DR. GEORGE WILLIAM WILSON M.D. NPI 1700802717

NPI Information

  • NPI: 1700802717
  • Provider Name: DR. GEORGE WILLIAM WILSON, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 72780 COUNTRY CLUB DR
    BLDG B 205-A
    RANCHO MIRAGE, CA
    ZIP 92270
  • Phone: (760) 779-1721

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NPI Details

DR. George William Wilson, M.D. is a family medicine in Rancho Mirage, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. George William Wilson, M.D. NPI is 1700802717. 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:

72780 COUNTRY CLUB DR
BLDG B 205-A
RANCHO MIRAGE, CA
ZIP 92270-126
Phone: (760) 779-1721
Fax: (760) 834-3578

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.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Removal of impacted ear wax (HCPCS:69210)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)

The enumeration date for this NPI number is 7/14/2006 and was last updated on 3/1/2016.

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
1207Q00000XFamily MedicineG10335CALIFORNIAYes

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
100G103350OTHERCALIFORNIABLUE SHIELD OF CA
200G103350MEDICARE PINCALIFORNIA

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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