DR. PAMELA ANNE WILSON D.O. FACOP NPI 1891739900

NPI Information

NPI: 1891739900
Provider Name: DR. PAMELA ANNE WILSON, D.O. FACOP
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
100 SOUTH ST
MEDICAL ARTS BUILDING, STE 207
SOUTHBRIDGE, MA
ZIP 01550
Phone: (508) 765-9700
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DR. Pamela Anne Wilson, D.O. FACOP is a pediatrics in Southbridge, MA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Pamela Anne Wilson, D.O. FACOP NPI is 1891739900. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

100 SOUTH ST
MEDICAL ARTS BUILDING, STE 207
SOUTHBRIDGE, MA
ZIP 01550-051
Phone: (508) 765-9700
Fax: (508) 765-9704

The enumeration date for this NPI number is 6/16/2006 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	208000000X	Pediatrics		72206	MASSACHUSETTS	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	3066843	MEDICAID	MASSACHUSETTS
2	E56591	MEDICARE UPIN	MASSACHUSETTS

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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