SAMUEL WILSON M.D. NPI 1174935431

NPI Information

NPI: 1174935431
Provider Name: SAMUEL WILSON, M.D.
Classification: Internal Medicine - 207RH0003X
Specialization: Hematology & Oncology
Entity Type: Individual
PECOS Registration: Yes
Address: 170 MANNING DRIVE 1ST FLOOR PHYSICIAN'S OFFICE BLDG
CHAPEL HILL, NC
ZIP 27599
Phone: (919) 966-1178

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NPI Details

Samuel Wilson, M.D. is a hematology and oncology internal medicine in Chapel Hill, NC with 12 years of experience. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. Samuel Wilson, M.D. NPI is 1174935431. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduation Year:2014

The provider's business location address is:

170 MANNING DRIVE 1ST FLOOR PHYSICIAN'S OFFICE BLDG
CHAPEL HILL, NC
ZIP 27599-368
Phone: (919) 966-1178
Fax: (919) 966-7629

The NPI 1174935431 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 enumeration date for this NPI number is 5/21/2014 and was last updated on 10/20/2022.

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	2080P0207X	Pediatrics	Pediatric Hematology-Oncology	2018-00466	NORTH CAROLINA	No
2	390200000X	Student in an Organized Health Care Education/Training Program		4301105106	MICHIGAN	No
3	207RH0003X	Internal Medicine	Hematology & Oncology	2018-00466	NORTH CAROLINA	Yes

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: 11/21/2025

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