHRAILROAD MEDICARE
5119214100MEDICAIDWYOMING
6768046MEDICAIDARIZONA
7806095300MEDICAIDIDAHO
837038OTHERUTAHDESERET MUTUAL
953282OTHERUTAHHEALTHY U
10002089788MEDICAIDNEVADA
11107005544101OTHERUTAHIHC
12TPRA07712OTHERUTAHMOLINA
13QM0000075886OTHERUTAHALTIUS
141502954OTHERUTAHUMWA
1537831OTHERUTAHPEHP
16F02043MEDICARE UPINUTAH
17005532761MEDICARE ID-TYPE UNSPECIFIEDUTAH

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.